Browsing by Author "Nasir, AA"

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    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
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    Post operative intensive care admissions of paediatric surgical patients in a Nigerian tertiary hospital: indications and evaluation of management outcome.
    (Journal of the Societies of Anaesthetists of West and East Africa., 2008) Bolaji, Benjamin olusomi; Nasir, AA; Adeniran, James O; Abdur-Rahman, Lukman O; Oyedepo, Olubukola Olanrewaju
    A retrospective study of all paediatric surgical patients aged 15 years and below, admitted into the Intensive Care Unit (ICU) of the University of Ilorin Teaching Hospital (UITH) following surgery was carried out, covering a period of 10 years. Demographic information, surgical procedures performed, indications for intensive care admission and outcome were obtained. Sixty-seven general paediatric surgical patients were admitted with a male to female ratio of 1.4:1. There were 32 (47.8%) infants, 6(9%) pre-school children and 29(43.3%) older children. There were 57(85.1%) emergency procedures. Of the 40 patients who had documented indications for admission, 25(62.5%) had respiratory insufficiency. Twenty (29.9%) of the 67 admitted patients died. Out of 25 patients that required ventilation for respiratory insufficiency, only five (20.0%) were ventilated. Primary diagnosis, American Society of Anesthesiologists’ (ASA) physical status score, emergency surgery and type of procedure significantly affected outcome. Conclusion: Availability of appropriate paediatric ventilatory facilities and personnel may reduce mortality in our ICU.
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    Sociodemographic Profile of Medical Emergencies at the University of Ilorin Teaching Hospital.
    (2017) Afolabi, OA; Adekeye, K A; Ofoegbu, CK; Nasir, AA; Bello, JO; Abdur-Rahman, LO; Ibraheem, GH; Solagberu ., BA
    Background: Hospital emergency departments (EDs) play a vital role in the health-care system, providing care for patients with acute illness and injury, and access to the health system in Nigeria. Aim: The aim of the study is to determine the sociodemographic profile of medical presentation seen EDs of a teaching hospital. Methods: This was a cross-sectional study of patients presenting at the medical accident and emergency (A/E) at the University of Ilorin Teaching Hospital over a period of 12 months. Ethical approval was obtained from the Hospital Ethical Review Committee to carry out the study. Information obtained includes demographic data, clinical presentation, duration of stay in emergency, and outcome in the EDs within 48 h of arrival. Data were analyzed using SPSS version 16 computer software, and results were presented in tables and figures. Results: A total of 796 were seen over the study period. About 54.1% (431) were male and 45.9% (365) were female giving a male: female ratio of 1.2:1. Most of the patients (650, 81.7%) were from Ilorin township or its immediate environs, and about 32.4% were unemployed. About 58% (462) of our patients presented to the ED without a referral either from a primary or secondary health care. Stroke accounted for 75 (9.4%) of diagnosis, diabetes mellitus and its complications in 59 (7.4%), systemic hypertension and its complications in 52 (6.5%), malaria in 49 (6.2%), sickle cell anemia in 37 (4.6%), and chronic heart failure in 21 (2.6%). About 29% (231) stayed beyond 24 h on the ED before being moved to the ward, 26% (207) stayed longer than 48 h due to nonavailability of bed space on the ward and financial constraints, while 32.2% were either transferred or discharged within and mortality was recorded in 12.8% (102). Conclusion: Male utilizes the medical ED more than the females, most of the patients were in the younger age group, and majority of whom are self-employed. Most patients were walk-in patients. The most common reason for presentation at the medical ED for admission was stroke which was also the leading cause of death.