Skip to main content

Efficacy and Safety of Intravenous Ketamine Anaesthesia in a Suburban Nigerian Hospital | Chapter 10 | New Horizons in Medicine and Medical Research Vol. 8

 The goal of this retrospective study was to highlight intravenous ketamine use in a general practise hospital in Auchi, Nigeria. Case records of all patients who were operated on using intravenous ketamine were collected and significant data was taken for the study from January 1994 to January 2014. A total of 1,370 patients were operated on, including 463 (33.8%) major operations and 907 (66.2%) intermediate/minor procedures. Males (725 [53.0 percent]) were operated on more than females (725 [53.0 percent]) (645 [47.0 percent ]). Side events included transitory hypertension with moderate tachycardia, postoperative disorientation and confusion, emergent delirium, and priapism in 31 people. Intravenous ketamine anaesthesia has been demonstrated to have high clinical efficacy and safety in these patients.


Author(S) Details


G. B. S. Iyalomhe
Department of Pharmacology and Therapeutics,Faculty of Clinical Sciences,College of Medicine ,Ambrose Alli University, Ekpoma, Nigeria.

S. I. Iyalomhe
Department of Public Health & Primary Health Care,Central Hospital Auchi, Nigeria.

View Book:- https://stm.bookpi.org/NHMMR-V8/article/view/6648


Comments

Popular posts from this blog

A Prospective Study about Safety and Efficacy of Perioperative Lidocaine Infusion | Chapter 09 | New Horizons in Medicine and Medical Research Vol. 8

 Opioids cause clinically significant side effects such as respiratory depression, immunosuppression, muscle rigidity, negative inotropism, nausea, vomiting, hyperalgesia, urine retention, postoperative ileus, and drowsiness. Perioperative opioids are a major contributor to the United States' and other countries' opioid epidemics. Non-opioid analgesics, particularly lidocaine, are becoming more common for perioperative use as a result of this. A total of 185 adult patients were randomly assigned to one of two groups: control group I (105 patients) [fentanyl group] or group ii (80 patients) [opioid-free anaesthesia group]. Lidocaine 1.5 mg/kg bolus followed by 1.5 mg/kg/h infusion intraoperatively, and 1.5-2 mg/kg/h infusion for 2-8 hours postoperatively were given to patients in both groups at anaesthetic induction. Intraoperatively, both groups received analgesic adjuvants such as diclofenac 75 mg, paracetamol 1 gm, and mgso4 30-50 mg/kg. If the mean arterial pressure (map)

A Brief Study of Middleware Technologies: Programming Applications and Management Systems | Chapter 15 | Novel Research Aspects in Mathematical and Computer Science Vol. 1

  Many platforms, services, applications, hardware, and operating systems are connected through the middleware layer. Because the middleware layer abstracts much low-level complexity and makes applications and software systems portable, it allows disparate systems to interface and function together in harmony. Middleware technologies enable software engineers to swiftly construct software systems and applications, allowing developers to focus on more important tasks. This chapter examines several types of middleware systems and discusses middleware capabilities, middleware operation, middleware's function in cloud-based systems, and the best middleware platforms to use. Middleware systems are widely utilised and can be found in practically any software system or application. Middleware programmes provide as a link between many sorts of systems and protocols. They serve as a mechanism for various systems. To successfully exchange information, it runs on a variety of operating system

Patients’ Perspective of Acute Post-operative Pain Management: A Multicentre Survey of Tertiary Hospitals in Maharashtra, India | Chapter 08 | New Horizons in Medicine and Medical Research Vol. 8

 When postoperative pain is adequately controlled, patients' satisfaction and patient-related outcomes (PROs) increase. Understanding the patients' perspective is crucial since it supports in the formulation of improvement strategies. Because wrong attitudes and assumptions might block pain alleviation, patients' attitudes and beliefs are critical. As a result, a multicenter study of patients' attitudes, beliefs, experiences, and satisfaction levels with acute postoperative pain management was done in Maharashtra's tertiary hospitals. In addition, the responses were examined to evaluate if the Acute Pain Service (APS) resulted in improved patient outcomes and satisfaction. A 13-item questionnaire adapted from previous studies was used to capture patients' experiences with postoperative pain treatment. The responses of 179 patients are included in the study. The findings revealed that 91.6 percent of patients experienced postoperative pain, with 75.5 percent