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Bisola O.I Onajin-Obembe

Bisola O.I Onajin-Obembe
University of Port Harcourt / University of Port Harcourt Teaching Hospital · Anaesthesiology

MBBS; DA; FWACS; MBA; PhD

About

67
Publications
17,645
Reads
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238
Citations
Introduction
Bisola O.I Onajin-Obembe currently works at the Department of Anaesthesiology, University of Port Harcourt. Bisola does research in Anaesthesiology and Anaesthesia Workforce. Her current project is 'Advocacy for medical specialisation in Anaesthesiology and making Surgery, Obstetrics, Trauma care and Anaesthesia a part of Universal Health Coverage'. A well-planned alignment of both the medical curriculum and postgraduate programmes to the changing landscape of healthcare in Low and Middle Income Countries can play a strategic role in re-directing the future of global health systems.
Additional affiliations
October 2002 - present
University of Port Harcourt Teaching Hospital
Position
  • Honorary Consultant Anaesthesiologist responsible for Paediatric Anaesthesia, Maxillofacial Anaesthesia and Anaesthesia for Ear, Nose and Throat Surgeries.
Description
  • Responsibilities include Paediatric Anaesthesia, Maxillofacial Anaesthesia and Anaesthesia for Ear, Nose and Throat Surgeries as well as teaching and research.
Education
April 2012 - August 2020
International School of Management
Field of study
  • International Business Management
October 2010 - March 2012
Frankfurt School of Finance & Management
Field of study
  • International Hospital and Healthcare Management
May 1995 - March 2002
Lagos University Teaching Hospital
Field of study
  • Fellowship in Anaesthesiology

