Browsing by Author "Adegboye, M.B"

Now showing 1 - 20 of 26
  • Item
    A Review of Fatal and Near-Fatal Foreign Body in the Paediatric Airway: Airway Timely Intervention Counts.
    (Otorhinolaryngology Society of Nigeria., 2021) Omokanye, H.K; Adegboye, K.A; Nasir, AA; Adegboye, M.B; Afolabi, O.A; Patric, E.W; Thimnu Ari Elam, W; Isa, A.B,; Segun-Busari, S; Dunmade, A.D
    Background: Accidental ingestion or aspiration of foreign bodies carries a potential risk of fatality in children and early intervention is vital. The urgency often dictates prompt referral to otolaryngologist. However, at the referral center, time may not always permit the most skilled specialist to arrive the point of care. Hence, the life-saving task may fall on any other doctor or ENT trained-nurse available in the emergency room at the time of patient’s arrival. Objective: We analyzed contributory factors to morbidity and mortality in four selected cases; two near-fatal foreign body in infants, along with two others were delayed or no intervention led to fatal outcome. Method: In the current study, a retrospective review of case files of four patients with foreign body aspiration was conducted. Result: Two out of the 4 (50%) airway foreign bodies were successfully removed one with and the other without anesthesia. One of the lifesaving foreign body retrievals was done by an ENT trained nurse using available instruments and the other by an anaesthetist. The other two died either because of delayed presentation or refusal to consent to surgical intervention. Conclusion: The findings revealed that prompt imaging and referral to specialist center for early intervention are important factors to the outcome. However, absence of the most skilled manpower or the best instrument should not be allowed to preclude timely intervention
  • Item
    Accidental Decannulation of Tracheostomy Tubes Case Series.
    (West African College of Surgeons, 2016) Omokanye, H.K; Dumade, A.D; Segun-Busari, S; Afolabi, O.A; Habeeb, O.G; Adegboye, M.B; Alabi, B.S
    Tracheostomy tube (TT) is usually removed in a planned manner once the patient ceases to have the condition that necessitated the procedure. Accidental decannulation or extubation refers to inadvertent removal of tracheostomy tube out of the stoma. It could prove fatal in an otherwise stable patient. We review a variety of unexpected and often-overlooked causes of accidental decannulation with suggestions on preventive measures. We therefore present three cases of accidental decannulation of tracheostomy tubes in order to report our experiences in the management of the condition. Conclusion: Accidental decannulation occurs both in hospitalized as well as in patients on home care of their tracheostomy tubes. Reduction in neck circumference due to weight loss predisposes to accidental decannulation, which could be prevented by suturing the flanges to the skin.
  • Item
    An Appraisal of Anaesthesia for Abdominal Myomectomy in a Tertiary Institution in North-Central Nigeria
    (Zambia Medical Association, 2024) Adegboye, M.B; Ibegbula E.O; Uwadiae O.I
    Background: Abdominal myomectomy is a common gynaecological surgical procedure in our institution to remove uterine fibroids. This study examined the anaesthetic technique and the determinants of immediate postoperative complications and outcomes. Objective: A retrospective study of the various types of anaesthetic techniques used and the immediate post-operative/anaesthetic complications following an open abdominal myomectomy. Methods: This was a cross-sectional study of all open abdominal myomectomies performed from 1st January 2016 to 31st December 2019 at the University of Ilorin Teaching Hospital. Data collected included demographic data, anaesthetic technique, uterine size, estimated blood loss and postoperative outcomes and complications. Data were analysed using Chi-square and Fisher's exact test as appropriate using SPSS (IBM SPSS Statistics version 22.0 Armonk, NY IBM Corp). A p-value of ? 0.05 was taken to be significant. Results: Two hundred open myomectomies were suitable for analysis. The mean age was 36.4±6.0 years and most patients were ASA I 102(51.0%). Most of the surgeries were performed under regional anaesthesia (RA) 130(65.0%) and 56(28.0%) under general anaesthesia (GA) with 14(7.0%) converted from RA to GA. The predominant RA used was epidural anaesthesia 56(28.0%). Most of the patients who had an estimated blood loss of greater than 2000mls 15(71.4) had GA p=0.000. Only one patient 1(0.5%) had an intraoperative cardiac arrest and was resuscitated. Conclusion: Regional anaesthesia for open myomectomy is high in our institution with a very good outcome, because of the availability of welltrained personnel
