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SurgeryVisual analogue scaleCore (anatomy)Intensive care medicinePhysical therapyProspective cohort studyEmergency medicineCaesarean sectionGeneral anaesthesiaMorphineHypothermiaPresentation (obstetrics)Apgar scorePregnancyPheochromocytomaFentanylCephalic presentationBupivacaineLabor painSignificant differencePaediatric patientsCase presentationIntra operativeAnesthesiaIncidence (epidemiology)GestationAnxietyGeneral surgeryMedicine
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This is a case presentation of a 32 year old woman with pheochromocytoma diagnosed at 27 weeks of gestation, she was managed till term, induced and had assisted vaginal delivery. The pheochromocytoma was surgically re-sected successfully at six weeks postpartum.
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Objective : To determine the incidence and risk factors for intra-operative hypothermia in paediatric patients undergoing general anaesthesia at the Kenyatta National Hospital. Design : A prospective observational study. Setting : The Kenyatta National Hospital main operating theatres and affiliated satellite operating theatres. Subjects : A total of 100 paediatric patients (range; three days to 12 years, mean; 4.1 ± 3.3 years) were enrolled in the study. Results : Thirty out of 100 patients dev...
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Background : Most women experience moderate to severe pain during labour and delivery, often requiring some form of pharmacologic analgesia. The lack of proper psychological preparation combined with fear and anxiety can greatly enhance the patientfs sensitivity to pain and further add to the discomfort. Skillfully conducted obstetric analgesia, in addition to relieving pain and anxiety, may benefit the mother by increasing self esteem and improving bonding with the baby. Objective : To assess ...
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This is a case series presentation of 14 cases where Shirodkar stitch was inserted after failed McDonald stitch. The patients were either self referrals or from Obstetricians in Eastern Africa region. All the patients were able to carry the pregnancies to term and were delivered by Caesarean section. The findings show that Shirodkar stitch has a place in management of patients with recurrent pregnancy loss. There is need to familiarise obstetricians on the insertion of Shirodkar stitch.
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