Journal of the West African College of Surgeons
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J West Afr Coll Surg · Jan 2013
Non-intubated Ambulatory Anaesthesia for Diagnostic gynaecological laparoscopy.
General endotracheal relaxant anaesthetic technique is favoured for laparoscopic gynaecological procedures, in order to prevent inadequate ventilation, regurgitation and aspiration resulting from pneumoperitoneum and steep trendelenburg position during the procedure. However, simple brief laparoscopic procedures have been performed safely over the years in adult population using alternative airway devices. We report our experience over a fifteen-year period, of using general anaesthesia by face mask ventilation for short diagnostic laparoscopy in gynaecologic practice. ⋯ General anaesthesia by facemask ventilation is a safe alternative to endotracheal intubation for short diagnostic gynaecological laparoscopy when fasting guidelines are observed.
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J West Afr Coll Surg · Jan 2013
Multiple venous thrombosis complicating central venous cannulation in a non cancer patient - a case report.
Central venous catheterization is a common procedure for critically ill patients. Like all procedures, it has its complications, one of which is thrombosis. Reports of thrombosis are commoner among cancer patients. ⋯ A repeat scan of the internal jugular veins 4 days after thrombolysis revealed a reduction in size of the thrombi. Symptoms of deep venous thrombosis improved and she was transferred to the wards where she made remarkable improvement. This case illustrates the potential usefulness of ultrasound guided-central line insertion in patients who have had central venous lines inserted previously in order to detect thrombi.
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J West Afr Coll Surg · Oct 2012
Comparison of intubating conditions with propofol suxamethonium versus propofol-LIDOCAINE.
Suxamethonium is a depolarising muscle relaxant that provides rapid, excellent intubating condition and ease of intubation. Its adverse effects has led to the search for comparable alternatives. Propofol alone provides fair intubating conditions and ease of tracheal intubation. Addition of intravenous lidocaine to propofol has been reported to enhance intubating conditions. ⋯ Laryngoscopy and endotracheal intubation are possible with appropriate doses of propofol and lidocaine, without the use of suxamethonium.
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J West Afr Coll Surg · Jul 2012
Augmented bupivacaine spinal anaesthesia in postoperative analgesia.
The addition of intrathecal magnesium to local anaesthetics for spinal anaesthesia had been shown to prolong the duration of spinal anaesthesia and reduced postoperative requirement for lower limb orthopaedic procedures and caesarean sections. Aim & Objectives: To determine the effect of intrathecal magnesium sulphate to bupivacaine spinal anaesthesia for transurethral resection of the prostate. ⋯ In patients undergoing transurethral resection of the prostate, the addition of intrathecal magnesium sulphate to bupivacaine spinal anaesthesia significantly prolonged the duration of spinal anaesthesia and also reduced the postoperative analgesic requirement without additional side effects.
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Congential diaphragmatic herniae pose serious challenges in their management in this environment.Aim & Objective: To determine the pattern, as well as the diagnostic and management challenges of congenital diaphragmatic hernia in Dakar, Senegal. ⋯ Congenital diaphragmatic hernia, Respiratory insufficiency, Radiological features, Good surgical outcome.