  • Item
    An appraisal of anaesthesia for ectopic pregnancy in a tertiary institution North-Central Nigeria
    (College of Health Sciences, Bayero University Kano, 2020) Adegboye, M.B; Oyewopo, C.I.; Oni, O.J
    Ectopic pregnancy is a life threatening gynaecological emergency; it is a significant cause of maternal morbidity and mortality, thus poses various anaesthetic challenges. Aims: To determine the profile of women that present with ectopic gestation, their mode of presentation, the anaesthetic technique used, complications and outcome. Settings and Design: This was a retrospective review of ectopic pregnancy at the University of Ilorin teaching hospital from 1st January 2015 to 31st December 2018. Materials and Methods: Data were obtained from operating theatre records, anaesthetic records regarding modes of anaesthesia, complications and outcomes were extracted. Statistical Analysis Used: Analysis was done IBM SPSS version 22. Results: There were 89 cases of ectopic pregnancies that were managed during the period of review. The incidence of ectopic pregnancy in this study was 0.9% of all deliveries. A total of 69 (77.5%) of the case file were available and were retrieved and analysed. The age range was 25–29 years, with mean age of 27.5 ± 5.4 years. Most of the patients presented with ruptured ectopic 57 (82.6%). All the patients had general anaesthesia, and ketamine 47 (68.2%) was the predominant induction agent (P = 0.007). The most common surgical intervention performed was open laparotomy with unilateral salpingectomy 60 (87%). Fifty three (76.8%) of the patients required intra operative blood transfusion. All patients with the American Society of Aanesthesiologists (ASA) IVE had ruptured ectopic, while 88% of patients with ASA IIIE presented with ruptured ectopic. Ninety per cent of the patient that were ASA IVE had an immediate post operative complication. While the least complication was seen in patients with ASA IE 3 (37.5%). No patient required intensive care admission, and no mortality was recorded. Conclusion: The most common form of presentation of ectopic pregnancy in this study was ruptured unilateral ectopic, and general anaesthesia for laparotomy was the most common intervention.
  • Item
    An appraisal of anaesthetic technique for caesarean delivery in a tertiary Institution, North Central Nigeria.
    (Society of Gynaecology and Obstetrics of Nigeria, 2019) Adegboye, M.B; Oyewopo, C.I; Adegboye, K.A; Josiah, J; Ibegbula, E.O
    Background: The rate of caesarean delivery is on the rise globally and our institution is not left out. Therefore we set out to assess the trends, indications and anaesthetic techniques for caesarean delivery in our environment. Methods: This was a retrospective review of all caesarean deliveries between 1st January 2015 and 31st December 2017 from the anaesthetic chart, anaesthetic theatre records and labour ward record of the University of Ilorin Teaching Hospital (UITH). Patient’s demographic data, indication for caesarean section, nature of caesarean section, ASA physical status, anaesthetic technique used, cadre of anaesthetist and the total number of deliveries were recorded. Data were analysed and presented as frequencies and percentages using statistical package for social sciences (SPSS software version 22). Results: During the study period a total of 7940 patients delivered and 1822 patients had undergone caesarean delivery. The caesarean section rate at the institution is around 22.9%. The commonest indication for caesarean delivery was previous caesarean section (31.6%) followed by hypertensive disorder in pregnancy(14.7%). Most of the caesarean section was performed as emergency (80%). Regional anaesthesia was the most frequently used for both emergency(91.3%) and elective (98.7%) caesarean section, and spinal anaesthesia(88.9%) was the commonest regional anaesthetic technique used. Conclusion: The rate of caesarean section is high in our institution, with majority being performed under spinal anaesthesia. We need to improve on other regional anaesthetic technique so that our parturients can have the best and safest option.
