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Incidence Of Post Dural Puncture Headache Following Caesarean Section Under Spinal Anaesthesia At The Aga Khan University Hospital, Nairobi, Edna Gisore, Vitalis Mung’Ayi, Sharif T.
Incidence Of Post Dural Puncture Headache Following Caesarean Section Under Spinal Anaesthesia At The Aga Khan University Hospital, Nairobi, Edna Gisore, Vitalis Mung’Ayi, Sharif T.
Anaesthesiology, East Africa
Background: Post dural puncture headache can be a debilitating complication of subarachnoid anaesthesia for a new mother. Successful management of post dural puncture headache requires adherence to clear policies and protocols with close follow up of patients by an experienced obstetric anaesthetist.
Objectives: To examine the cumulative incidence and severity of post dural puncture headache in obstetric patients who consented for spinal anaesthesia for Caesarean section.
Design: Prospective cohort study.
Subjects: All women who underwent Caesarean sections under spinal anaesthesia and fulfilled the inclusion criteria.
Setting: Aga Khan University Hospital, a teaching and referral hospital in Nairobi, Kenya.
Results: …
Conformity To The Surviving Sepsis Campaign International Guidelines Among Physicians In A General Intensive Care Unit In Nairobi, Vitalis Mung’Ayi, R. Karuga
Conformity To The Surviving Sepsis Campaign International Guidelines Among Physicians In A General Intensive Care Unit In Nairobi, Vitalis Mung’Ayi, R. Karuga
Anaesthesiology, East Africa
Background: There are emerging therapies for managing septic critically-ill patients. There is little data from the developing world on their usage.
Objectives: To determine the conformity rate for resuscitation and management bundles for septic patients amongst physicians in a general intensive care unit.
Design: Cross sectional observational study.
Setting: The general intensive care unit, Aga Khan University Hospital, Nairobi.
Subjects: Admitting physicians from all specialties in the general intensive care unit.
Results: The physicians had high conformity rates of 92% and 96% for the fluid resuscitation and use of va so pressors respectively for the initial resuscitation bundle. They had …