Background The Intrathecal analgesia is a highly effective technique for pain relief in the first stage of labor. Its effectiveness, simplicity, and low incidence of serious complications, less motor blockade and decrease the rate of cesarean section, make it applicable to the physicians Methods: one hundred twenty patients were equally divided into four groups where epidural catheter was inser...

Compartment syndrome is an orthopedic emergency that require early recognition and urgent intervention to avoid catastrophic complications. High index of suspicion is required for early diagnosis based on a constellation of signs and symptoms that include pain out of proportion and worsened by passive stretching, altered sensorium and palpable tenseness. Any event thus, that masks pain, may lea...

Background: Caudal block is a common technique for paediatric analgesia but has disadvantage of short duration of action after single injection. Various adjuvants were tried with local anaesthetics to prolong duration of post-operative analgesia in caudal block. This prospective study was designed to assess and compare the efficacy of clonidine and dexmedetomidine used as adjuvants to bupivacai...

Patients undergoing pneumonectomy can suffer by cardiovascular and respiratory postoperative complications that can affect patient's outcome by increasing morbidity and mortality. We describe a diaphragmatic hernia occurring after pneumonectomy. with late presentation and with epidural analgesia confusing the scenario suggesting that anesthesiologists should remain aware on this complication ev...

A case of bilateral compartment syndrome after prolonged Lloyd-Davies lithotomy position is described. The diagnosis was made early, despite effective extradural bupivacaine-fentanyl analgesia. The aetiology, diagnosis, pathology and treatment of compartment syndrome are described. Complications of the syndrome may be life-threatening and permanently disabling. The anaesthetist should be aware ...

Introduction: Tonsillectomy is the one of the most common types of surgery in children, and is often accompanied by post-operative pain and discomfort. Methods of pain control such as use of non-steroidal anti-inflammatory drugs (NSAIDs), narcotics, and local anesthetics have been used, but each have their own particular side effects. In this study we investigated the effect of ketamine on post...

Determinants of reproductive tract infections among asymptomatic women in Harare, Zimbabwe Enumeration of CD4 and CD8 T-cells in HIV infection in Zimbabwe using a manual immunocytochemical metho4.................................. Post operative pain therapy: a survey of prescribing patterns and adequacy of analgesia in Ibadan, N igeria...................................................... Predi...

Almost one thousand patients underwent either total hip replacement or spinal surgery in which diamorphine 0.5-1.0 mg was injected intrathecally. Approximately one half of the arthroplasty patients and one third of the spinal patients required no other post-operative analgesia. In the remainder, analgesics were not required for 12 hours post-operatively. The benefits of the technique and possib...

The experience of vaginal tubectomy in 5214 cases over a period of 6 years is presented. Complications and failure rates following vaginal tubectomy were minimal. The main advantages over abdominal tubectomy were a relatively short operation (under local anaesthesia and analgesia) no hos. pitalization, minimal post operative complications and discomforts with no abdominal scars (JPMA 35 301, 19...

We performed a double-blind, randomised controlled trial to assess the effectiveness of a continuous-infusion brachial plexus block with levobupivacaine compared with that of a standard single injection for the management of post-operative pain after surgery on the shoulder. Eight patients were randomised to receive a pre-operative brachial plexus block using 30 ml of levobupivacaine 0.5% with ...