  • Item
    An evaluation of effectiveness of preemptive ketamine for postoperative analgesia in elective thyroidectomy
    (Association of General and Private Medical Practitioners of Nigeria, 2021) Oni, O.J; Bolaji, B.O; Kolawole, I.K; Ige, O.A; Oyedepo, O.O; Adegboye, M.B
    Background: The use of preincision low‑dose ketamine as a preemptive analgesic modality has been widely suggested. However, findings from previous studies have remained inconclusive. Materials and Methods: Eighty-two patients scheduled to have elective thyroidectomy under general anesthesia were recruited. The patients were randomly allocated into one of two groups, to receive either 0.5 mg/kg of ketamine intravenously or an equal volume of normal saline, 10 min before surgical incision. At the end of surgery, pain scores, time to first request for analgesic and total opioid requirement in 24 h postoperatively were recorded. Results: There was no significant difference in the postoperative pain scores, time to first requirement for analgesic, postoperative opioid consumption and satisfaction with analgesia between the two groups. The median pain scores at recovery, 2, 6, 12, and 24 h postoperatively for the ketamine and saline groups were not significantly different (P values 0.208, 0.185, 0.412, 0.590, and 0.854 respectively). The times to first request for analgesic were 86.00 ± 56.58 min in the ketamine group and 79.90 ± 68.05 min in the saline group (P = 0.357). The 24‑h opioid (morphine) consumptions were 11.00 ± 3.16 mg in the ketamine group and 13.21 ± 5.87 mg in the control group (P = 0.275). Conclusion: This study concluded that the administration of preincision low-dose ketamine (0.5 mg/kg) did not produce a preemptive analgesic effect in patients who had an elective thyroidectomy.
  • Item
    Anaesthesia for orthopaedic surgeries in two tertiary institutions in North-Central Nigeria.
    (Polish Society of Orthopaedics and Traumatology, 2018) Adegboye, M.B; Kadir, D.M; Josiah, C
    Background: Orthopedic surgeries involve upper and lower extremities as well as spine surgeries and are performed under various anesthetic techniques. Therefore it is important to review the choice of anesthesia for the various orthopedic surgeries in order to evaluate their appropriateness. Method: A retrospective review of theatre records of all orthopedic surgeries performed over a 2 year period (1st July 2016-30th June 2018) involving patients of all ages was carried out in two tertiary institutions. Patient’s demographic data, site of surgery, the anesthetic technique used and duration of the surgery were recorded. Data were analyzed and presented as frequency and means using statistical package for social sciences (SPSS software version 23). Result: A total of 334 patients had orthopedic surgery done over the period under review. The mean age was 39 ± 20.9 years. More than sixty percent of the patients were males (60.8%). Most of the procedures were done as elective surgeries (61.7%). The sites of orthopedic surgical procedures done were upper limb 73 (21.9%), lower limb 243 (72.8%), upper and lower limb 4 (1.2%) and spine surgeries 14 (4.2%). Of the upper limb surgeries, 55 (75.3%) were performed under general anesthesia (GA) and 18 (24.7%) under regional anesthesia (RA). While for the lower limb, most of the surgeries were done under RA 196 (81%). The RA technique used was predominantly spinal 133 (54.7%) and GA cases were only 46 (19%). All the 14 spine surgeries were performed under GA. The upper and lower limb surgeries were done either as RA 2 (50%) or as GA+RA 2 (50%). Conclusion: Most of the upper limb surgeries that could be performed under regional anesthesia were done under GA, this has to improve. It is however commendable that a large proportion of lower limb surgeries were performed under various regional anesthetic techniques. There is a need to perform more spine surgeries under different anesthetic techniques
  • Item
    Analysis of presentations and outcomes of care of children with disorders of sexual development in a Nigerian Hospital
    (Elsevier Inc, 2019) Nasir, A.A; Abdur-Rahaman, L.O; Omotayo, O.A; Bamigbola, K.I; Adegboye, M.B; Raji, H.O; Adesiyun, A.M; Adeniran, J.O
