EAS Journal of Anaesthesiology and Critical Care最新文献

{"title":"Nurses’ Perceptions of Caring for Elderly Patients at University Teaching Hospital’s Adult Hospital and Levy Mwanawasa University Teaching Hospital: Implications for Training","authors":"Sijatwa Tracy Muvwimi","doi":"10.36349/easjacc.2022.v04i05.002","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i05.002","url":null,"abstract":"Nurses are key health professionals involved in the frontline care of elderly patients. WHO predicted that the proportion of people aged over 60 years will increase from 11% to 22% between 2000 and 2050. Aligned with this increase in the ageing population is a greater demand for nursing care. Nurses’ perceptions of caring for elderly is of global interest because of many reported negative perceptions and limited number of qualified nurses interested in the field of caring for elderly patients. This study aimed at exploring the nurses’ perceptions of caring for elderly patients at University Teaching Hospital and Levy Mwanawasa University Teaching Hospital in Lusaka. The study used a mixed methods approach. Data were obtained from 148 randomly and 18 purposively sampled nursing staff. Binary Logistic Regression and content analysis of main themes were used to identify factors associated with perceptions of caring for elderly patients. Majority of the nurses (81%) had negative perceptions towards care of elderly patients. There was no statistical significance between social demographic data, knowledge of caring, availability of resources, staffing levels and management support and perceptions of caring for elderly patients. This could have been due to a small sample size which was used. The negative perceptions about caring for elderly patients in this study could be associated with the lack of knowledge specific on care of elderly patients, training units and geriatric specific guidelines for care of elderly patients. Therefore, the nursing curriculum content should be reviewed to include care of elderly patients, guidelines including hospital infrastructure, staffing and equipment friendly to care of elderly patients should be developed.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131752874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of Admission and Clinical Outcomes among Patients admitted into the Intensive Care Unit at Babcock University Teaching Hospital: A 5- Year Review","authors":"O. Salami, O. O. Florence, Imonitie Clifford","doi":"10.36349/easjacc.2022.v04i05.001","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i05.001","url":null,"abstract":"Introduction: The intensive care unit (ICU) is a health care delivery service for patients who are in critical condition with potentially recoverable diseases. This study was aimed to determine the admission patterns, clinical outcomes among patients admitted in the intensive care unit (ICU). Methods: A retrospective review of all patients admitted into the ICU at Babcock University Teaching Hospital (BUTH) from 2016 to 2021. Data was collected from individual patient case notes and the ICU admission and discharge registers. Results: A total of 137 patients were included in this study, consisting of 78 (57.4%) males and 58 (42.6%) females. Ages ranged from 4 to 90 years with a mean age of 47.60 ± 19.52 years. The most common cases admitted were general surgery patients of which there were 58 (42.6%). Neurological cases were however the major causes of death (6.6%), followed by sepsis (4.4%) and respiratory diseases (4.4%).The overall mortality rate of the ICU was 27.2%. Deceased patients spent longer days in ICU (5.73 days) as compared to patients who were discharged. Conclusions: The overall mortality was considerably high and general surgery and neurological cases were the most common causes of admission in ICU and mortality respectively.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128449902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examination of Three Distinct Dosages of Dexmedetomidine for Counteraction of Postspinal Sedation Shivering in Transurethral Resection of Prostate (TURP) Medical Procedure","authors":"Dr. Md Rezaul Islam, Dr. Mofizul Karim, D. A. Haque","doi":"10.36349/easjacc.2022.v04i04.002","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i04.002","url":null,"abstract":"Background: The ideal portion of dexmedetomidine for shivering control with the most un-hemodynamic disturbances is still under research. Postanesthetic shivering (PAS) is an unsavory and possibly serious difficulty. Not very many investigations have been finished in regards to the ideal compelling portion of dexmedetomidine for the counteraction of postspinal anesthesia (SA) shivering. Accordingly, we expected to look at and assess three distinct portions of intravenous dexmedetomidine and to