Publications

Publications (67)
Article
Full-text available
With the growth in numbers and demographic changes of the physician anaesthesia workforce in Nigeria, it has become mandatory to document our rich history for posterity. Although, the younger anaesthesiologists must have heard bits and pieces of the origin of our profession, bringing together some of the historical facts provides us with relevant c...
Article
Full-text available
Patient safety is a core principle of anesthesia care worldwide. The specialty of anesthesiology has been a leader in medicine for the past half century in pursuing patient safety research and implementing standards of care and systematic improvements in processes of care. Together, these efforts have dramatically reduced patient harm associated wi...
Article
Full-text available
The Earth's mean surface temperature is already approximately 1.1°C higher than pre-industrial levels. Exceeding a mean 1.5°C rise by 2050 will make global adaptation to the consequences of climate change less possible. To protect public health, anaesthesia providers need to reduce the contribution their practice makes to global warming. We convene...
Article
Full-text available
Recent evidence suggests that strengthening surgical care within existing health systems will strengthen the overall health-care system. However, Nigeria's national strategic health development plan 2018-2022 placed little emphasis on surgical care. To address the gap, we worked with professional societies and other partners to develop the national...
Article
Full-text available
Capnometry, the measurement of respiratory carbon dioxide, is regarded as a highly recommended safety technology in intubated and nonintubated sedated and/or anesthetized patients. Its utility includes confirmation of initial and ongoing placement of an airway device as well as in detecting gas exchange, bronchospasm, airway obstruction, reduced ca...
Article
Full-text available
Background About 96.3 million children and adolescents aged 0–19 years reside in Nigeria, comprising 54% of the population. Without adequate access to surgery for commonly treatable diseases, many face disability and increased risk of mortality. Due to this population’s unique perioperative needs, increasing access to paediatric surgical care requi...
Presentation
Full-text available
Introduction/Description Physician anaesthetist education has become an indispensable requirement for strengthening emergency and essential surgical, obstetric, trauma, perioperative and critical care service in any country. An effective plan and anaesthesia education must be country specific and be in alignment with universal health coverage (UHC)...
Article
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Background: There are reports of the spread of the novel COVID-19 to Africa, Nigeria, and some cases in Rivers State. The aim of this study was to investigate the knowledge, attitude and effects of the coronavirus disease pandemic on hospital staff in the month of May to June 2020. Methodology: The convenience sampling method was used to recruit 2...
Article
Full-text available
The medical experience collected mainly from South-Saharan African countries in relation to the COVID-19 pandemic is presented, where most of the contents described come from scientific publications that appeared during the course of the epidemic (some before peer review ), including articles from independent media, along with frequent exchanges of...
Article
Full-text available
Background: The COVID-19 pandemic has disrupted routine hospital services globally. This study estimated the total number of adult elective operations that would be cancelled worldwide during the 12 weeks of peak disruption due to COVID-19. Methods: A global expert response study was conducted to elicit projections for the proportion of elective su...
Thesis
Full-text available
There is a crisis of physician anaesthesia workforce in Nigeria. The insufficient surgical workforce including a lack of physician led-anaesthesia care is a major barrier to safe essential and emergency care in Nigeria. The specialist training programmes in the country, have not been able to produce the minimum number of physician anaesthetists for...
Article
Full-text available
History of Anaesthesia in Nigeria with a futuristic view.
Article
Full-text available
Background: Surgical outcomes study for individual nations remains important because of international differences in patterns of surgical disease. We aimed to contribute to data on post-operative complications, critical care admissions and mortality following elective surgery in Nigeria and also validate the African Surgical Outcomes Study (ASOS) s...
Article
Background: The Clavien-Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien-Dindo system can be used internationally in studies across differing healthcare systems...
Article
Full-text available
Background: Surgical outcomes study for individual nations remains important because of international differences in patterns of surgical disease. We aimed to contribute to data on post-operative complications, critical care admissions and mortality following elective surgery in Nigeria and also validate the African Surgical Outcomes Study (ASOS) s...
Article
Full-text available
Introduction The number of specialist anaesthetists in most low-income and middle-income countries is below what is needed to provide a safe quality anaesthesia service. There are no estimates of the optimal number; therefore, we estimated the minimum density of specialist anaesthetists to achieve a reasonable standard of healthcare as indicated by...
Research
Full-text available
Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accom...
Article
Full-text available
Abstract Background The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surger...
Article
Full-text available
Background As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. Methods We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary...
Article
Full-text available
Background: Vasopressors are often needed for prevention of spinal anaesthesia-induced hypotension despite intravenous fluid preload. Prophylactic intravenous ephedrine in doses of 5mg and above has been used successfully to prevent this condition. However, there is limited data on the use of doses lower than 5mg as prophylaxis. This study compared...
Article
Full-text available
After decades on the margins of primary health care, surgical and anaesthesia care is gaining increasing priority within the global development arena. The 2015 publications of the Disease Control Priorities third edition on Essential Surgery and the Lancet Commission on Global Surgery created a compelling evidenced-based argument for the fundamenta...
Article
Full-text available