    Study Objective: To describe the presentation, diagnosis, management, and short-term outcome of children with disorders of sexual development (DSD) in the context of multidisciplinary team care. Design: Prospective descriptive study. Setting: University Teaching Hospital. Participants: All children who presented with genital ambiguity. Interventions and Main Outcome Measures: Records of all patients diagnosed and managed for DSD between January 2011 and December 2016 were reviewed. The care pathway included clinical, laboratory, internal genitalia evaluation, and panel (including parents) meeting. Results: Fifteen children presented with DSD at a median age of 20 months. Only 5/15 (33.3%) presented in the neonatal period. Ten of fifteen patients (66.7%) presented with genital ambiguity. Ovotesticular DSD was the most common diagnosis (9/15; 60%). Seven of the patients were genetically female (46, XX), 1 was genetically male (46, XY) and 1 without genetic diagnosis. Six patients were assigned male gender and they underwent male genitoplasty. Five of them had excision of M€ullerian structures with gonadectomy. Three of fifteen patients (20%) were diagnosed as 46, XX DSD, at a median age of 7 years. All of them were due to congenital adrenal hyperplasia and underwent female genitoplasty. Two patients were diagnosed as XY, DSD. They were both raised as female at presentation and were reassigned male sex. Both had urethroplasty done. Four patients had postoperative urethrocutaneous fistula and 1 had partial wound dehiscence. The median follow-up period was 21 months (interquartile range, 2-26 months). Conclusion: The frequency of ovotesticular DSD is high in our setting. The decision of sex assignment was finally made at a median age of 7.5 months in most of our patients with satisfactory short-term surgical outcome.
  • Item
    Comparative study of Haemodynamic Effects of Intravenous Ketamine-Fentanyl and Propofol-Fentanyl for Laryngeal Mask Airway Insertions in children undergoing Herniotomy under General Anaesthesia in a Nigerian Tertiary Hospital
    (National Postgraduate Medical College of Nigeria., 2022) Okeyemi, A; Suleiman, Z.A; Oyedepo, O.O; Bolaji, B.O.; Adegboye, M.B; Ige, O.A.
    Background: Insertion of laryngeal mask airway (LMA) with propofol in children may cause hypotension, laryngospasm and apnoea. Ketamine and fentanyl have been combined separately with propofol to prevent depression of cardiovascular system during LMA insertion, especially in paediatric patients. Ketamine-fentanyl and propofol-fentanyl combinations have analgesic effect, prevent coughing and apnoea and regarded as agents of choice for LMA insertions. However, the cardiovascular effects of the two admixtures for LMA insertions have not been fully assessed in children. We compared the haemodynamic effects of ketamine-fentanyl and propofol-fentanyl combinations for LMA insertion in paediatric patients who underwent herniotomy in our facility. Patients and Methods: This comparative study was conducted on 80 children aged 1–15 years, ASA physical Statuses I and II, who had herniotomy under general anaesthesia. The patients were randomised into two groups (A and B) of 40 patients each and LMA was inserted following administrations of the two different drug combinations. Patients in Group A received pre-mixed ketamine 2 mg/kg and fentanyl 2 μg/kg while the patients in Group B received pre-mixed propofol 2.5 mg/ kg and fentanyl 2 μg/kg. The blood pressure and incidence of apnoea were determined in the two groups during and after the LMA insertion. Results: The haemodynamic states of the patients were not comparable statistically as the heart rate, systolic, diastolic and mean arterial blood pressure were significantly higher and stable in the ketamine-fentanyl group than the propofol-fentanyl group (P < 0.05). The incidence of apnoea was significantly lower in the ketamine-fentanyl group compared with propofol-fentanyl group (P = 0.045), but post-anaesthesia discharge scores were similar, with no significant difference in both groups (P = 0.241). Conclusion: The use of ketamine-fentanyl combination for LMA insertion in paediatric patients was associated with better haemodynamic changes and lower incidence of apnoea when compared with propofol-fentanyl combination.