explore the ideal portion of dexmedetomidine that successfully forestalls shivering in patients going through transurethral resection of the prostate (TURP). Materials and Methods: In this randomized, twofold visually impaired, planned study, 135 patients of the American Society of Anesthesiologists I and II booked for elective TURP under SA were selected. Patients were haphazardly apportioned into one of the three gatherings getting dexmedetomidine: Group P: 0.5 μg/kg, Group Q: 0.75 μg/kg, and Group R: 1.0 μg/kg. The essential result of the review was intraoperative rate of shivering. The optional results, like hemodynamic boundaries. Results: Shivering score of various gatherings uncovered measurably huge lower occurrence and seriousness of shivering in Group Q and Group R when contrasted with Group P(P = 0.0395). Occurrences of sickne, bradycardia, and hypotension were more in Group R when contrasted with Group P and Group Q. Axillary temperature and sedation scores were equivalent among various gatherings (P > 0.05). Conclusion: Dexmedetomidine in the dose of 0.75 μg/kg furnishes sufficient antishivering impact with added advantage of sedation and less hemodynamic disturbance.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"131 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116452978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obstetric Patients Requiring Intensive Care: Prevalence, Clinical Characteristics and Outcome in a Tertiary Care Institute in Nigeria","authors":"Dr. Felicia Dele Asudo, O. Akitoye, H. Abdullahi","doi":"10.36349/easjacc.2022.v04i04.001","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i04.001","url":null,"abstract":"Maternal mortality is a major health problem in developing countries. Critical care of the obstetric patient has been recognized as a useful tool in the reduction of maternal morbidity and mortality. The study is a five year retrospective review of the clinical characteristics and outcome of all obstetric admissions into the ICU. Data collected and analyzed included demographics, diagnosis at admission, mode of delivery, ante natal booking status, duration of admission into the ICU, mechanical ventilatory support, duration of stay on the ventilator and outcome of ICU admission. There were 170 obstetric admissions accounting for 25.3% of total ICU admissions during the period of review. The mean age of patients was 30.2±29.2 years. Hypertensive disorders of pregnancy accounted for the highest cause of obstetric admission diagnosis 51.7%. Majority of the patients 94.7% were admitted postpartum. The mean length of ICU stay was 2.7 ± 2.8days. Mortality was 26.5% with a significantly higher percentage of deaths in unbooked/referred patients (66.7%). There is a high rate of ICU admission of obstetric patients in our hospital. Mortality is also high especially among unbooked late referrals. Timely referrals and early recourse to ICU care by booked patients may provide some improvement in the standard of care received in the ICU with a subsequent lower mortality.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124806752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cystic Hygroma… Difficult Airway Anaesthetic Management","authors":"Dr. Ravi Shruthi, Dr. Nagaraj Biradar","doi":"10.36349/easjacc.2022.v04i03.005","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i03.005","url":null,"abstract":"Significant differences exist between airways of the neonate and the adults. Anaesthetic management of airway may be challenging in neonates and young infants with large neck masses like cystic hygroma because these patients are at risk for sudden complete airway occlusion resulting in hypoventilation and hypoxemia. Cystic hygroma are benign, but can be disfiguring. It is a condition which usually affects children. Treatment is surgical excision under general anaesthesia either one or multistage resections.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"22 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116080285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Patients with Severe Head Injuries in Low-Income Country","authors":"C. S, G. M, D. H, Issa Souleymane B, Alfred-Dogbe Y. Z, S. M, S. R, Sanoussi S","doi":"10.36349/easjacc.2022.v04i03.004","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i03.004","url":null,"abstract":"Background: Head injuries constitute a real public health problem in Low Income Countries. The aim of this study is to evaluate the management of severe head trauma. Patients and methods: A prospective study was conducted for a period of six months, from 1st February to 31th July 2018 at Niamey National Hospital. Were been Included all patients victims of head injury with Glasgow Coma Scale (GCS) less than 8. The following variables were studied: age, sex, cause of