Browsing by Author "Oyedepo, olubukola Olanrewaju"
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Item 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, SOWe 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 uneventfulItem Epidemiology of severe pre-eclampsia and eclampsia in Ilorin.(Library and Publications Committee, University of Ilorin, Ilorin,, 2013) Bolaji, Benjamin olusomi; Oyedepo, olubukola Olanrewaju; Saidu, Rakiya; Aderibigbe, SA; Fawole, AA; Balogun, Olayinka Rabiu; Aboyeji, Abidun Peter; Jimoh, AbdulGaffar AG; Olawumi, Hannah O; Adebisi, SAThis study was carried out over a 10-month period in the University of Ilorin Teaching Hospital to determine the frequency and epidemiological factors of severe preeclampsia and eclampsia in Ilorin, North-central Nigeria. This was a prospective study of severely preeclamptic and eclamptic patients admitted to the labour ward of the UITH. Patients with normal pregnancies who agreed to participate were the control group. Demographic, clinical variables, maternal and foetal outcomes, and, complications were assessed. One hundred women (50 study group & 50 control group) participated in the study. Statistically significant findings among the study group included lower GA at delivery (p=0.0001), family history of hypertension (p=0.02), new partner (0.001), more interventions at delivery (p=0.000), higher number of preterm deliveries (0.000). Though 2 maternal deaths and 5 perinatal deaths were recorded in the study group, none occurred in the control group. Deeper understanding of the epidemiology of severe preeclampsia and eclampsia is very important to finding ways to further lower its contribution to maternal mortality in our societies