  • Item
    Dose related effects of oral clonidine premedication on bupivacaine spinal anaesthesia.
    (college of Health Sciences, Makerere University, Uganda, 2018) Adegboye, M.B; Kolawole I.K; Bolaji B.O.
    Introduction: The duration of action of sub-arachnoid block is short, and one of the ways to overcome this is the use of oral clonidine. Methods: 108 patients of ASA I and II, aged 18 to 65 years undergoing lower abdominal surgeries under spinal anaesthesia were randomized into three groups.. Control group A (n=36) no oral clonidine pre-medication, Group B (n=36) and group C (n=36) received 100 μg and 200 μg of oral clonidine pre-medication respectively, 1hr before spinal anaesthesia. Haemodynamic parameters were recorded. Sensory block, degree of motor blockage, and sedation were assessed. Results: Clonidine prolonged the mean duration of motor block by 189.98±26.93 min (100μg) and 191.89±28.13 min (200μg) compared to 117.92±25.13 min in the control group p<0.05. The mean duration of analgesia was 188.19±35 min (100μg) and194±24.58 min (200μg) in the clonidine groups compared to 115.89±26.66 min in control group p<0.05. All the patients were awake in the control group while 71.43% and 100% were drowsy in groups B and C respectively. Conclusion: Oral clonidine produces better clinical effects on the onset and duration of Bupivacaine spinal anaesthesia
  • Item
    Duration of cutaneous analgesia induced by bupivacaine and ketamine in female Wistar rats; role of epinephrine
    (Elsevier BV, 2025) Arokoyo D.S; Fagbangbe P.I; Oladimeji O.C; Olaoye A.O; Oyediran A.E; Adegboye, M.B
    ketamine on rats’ cutaneous trunci muscle re昀氀ex (CTMR) and the effect of epinephrine on the duration of analgesia. Methods: Fifteen rats were randomly selected into three groups of 昀椀ve rats each. Each rat served as its own control with the right and left thoracolumbar regions being the experimental and control sites respectively. Rats in the 昀椀rst group (group A) were administered Bupivacaine alone, Group B rats were given Ketamine alone while Group C rats were in昀椀ltrated with a combination of Bupivacaine and Ketamine. The experiment was repeated seven days after with the addition of epinephrine to all the 3 categories of in昀椀ltrate. 0.6 ml total volume of drugs in each group was injected subcutaneously following which CTMR was stimulated via forceps bite on the injection and control sites alternately. The duration of induced analgesia (period of negative responses) in each group was recorded. Results: The result showed a statistically signi昀椀cant difference (P < 0.05) in the duration of analgesia among the three groups. Bupivacaine and ketamine injections individually produced analgesia of 160 min and 120 min, respectively while a combination of both drugs acted for less duration. The duration of analgesia was further prolonged in all three groups following the addition of epinephrine. Conclusion: Bupivacaine and ketamine have a combined analgesic effect that is permissive on one another rather than additive and these effects are prolonged by concurrent administration with epinephrine due to its local vasoconstrictive effect.
  • Item
    Effect of spinal anaesthesia on QT Interval: Comparative study of severe pre-eclamptic and normotensive parturients undergoing caesarean section.