trauma, deadline admission, means of transport used, Glasgow Coma Scale, CT Scan results, management and evolution. Results: Out of 1,918 patients admitted; 243 were head trauma, of which 76 patients had a GCS less than 8 (3.96%). Male predominance was found with a sex ratio of 24.33, young people was the most concerned (mean age:29.88 ± 16.37 years). Predominant age group was 16 to 30 years old, with 43.42% of patients. The circumstances of the trauma were road traffic accidents (86.84%). Transportation was medicalized in 15%. GCS was between 6 to 8 in 74.02% and the admission deadline was less than 6 hours in 77.63%. Respiratory distress was found in 28.95% and circulatory distress in 14.47%. Cranio-cerebral CT scan was performed in 82.89%. Seven patients (9.21%) were intubated and ventilated. Death rate was 53.94%. Conclusion: Head injury concerns a young male patient, the cause was a road traffic accident, this situation could be improved by raising the population's awareness of road safety and greater efficiency in taking in medical charge.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"220 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115726102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients Undergoing Gastric Cancer Surgery with Epidural Combined with General Anesthesia and General Anesthesia","authors":"M. Rahman, Md. Ashraful Anam, Zobaer Tanha, A. Akhter, M. A. Motin","doi":"10.36349/easjacc.2022.v04i03.003","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i03.003","url":null,"abstract":"Background: Gastric cancer (GC) is one of the leading causes of mortality and morbidity and adds significantly financial burden to patient and their family on healthcare. The incidence of gastric cancer continues to increase in Bangladesh; therefore there is unmet need of promising treatment modalities. Objective: To investigate the survival of patients undergoing gastric cancer surgery with epidural combined with general anesthesia (EGA) and general anesthesia alone (GA). Methods: A retrospectively observation study was carried out at the Dept. of Anesthesia, National Institute of Cancer Research & Hospital (NICRH), Mohakhali, Dhaka, Bangladesh from June 2021 March 2022. 451 patients with gastric cancer who were scheduled for radical resection. Propensity score matching was performed at a 1:1 ratio between GA (n=75) and EGA (n=75) to reduce selection bias. Univariate and multivariate analyses were used to identify factors significantly correlated with recurrence and/or metastasis and prognosis. The 3-year overall survival rates of patients receiving EGA and GA alone were compared. Results: After the propensity scores were matched, there were 75 patients who underwent EGA and 75 patients who underwent GA. For the entire population, reconstruction type, pN stage, and complications were significantly correlated with prognosis based on multivariate analyses. For patients with a recurrence and/or metastasis, lymphadenectomy and pN stage were shown to be independent prognostic factors by multivariate analysis. Conclusions: In summary, patients might benefit from EGA as a result of better analgesic and anti-inflammatory effects, fewer postoperative complications, higher safety, and a lower rate of metastasis and recurrence is conducive to postoperative recovery in patients with gastric cancer.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129411227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-Anaesthetic Consultation at the National Hospital of Zinder: Epidemiological Aspect and Fate of those Consulted","authors":"M. Amadou, Maikassoua Mamane, Boukari. M. Bawa, Chaibou M.S, Daddy","doi":"10.36349/easjacc.2022.v04i03.002","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i03.002","url":null,"abstract":"Introduction: The pre anesthetic consultation is the essential element of the continuity of peri and post interventional care. In fact, it gathers all the information concerning the pre, per operative anesthetic period. For any patient whose condition requires anesthesia, the health structures must provide a preanesthesia consultation. General objective: To highlight the importance of a preanesthetic consultation through the profile and prognosis of the patients as well as the operative indications recorded. Patients and method: This was a prospective and descriptive study conducted over a period of six months from January 1 to June 30, 2021 in the anesthesia and intensive care unit of the national hospital of Zinder. Patients consulted by a surgeon, scheduled for surgery and having a preoperative workup were included. Age, sex, history, ASA class, anesthetic technique, operative indication and outcome of the patent were the variables studied. The data analysis was done by Excel. Results: During the study 401 patients were registered with a sex