Background: Postoperative pain is a common complaint in day-case inguinal herniotomy, thus there is a need to provide effective analgesia. This study compared the postoperative analgesic effects of the combinations of caudal-bupivacaine and rectal diclofenac with caudal-bupivacaine and rectal-paracetamol in children scheduled for daycase inguinal-...
Article
Full-text available
There is great improvement in the practice of anaesthesiology in the 21st century when compared with the past. Anaesthesiology can only be studied after obtaining a medical qualification. The knowledge and appropriated skills are acquired during a specialist or fellowship training programme; while the duration of study may vary from country to coun...
Article
Full-text available
Background. Reports on estimated amount of blood loss in maxillofacial surgical procedures will guide clinicians through units of blood required for each procedure.The aim of the study was to assess the amount of blood loss and duration of surgery. Methods. All cases of maxillofacial surgical procedures done under GA in the MFU theatre, from Januar...
Article
Full-text available
Perioperative antibiotic administration for prophylaxis of surgical site infections can increase the anaesthetists workload. However, timely administration is essential to reduce risks and improve patient outcome. This survey evaluates anaesthetists' opinion concerning perioperative antibiotic therapy and training. Structured questionnaires relatin...
Article
Full-text available
This paper examines a change process in the Department of Anaesthesiology of the University of Port Harcourt Teaching Hospital, Nigeria, as it transforms from a service-to an academic-oriented organization. Analysis was performed using the Herold and Fedor's comprehensive change framework. It covers key highlights of what needs changing, how to pro...
Article
Full-text available
Ambulatory anaesthesia for paediatric surgery has numerous benefits in appropriately selected patients. In rural surgical outreaches which constitute unusual environments with peculiar challenges, a specialized anaesthesia practice can improve outcome. This report highlights the experience of a specialized anaesthesia team in a rural surgical outre...
Conference Paper
The development of paediatric anaesthesia in Nigeria is intimately related to the paediatric surgical practice in our teaching hospitals. While older teaching hospitals in Nigeria benefited from overseas-trained, highly-skilled and experienced consultant physician anaesthetists who worked with the paediatric surgeons, younger teaching hospitals ini...
Conference Paper
Background: Medical gas supply from pin-index cylinders on anaesthetic machines are being replaced by piped medical gas. These changes are a result of modernization and improvement in anaesthetic machine design. In our hospital, pin index cylinders are used only as back-up. Objectives: To share our experiences, challenges, solutions, logistics and...
Conference Paper
CAREER PROSPECTS OF THE ANAESTHESIOLOGIST IN WEST AFRICA: GENESIS TO REVELATION. B.O.I. Onajin-Obembe & O.T. Alagbe-Briggs Department of Anaesthesiology, University of Port Harcourt Teaching Hospital, Nigeria. Presenter: B.O.I. Onajin-Obembe. Email: bisolaobembe@yahoo.co.uk Background: It is believed that Anaesthesia dates back to the book of Genes...
Chapter
Full-text available
Article
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Laparoscopy for gynaecological procedures is minimally invasive and is mostly performed as a daycase. The advancement of laparoscopy and minimal access surgery has greatly influenced the evolution of anaesthetic techniques. Preoperative assessment can be simplified by the use of questionnaires in pre-assessment clinics. Intraoperative intravenous f...
Article
Full-text available
A survey of charcoal-roasted plantain and fish (CRPF) vendors in Port Harcourt, Nigeria was carried out to determine if they were a potential anaesthetic high risk group. Questionnaires which contained vendor's biodata and educational qualification including information on hours of exposure as well as number of years in the business and respiratory...
Article
Full-text available
Background: Relocation of a hospital is a big challenge anywhere in the world. The aim of this study is to document our regional experience, highlight the challenges faced and crisis management with the possibility of identifying features of relocation strategy that can be employed in the future. Methods: This is a prospective observational study...
Article
Full-text available
Gunshot facial injury may be frightening and overwhelming. We present a case report of a male employee who was shot in the face during an armed robbery attack on a bank. He sustained severe injuries to the eyes, as well as fractures involving the orbital, maxillary and mandibular bones, with impending airway compromise. He bled profusely and was re...
Article
Full-text available
Background: Children with congenital heart disease (CHD) may present for non-cardiac surgery. Their anaesthetic management depends on their pre-morbid pathology. Aim: To report the anaesthetic management of a patient with congenital heart disease for a non-cardiac surgery. Case report: Craniotomy for evacuation of an intracerebral abscess was perfo...
Conference Paper
Nigeria is a great nation known for managing and improvising. This ability has both a negative and positive effect on the work place including the hospitals and the medical profession. Although necessity is the mother of invention, theatre workers i.e. surgeons, anaesthetists and nurses have continued to bend over backwards to ensure that work goes...
Conference Paper
The HIV seroprevalence of parturients in Nigeria is 5%, in Rivers State it is 6.6% while it is 7% in the University of Port Harcourt Teaching Hospital. Most of these parturients are counselled to have caesarean section, which has a lesser risk of mother-to-child transmission (MTCT) compared with vaginal delivery. Appropriate care of the neonate is...

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Projects

Projects (6)
Project
ISOS is a study which is simply recording information about patients undergoing surgery and the care they receive. This information has helped us understand how surgical patients are treated across different healthcare systems worldwide. This project involves 6 collaborating organizations, Rupert M. Pearse (chief investigator), working with 13 other steering committee members, and 5 study management group members, 30 national coordinators, as well as an extensive list of global investigators that form the ISOS Group
Project
The goal is to provide low-tech solutions for low-resource hospitals and LMIC's within the principles and practice of anaesthesia.