    (Medical and Dental Consultants Association of Nigeria, 2022) Adedapo, A.M; Bolaji, B.O; Adegboye, M.B; Kolo, P.M; Ogunmmodede, J.A; Suleiman, Z.A; Adedapo, O.O; Jimoh, O.S
    Aim: This study aimed to compare the effect of spinal anesthesia on QT interval in severe pre-eclamptic and normotensive parturients who underwent cesarean section in a Nigerian tertiary hospital. Patients and Methods: Twelve-lead electrocardiogram (ECG) was obtained before, and at intervals after spinal anaesthesia on fifty severe pre‑eclamptic (Group A) and fifty normotensive parturients (Group B) who underwent caesarean section. The effect of spinal anaesthesia on QT interval was compared. Results: The preoperative (baseline) mean QT interval was longer in group A than in group B; 453.10 ± 34.11 ms versus 399 ± 18.79 ms, P < 0.001. The prevalence of prolonged QT interval in the severe pre‑eclamptic group before spinal anesthesia was 80% while in the normotensive group it was 0%, P < 0.001. At 5, 30, 60, and 120 min after the establishment of spinal anesthesia, the mean QT interval in the severe pre-eclamptic group was shortened and maintained within normal limits; 414.74 ± 28.05, 418.28 ± 30.95, 411.18 ± 19.21 and 401.36 ± 17.52 ms with P < 0.001 throughout. In the normotensive group, there was no significant change in the mean QT interval. Conclusions: This study demonstrated that the QT interval was more prolonged among the severe pre‑eclamptic parturients. Spinal anesthesia using 0.5% hyperbaric bupivacaine normalized the QT interval and maintained it within normal limits during the study period
  • Item
    Endoscopic Endonasal Trans-Sphenoidal Pituitary Surgery (EETSS): Clinico-Radiological Presentation and Outcome in Ilorin: Our Experience
    (Otorhinolaryngology Society of Nigeria., 2021) Afolabi, O.A,; Yusuf, A.S; Adeleke, N.A; Balogun, J.A; Omokanye, H.K; Adeyeye, A.A; Adegboye, M.B; Adegboye, K.A; Shittu, N.O; Odebode, T.O; Bolaji, B.O; Ologe, F.E; Alabi, B.S
    Objective: To share our experience on the clinical presentation and management of patients with pituitary adenoma using Endoscopic Endo-Nasal Trans-Sphenoidal Surgery (EETSS Materials and Method: A retrospective review of all patients with non-functional pituitary macro-adenoma seen in who underwent EETS approach between May 2012 and April 2018. The clinical presentations of the patients were documented. All Patients had pre and postoperative visual assessment and they had radiologic investigation. Endocrine evaluations were done pre and postoperatively. All patients were operated by a combined team of Ear, Nose and Throat (ENT) surgeons and Neurosurgeons using rigid endoscope 18cm (4mm; 0 and 30 degree). Results: A total of 18 patients; 12 females and 6 males, were operated via EETS. All patients had visual impairments at presentation which improved postoperatively in 14 patients. 6 patients were postmenopausal, 5 had amenorrhea with secondary infertility. There were two postoperative deaths in intensive care unit. The Mean hospital stay was 4.9 days. Histological diagnosis of pituitary adenoma in was made in 17 patients and one patient had malignant mucoepithelial tumour. Conclusion: Pituitary tumour constituted about 10.5% of all intracranial tumors in our centre, visual impairment is the commonest presentation and total tumor resection via the EETS is about 78%. The approach showed improve vision in 2/3rd postoperatively, mean hospital stay was about 4.9days with nasal crust formation being the most observed complication and mortality of 11.1%.
  • Item
    FEARS AND PERCEPTIONS ASSOCIATED WITH REGIONAL ANAESTHESIA IN A TERTIARY INSTITUTION IN NORTH CENTRAL NIGERIA
    (College of Medicine and Allied Health Sciences, University of Sierra Leone, 2019) Adegboye, M.B; Adegboye, K.A
    Regional anaesthesia is conducted for many surgical procedures. This study was undertaken prospectively to access patients fears, perception and satisfaction of regional anaesthesia(RA) in the perioperative period. It was a prospective cross-sectional survey of 94 patients with American society of anesthesiologist (ASA) physical status class I and II between the ages 18 and 80 years scheduled for surgery under regional anaesthesia. After patients consented to the regional anaesthetic technique, the patients were asked to fill a structured questionnaire composed of the patient's demographic data and questions relating to fears about regional anaesthesia. Post-operatively patients were assessed if they were satisfied. The data were analysed using the Statistical Package for Social Sciences [SPSS software version-23]. Ninety-four patients were studied and their responses analysed. The mean age was 39±16.2 and 78.7% were females. The most common fear observed was fear of loss of control during surgery (58.2%). While patients had the least fear of postoperative nausea and vomiting(25.5%). Thirteen(13.8%) of patients were dissatisfied with the regional anaesthesia. The most common reason was due to paresthesia (5.3%). Males had more fear of back injury from RA(50%), p=0.026. There was a positive correlation between patients satisfaction and future choice of RA rs=0.320, p=0.002. Fear of regional anaesthesia is still high in our environment and the level of dissatisfaction with RA is relatively high. Therefore, there is a need for pre-anaesthetic clinics to provide better understanding of RA
  • Item
    Goitre –related factors for predicting difficult intubation in patients scheduled for thyroidectomy in a resource challenged health institution in north central Nigeria.
