Journal of the West African College of Surgeons
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J West Afr Coll Surg · Oct 2016
ANAESTHETISTS' ATTITUDES AND PRACTICE OF INFORMED CONSENT IN NIGERIA.
Informed consent is an integral part of a surgical and anaesthetic procedure, failure to obtain it may result in grave medico-legal implications. ⋯ We determined that informed consent was an integral part of a surgical procedure. which helped to improve doctor/patient relationship, respected the patient's right of autonomy and provided the surgeon and anaesthetists with greater protection against medical litigation. It is paramount to disclose all major risk and complications. However, few anaesthetists 19(33.93%) obtain informed consent from their patients before epidural labour analgesia.
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J West Afr Coll Surg · Apr 2016
THE EFFECT OF COMBINING AXILLARY BRACHIAL PLEXUS BLOCK WITH INTERSCALENE OR SUPRACLAVICULAR BLOCK FOR UPPER LIMB SURGERIES USING NEUROSTIMULATION TECHNIQUE.
The different approaches to the brachial plexus have clinical implications and all these approaches have clinical limitations. Combining different approaches helps to reduce these limitations. Can a combination of two different methods of brachial plexus block give a better anaesthetic outcome? ⋯ There was no difference in terms of time of onset, duration of sensory block and level of patients' satisfaction between the combined brachial plexus approaches and single approach.
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J West Afr Coll Surg · Jan 2015
BRACHIAL PLEXUS BLOCK FOR UPPER LIMB PROCEDURES: EXPERIENCE AT THE UNIVERSITY OF UYO TEACHING HOSPITAL, UYO, AKWA IBOM STATE, NIGERIA.
Brachial plexus block (BPB) has many benefits over general anaesthesia in upper limb procedures. However, its utilization in Nigeria is not as high as expected. ⋯ The use of brachial plexus block for upper limb procedure in our centre is rising. Paraesthesia technique is predominant, and it is associated with a high success rate and low complications.
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J West Afr Coll Surg · Oct 2014
PERCEPTION OF EPIDURAL ANALGESIA FOR LABOUR AMONG PREGNANT WOMEN IN A NIGERIAN TERTIARY HOSPITAL SETTING.
Epidural anaesthesia is the preferred technique and gold standard for labour analgesia. However this technique is poorly utilized in our setting .This study is therefore aimed to assess the perception of this technique for labour analgesia among pregnant women in a Nigerian tertiary hospital setting in order to suggest ways of improving the utilization of same. ⋯ This study has shown that there is poor awareness and acceptance of epidural analgesia in labour in this environment which would be greatly improved by public enlightenment and counselling during ante-natal visits.
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J West Afr Coll Surg · Jul 2014
A COMPARATIVE STUDY OF INTRAMUSCULAR ACETAMINOPHEN VERSUS INTRAMUSCULAR PENTAZOCINE AS LABOUR ANALGESIA IN ZARIA, NORTHWESTERN NIGERIA.
Intramuscular pentazocine is a common labour analgesic in Zaria, Nigeria due to its low cost and availability. Though also cheap and readily available the use of intramuscular acetaminophen is not popular and hence the need for a comparative study. ⋯ Intramuscular acetaminophen gave comparable labour analgesia with fewer side effects when compared with pentazocine.