Browsing by Author "Bolaji, BO"

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    Blood utilization in elective surgical procedures in Ilorin.
    (College of Health Sciences, University of Ilorin, Ilorin, Nigeria., 2006) Olawumi, HO; Bolaji, BO
    Blood utilization was evaluated in elective surgical procedures over a period of 6 months using different indices such as corssmatch to transfusion ratio (C/T ratio), transfusion probability (%T), and transfusion index (TI). Out of the 436 units of blood crossmatched for 207 patients, only 132 were transfused with no utilization of 69.7% of crossmatched blood. In wound debridement, split thickness skin grafting (STSG), open reduction and internal fixation (ORIF), mastectomy and prostatectomy, all the 3 indices showed significant blood utilization whereas in ENT surgery utilization of blood provided was nil. This study showed that there was excessive corssmatching of blood and changing the blood ordering pattern can minimize this.
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    Prolonged upper airway obstruction in an eclamptic- challenges of management.
    (College of Health Sciences, University of Ilorin, Ilorin, Nigeria., 2009) Bolaji, BO
    A 32-year old pregnant woman, Gravida 2, para 1+0 was rushed into the Emergency Ward of our hospital in an unconscious state having complained of severe headache a few hours before admission. She was a known hypertensive being managed on alpha methyldopa and nifedipine. Physical examination revealed an unconscious woman, with mild pitting pedal oedema. Her respiratory rate was 36 cycles per minute, BP was 150/100 mm Hg. Abdominal examination revealed a term fundal height and foetal heart rate of 160 bpm. Urinalysis showed a proteinuria of 2+ on dipstick. A diagnosis of antepartum eclampsia superimposed on chronic hypertension was made. After initial resuscitation, she had emergency Caesarean section under general anaesthesia, the larynx admitting a small-sized endotracheal tube (6.0mm ID). Oedema of the larynx was noted at intubation. Post-extubation, she had severe upper airway obstruction necessitating immediate re-intubation and she was admitted into the Intensive Care Unit (ICU). Gross enlargement of the tongue was noticed on the first postoperative day, which persisted for five weeks, but with gradual reduction in size. Attempts at extubation on the first, fourth and thirteenth postoperative days (P.O.D.) in the ICU resulted in upper airway obstruction and the endotracheal tube was left in-situ till the 20th postoperative day. She was also noticed to have a right-sided hemiplegia and a left facial nerve palsy secondary to a left hemispherical cerebrovascular accident. This case is presented to highlight the challenges of prolonged upper airway management due to massive tongue enlargement complicating eclampsia.