    (Jimma University, Ethiopia, 2018) Bolaji, B.O; Suleiman, Z.A; Adegboye, M.B; Agodrin, O.S; Olatoke, S.A; Habeeb, O.G; Rahaman, G.A
    BACKGROUND: Airway management problems may arise when intubating patients with goitre scheduled for thyroidectomy. Goitres are not uncommon in sub-Saharan Africa, thyroidectomy being the main treatment. The aim of this study was to determine incidences of difficult intubation (DI), failed intubation (FI)and predictors of DI using a modified intubation difficulty score (IDS). METHODS: One hundred and twenty-five consenting patients with goitre scheduled for thyroidectomy were recruited. Goitrerelated factors (GRF) of duration of illness, diagnosis, neck circumference, tracheal deviation and narrowing and retrosternal extension were recorded as well as Mallampati classification and BMI. At intubation, modified IDS was determined for each patient. Patients with modified IDS ≤ 5 were categorized as easy intubation group (E), and those with modified IDS >5 were categorized as difficult intubation group (D). The GRF of all patients in group D were compared with matched patients in group E. RESULTS: Incidence of DI was 13.6% with 2 (1.6%) cases of failed intubation. Comparing groups D and E, duration of illness was 4.28 ± 3.78 years in group D versus 7.44 ± 7.63 years group E, p = 0.1353. Neck circumference was 41.42 ±5.30 cm in group D versus 37.43±2.68 cm in group E, p = 0.0200. Tracheal deviation, narrowing and retrosternal extension, and surgical diagnosis were not significantly different among both groups. CONCLUSION: Incidence of DI was 13.6% and that of FI was 1.6%. Neck circumference was found to be a predictor of difficult intubation in goitre patients scheduled for thyroidectomy using the modified IDS.
  • Item
    Knowledge and attitude of pregnant women towards anaesthetic techniques for cesarean delivery in a North Central Teaching Hospital
    (College of Health Sciences, University of Ilorin, 2016) Adegboye, M.B; Suleiman, Z.A.; Adeniran, A.S
  • Item
    KNOWLEDGE AND ATTITUDES OF PREGNANT WOMEN TOWARDS ANAESTHETIC TECHNIQUES FOR CAESAREAN DELIVERY INA NORTH CENTRAL TEACHING HOSPITAL
    (College of Health Sciences, University of Ilorin, 2016-10) Adegboye, M.B; Suleiman, Z.A; Adeniran, Abiodun
  • Item
    Knowledge, awareness and practice of infection control by health care workers in the intensive care units of a tertiary hospital in Nigeria.
    (College of Health Sciences, Makerere University, Uganda, 2018) Adegboye, M.B; Suleiman, Z.A; Ahmed, B.A; Olufemi, G.H.
