BACKGROUND There has been a shift towards greater use of neuraxial over general anaesthesia for patients undergoing total hip or knee arthroplasty. Furthermore, suggestions that peripheral nerve block may reduce adverse effects have recently been put forward. Although older studies showed a reduction in venous thromboembolism (VTE) with neuraxial compared with general anaesthesia, this differen...

OBJECTIVE In this study, the effects of anaesthetic technique on mother and newborn were investigated in a retrospective analysis of parturients with cardiac diseases undergoing Caesarean section between 2006-2012. METHODS Our hospital's medical information system records were analyzed, and we found 107 parturients with cardiac disease and were undergoing Caesarean section, and their demograp...

Laparoscopic cholecystectomy under general anaesthesia is the present gold standard in treatment of symptomatic gall bladder disease. This study was conducted to determine the efficacy and safety of laparoscopic cholecystectomy under spinal anaesthesia which could be more cost effective. A prospective study was conducted was over a fourteen month period at a teaching hospital to evaluate effica...

In anaesthetic practice the risk of cerebral ischemic/hypoxic damage is thought to be attenuated by deep anaesthesia. The rationale is that deeper anaesthesia reduces cerebral oxygen demand more than light anaesthesia, thereby increasing the tolerance to ischemia or hypoxia. However, evidence to support this is scarce. We thus investigated the influence of light versus deep anaesthesia on the r...

There are three main types of anaesthesia General anaesthesia: the patient is sedated, using either intravenous medications or gaseous substances, and occasionally muscles paralysed, requiring control of breathing by mechanical ventilation Regional anaesthesia: this can be described as central where anaesthetic drugs are administered directly in or around the spinal cord, blocking the nerves of...

We have compared the rapidity and quality of recovery after sevoflurane anaesthesia with those after halothane anaesthesia. Thirty unpremedicated paediatric outpatients undergoing pulsed-dye laser therapy for port-wine stains were allocated randomly to receive either halothane or sevoflurane anaesthesia. Each group received 60% nitrous oxide and 1.0-1.5 MAC of volatile agent in oxygen for appro...

Objective: This study is to ascertain the preferred choice of anaesthetic technique and their reasons, among pre gnant women schedule for caesarean section during preoperative visit in Federal Teaching Hospital, Gombe. Methodology: This was a three year prospective study [from June, 2010May, 2013] of pregnant women sched uled for either elective or emergency caesarean section. During the preope...

OBJECTIVE To compare axillary brachial plexus block and Bier's block as methods of providing upper limb anaesthesia. METHODS Axillary brachial plexus or Bier's blocks were performed on all patients requiring upper limb anaesthesia in a three month period. For Bier's block, a single cuff tourniquet and 3 mg/kg 0.5% prilocaine were used. For axillary plexus block, 40 ml 1% lignocaine with adren...

The main purpose of all anaesthesia techniques is to produce the most possible painless operation, without stressing emotions for the patient. A complete safety is obtained with a local anaesthesia more than with a general anaesthesia. However, it is important to avoid any pain on injection if a local anaesthetic is used. Further advantages of regional anaesthesia for ophthalmic plastic procedu...

Spinal anaesthesia (SA) is widely used in day surgery because it is easy and cheap. But how cheap is SA really, when compared to modern general anaesthesia with short-acting agents? The aim of this study was to compare SA to three modes of general anaesthesia in terms of the total costs of anaesthesia during outpatient knee arthroscopy (KA). There were 173 patients scheduled for elective KA ran...