Browsing by Author "Rahman, Ganiyu Adebisi"

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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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    Anaesthesia management for thyroidectomy in a non-euthyroid patient following cardiac failure.
    (Medical and Dental Consultants Association of Nigeria, 2011) Bolaji, Benjamin olusomi; Oyedepo, Olanrewaju Olubukola; Rahman, Ganiyu Adebisi
    We present a 24-year old thyrotoxic student of a tertiary institution who had thyroidectomy in the presence of a persistently elevated thyroxine (T4) and tri-iodothyronine (T3) levels. The patient who did not initially notice that he had an anterior neck swelling was being managed as a case of hypertension at a private hospital. However, his mother’s insistence that he should seek expert management revealed that he had experienced excessive sweating, undue heat intolerance of 3 years duration and easy fatigability of a month’s duration at the time of presentation at our hospital. He had bilateral anterior neck masses on examination. He was subsequently diagnosed as a case of toxic goiter with biochemical evidence of elevated T3 and T4 levels. The patient was commenced on anti-thyroid drugs but he developed cardiac failure after 6 months on medical treatment and was commenced on anti-failure regime. Surgery was postponed several times due to persistently elevated thyroid hormones. A decision to perform thyroidectomy was taken after the patient’s cardiovascular status was optimized in order to prevent further deterioration of his cardiac function. Serial repeat thyroid hormone profiles showed elevated T3 and T4 levels. The patient eventually had subtotal thyroidectomy uneventfully after 9 months of presentation under general anaesthesia. Contingency plans for managing thyroid storm in the perioperative period were ensured. The anaesthetic management is presented and discussed.
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    Tracheal configuration as a radiographic predictor of difficult tracheal intubation in goiters.
    (Journal of the Societies of Anaesthetists of West and East Africa., 2010) Abdulkadir, AY; Rahman, Ganiyu Adebisi; Kolawole, Isaac Kayode; Bolaji, Benjamin Olusomi
    Goiters producing tracheal deviation or tracheal narrowing (TN) or both may cause difficult tracheal intubation (DTI). We retrospectively studied preoperative cervical radiographs of 160 goiter patients who had thyroidectomy to determine whether these can serve to predict DTI in goiters. Patients’ clinical and surgical data including Anaesthesiologists documented intubation experiences were also evaluated. Statistical analyses were done with SPSS 11.0 for windows. Tracheal diameter in both coronal and sagittal planes ranged between 3mm to 27mm. It was less than 7mm in one or both planes in 21 (13.2%) of patients and all had DTI, P = 0.019. The length of TN did not show significant statistical correlation to DTI, P = 0.791. The only two patients having coronal or sagittal tracheal diameter less than 5mm, had failed intubation. Therefore, goiters producing luminal TN to less than 7mm have potential for DTI and failed intubation when less than 5mm.