Browsing by Author "Ige, Olufemi Adebayo"

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    Anaesthesia for right adrenalectomy in a patient with phaeochromocytoma in a resource-challenged facility- case report.
    (College of Health Sciences, University of Ilorin, Ilorin, Nigeria., 2013) Bolaji, Benjamin olusomi; Oyedepo, olubukola Olanrewaju; Ige, Olufemi Adebayo; Rahman, Ganiyu Adebisi; Olatoke, Samuel; Agodirin, SO
    We present a case of phaeochromocytoma in a 22 year old female who had adrenalectomy done in our hospital as our first experience in 25 years. The patient presented with 2 months history of low grade fever, excessive sweating and throbbing headache. Her blood pressure on presentation was 190/140 mm Hg. A diagnosis of phaeochromocytoma was made from the history, clinical examination, ultrasound finding of a suprarenal mass and raised urine catecholamine levels. Preoperatively, blood pressure was controlled with prazosin and propranolol. She had right adrenalectomy under general anaesthesia. Intraoperatively, blood pressure was controlled with infusion of hydrallazine and intermittent bolus doses administered during surges in blood pressure. Adrenaline infusion and bolus doses were used to treat hypotension after excision of the tumour. The postoperative course was uneventful
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    Antibiotic prescribing practice in the Intensive Care Unit of a Nigerian teaching hospital
    (Ethiopian Society of Emergency and Critical Care Medicine., 2026) Ige, Olufemi Adebayo; Ojo, Olawale; Adewumi Oluwaseyi; Agah Overcomer
    Background: Antibiotics are vital in the prevention and treatment of bacterial in- fections. However, prescribing practices often deviate from established guidelines with prolonged durations of surgical prophylaxis, redundant antibiotic combina- tions, and a significant reliance on broad-spectrum agents. This study aims to de- termine antibiotic prescribing practices at our teaching hospital. Methods: This was a prospective, descriptive, cross-sectional study of adult pa- tients admitted to the ICU at the University of Ilorin Teaching Hospital, Ilorin, Kwa- ra State, Nigeria. The study participants were critically ill patients between the ag- es of 6 months and 65 years who were admitted to the ICU. Using a questionnaire, information such as age, sex, diagnosis, antibiotic prescription, regularity of admin- istration, use of microbiological investigations, and outcome of ICU care was ex- tracted from the patients’ hospital files and recorded. Data from this study were summarized and reported as means ± standard deviation, frequencies, or propor- tions of the total. A p-value of less than 0.05 was considered statistically signifi- cant. Results: A total of 128 ICU patients were enrolled in the study. One hundred and twenty-four (96.88%) patients were prescribed antibiotics. Antibiotic prescriptions were for prophylactic reasons in 56 (45.16%) patients and for therapeutic reasons in 68 (54.84%) patients. All antibiotic prescriptions were empirical. The most fre- quently prescribed antibiotic was ceftriaxone. The most frequently prescribed anti- biotic combination was Ceftriaxone/Metronidazole. There was no statistically sig- nificant difference in gender (0.7651) and age (p = 0.0775) between those who sur- vived to ICU discharge and those who died. Prophylactic antibiotic prescription was associated with survival to ICU discharge compared to therapeutic prescription (p = 0.0018). Conclusion: Ceftriaxone was the primary empirical ICU antibiotic therapy, while metronidazole was used strategically for anaerobic coverage. In this study, critical care physicians favored empirical therapy over targeted therapy.