ratio of 3.6%. The mean age was 42 years with extremes from 02 months to 84 years. Medical history represented 08.72% including hypertension (68.57%) and diabetes (11.42%). ASA II class represented 73.81% (n= 296) and ASA I class 26.18% (n= 105). General anesthesia was the chosen technique in 63.34% (n=254) versus 36.5% (n=147) for spinal anesthesia. Hernia and restoration of digestive continuity were the main surgical indications with respectively 17.45% (n=70) and 10.47% (n=42) followed by benign prostatic hypertrophy for 10.47% (n=42). Visceral surgery occupied the first place with 21.19% (n=85) followed by urology with 15.96% (n= 64). The per and post operative evolution was generally favorable, no case of death was recorded. Conclusion: The pre-anaesthetic consultation remains the essential element of the continuity of pre- and post-anaesthetic care. It should be popularized in health structures with high-risk patients.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127004429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Study of Sevoflurane with Halothane as Inhalational Anaesthetic Agent in Paediatric Patients","authors":"A. Ferdous, N. Nahar, Jahirul Islam","doi":"10.36349/easjacc.2022.v04i03.001","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i03.001","url":null,"abstract":"Introduction: Inhalational anaesthesia is commonly used in paediatric patients. The study was designed to compare sevoflurane and halothane anaesthesia in the neonate and paediatric patients and to assess the haemodynamic status of both agents during induction, maintenance and recovery of anesthesia. Material and Methods: We studied 60 patients aged between 1 day to 7 years. All routine and emergency surgery were included. Children were randomly selected between two groups receiving halothane and sevoflurane. Induction time, intubating condition and haemodynamic changes were recorded. Results: Induction of anaesthesia was smooth in both groups but induction was smooth in the sevoflurane group. Maintenance of anaesthesia was smooth in both groups but recovery was rapid in the sevoflurane group. There was no unwanted side effect.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125363044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intrathecal Fentanyl to Bupivacaine Intensify Sensory and Motor Block without Prolonging Recovery Time for Urosurgeries","authors":"Md. Moshfiqur Rahman, Md. Rasheduz zaman, Kibria Kabir, Wazed Amin, P. Debnath, Muhammad Sulaiman Kabir, Qazi Md. Salahuddin (Rijon), T. Saha","doi":"10.36349/easjacc.2022.v04i02.004","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i02.004","url":null,"abstract":"Introduction: Spinal anesthesia is the most commonly used technique for lower abdominal surgeries postoperative pain control is a major problem because spinal anesthesia using only local anesthetics is associated with relatively short duration of action, and thus early analgesic intervention is needed in the postoperative period. Short acting spinal anaesthesia may help to prevent complications associated with delayed immobilization. Objective: To examine whether adding intrathecal Fentanyl to bupivacaine intensify sensory and motor block without prolonging recovery time for urosurgeries. Materials and Methods: A prospective observational study was contact at dept. of Anaesthesia, Shaheed Tajuddin Ahmad Medical College Hospital, Gazipur, Bangladesh from March to August 2021. Seventy five (75) patients included in our study. American Society of Anaesthesiologists physical status I and II scheduled for elective urological procedures were studied in a double-blinded, randomized prospective manner. Random allocation was done as, Group A (n=25) receiving intrathecal bupivacaine 12.5 mg; Group B (n=25) bupivacaine 10 mg with 25 μg of fentanyl; and Group C (n=25), bupivacaine 5 mg with 25 μg of fentanyl. Assessment of sensory, motor block and duration of sensory analgesia was done. Results: In our study the demographic data were comparable in all the three groups. The time for two segment regression was statistically significant between all three groups (p<0.001). The mean time for two segment regressions for group A was 104.8 minutes whereas for group B mean time was 161.8 min and for group C mean time was 80.37 minutes. It was longest for group B and shortest for group C. The total duration of motor block was compared among the three groups after initiation of the SAB. There was statistically significant difference regarding total duration of motor block, time for two segment regression and duration of sensory analgesia between each pair of groups. The duration of motor","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"111 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120971380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}