    Background: Hospital-acquired infections (HAIs), one of the leading causes of, morbidity and mortality, are common in developing countries. Methicillin-resistant staphylococcus aureus (MRSA), commonest cause of HAIs, has been isolated from the hands of more than half of health care workers. Practice of hand hygiene may help in the control of nosocomial infections. We evaluated the practice of infection control among health care workers in the intensive care unit (ICU) of our hospital. Materials and methods: This is a descriptive cross-sectional study. Information on knowledge, awareness and practice of infection control in the ICU were obtained from health care workers with the aid of a structured questionnaire. Results: Sixty nine out of the 80 (86%) respondents had good knowledge that a hand is the most common vehicle of transmission of infection. However, 53.8% and 32.5% of the respondents had knowledge of movement of hand hygiene and practiced six steps of the hand washing technique respectively. Though, physicians accounted for 68 (85%) of the respondents, only 28% of them practiced the six steps of the hand washing technique with resident doctors constituting a large proportion of hand washing technique defaulters. Only 13.9% of non-physician and 7.5% of physician respondents had ever attended a training program on infection control respectively Conclusion: Knowledge and awareness of infection control among the health care workers in our ICU is good but the practice is poor. Training workshop on infection control should be organized for all ICU health care workers to reduce noso-comial infections
  • Item
    Maternal satisfaction towards spinal anaesthesia for caesarean section
    (Egyptian Society of Anesthesiologist, 2022) Adegboye, M.B; Kolawole, I.K; Adegboye, K.A; Oyewopo, C.I; Oladosu, O.O
    Background: There has been an increase in the use of spinal anaesthesia for Caesarean section (CS) in Nigeria in the past decades. There is, therefore, a need to evaluate the level of satisfaction among patients that had spinal anaesthesia, as an index of the quality of reproductive health care. Methodology: A prospective observational study of 380 consenting parturients in ASA classes I, II, and III, who underwent CS under spinal anaesthesia between January and December 2019. Satisfaction score was assessed using a three-point Likert scale. Data were analysed using [IBM SPSS software version-22]. The level of statistical significance was set at p-value <0.05. Results: A total of 380 consenting patients underwent spinal anaesthesia within the study period with 219 (57.6%) aged ≥30 years. Most were emergency CS 267 (70.3%). Most patients 294 (77.4%) expressed satisfaction for being involved in decision-making about the choice of anaesthesia technique. The majority of the patients 333 (87.6%) were satisfied with pain relief during the operation. The complications experienced by the patients intraoperatively included dizziness, 50 (13.2%), shivering, 139 (36.6%), and intraoperative nausea and vomiting, 48 (12.6%). Overall, 295 (77.6%) of the patients expressed willingness to have spinal anaesthesia again in the future, out of the 295, 293 (99.4%) were satisfied with the current spinal anaesthesia. P = 0.000 Conclusion: Maternal satisfaction to spinal anaesthesia in this study was high. This could be attributed to patient’s participation in decision-making, prompt treatment of complications, and overall good anaesthetic care.
  • Item
    Maximum surgical blood ordering schedule for common orthopedic surgical procedures in a tertiary hospital in north central Nigeria
    (Polish Society of Orthopaedics and Traumatology, 2018) Adegboye, M.B; Kadir, D.M
    Background: Blood transfusion is an important part of management of patients undergoing orthopedic surgeries. However frequently perioperative anticipated blood requirements overshoot the actual need resulting in unnecessary cross matching of blood. Therefore, it is important to formulate a maximum surgical blood ordering schedule (MSBOS) for common orthopedic surgeries. Objective: To evaluate our blood utilization in various orthopedic surgeries and to develop a blood ordering schedule for various orthopedic surgeries. Methodology: A 12-month (January-December 2016) retrospective study was carried out on patients undergoing orthopedic procedures. Data collected included number of patients transfused, number of units cross-matched and number of units transfused. The cross matched to transfusion ratio (CTR), transfusion probability and transfusion index were calculated and from the calculated values a MSBOS was proposed. Results: A total of 224 units of blood were cross matched for 105 patients out of which only 97 units of blood was transfused to 55 patients. Nine out of 15 surgical procedures had CTR higher than 2, 4 had a low TI <0.5 and 12 had a blood utilization of <50%. Fracture of the forearm, total knee replacement (unilateral), tibiofibular and ankle fractures all had blood utilization of <30% and thus Type & Screen policy was recommended for these procedures. Conclusion: The overall CTR was high with low percentage blood utilization and resultant significant blood wastage. To prevent unnecessary blood wastage, we suggest the implementation of the recommended MSBOS schedule