West African journal of medicine
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Observational Study
Tracheal Intubation in the Emergency Department of a Sub-Saharan Teaching Hospital:A One-Year Survey at Lagos University Teaching Hospital, Nigeria.
To identify the indications for tracheal intubation in the emergency department of the Lagos University Teaching Hospital and problems encountered with the view to improve patient outcome. ⋯ In this institution, the majority of Emergency department intubations were performed by anaesthetists after working hours with a very high success rate and a low rate of post-intubation serious complications. The delay in intubation should urgently be addressed to improve patient outcome.
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Randomized Controlled Trial Comparative Study
Comparison of unreamed interlocking nail and external fixation in open tibia shaft fracture management.
The management of open tibia fractures remains controversial despite increase in its incidence. Some surgeons avoid internal fixations for fear of infection while others have demonstrated its superiority. Identifying an optimal management modality is of utmost benefit to our patients. Study objectives were to compare the rate of infection and mean duration to healing in the management of open tibia fractures using unreamed interlocking intramedullary nail and external fixation. ⋯ The risk of wound infection was observed to be higher in this study with the use of external fixation in the management of open tibia fractures compared with unreamed interlocking intramedullary nail.
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Early Cardiopulmonary resuscitation maintains cardiac output and tissue oxygenation following cardiac arrest and it prevents brain death. Nurses are usually the first set of hospital staff to arrive at the scene of a cardiopulmonary arrest occurring in the ward or intensive care unit and a good knowledge of cardiopulmonary resuscitation is usually essential for patient's survival. ⋯ This study demonstrates that constant training improves the knowledge of CPR , which will result in the reduction of mortality in patients who suffer cardiac arrest.
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The WHO puts caesarean section rate in Nigeria at 1.8%. This is much higher in teaching, specialist and referral hospitals. In our centre University of Benin Teaching Hospital (UBTH), the average annual rate is 33.4%. General anaesthesia is the predominant choice for caesarean section (C/S) in most centres. The trend is increasing towards regional anaesthesia. Many studies have reported the trend in several centres. This study examined the evolving pattern in our centre. ⋯ The study shows an increasing use of regional anaesthesia for C/S, predominantly subarachnoid blockade.
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Spinal anaesthesia is regarded safe for caesarean section. Serious complications resulting from spinal anaesthesia such as cardiac arrest are often times considered rare. This is a case of a 27 year old un-booked gravida1 who was scheduled for emergency caesarean section on account of cephalo-pelvic disproportion (CPD) with associated history of prolonged labour. ⋯ She was treated with an anti-epileptic drug and was also mechanically ventilated. She also developed features of puerperal psychosis and was managed with anti-psychotics. The patient was on admission in the intensive care unit for four days and she made quick recovery with no apparent residual damage.