Suleiman Zakari Aliyu

Purpose Oxygen may cause serious consequences when administered wrongly. This study aimed to assess doctors’ and nurses’ knowledge of acute oxygen therapy and perceived delivery barriers. Participants and Methods We conducted a cross sectional study among 202 healthcare providers (134 doctors and 68 nurses) in a Nigerian hospital. The validated Ac...

Background: Insertion of laryngeal mask airway (LMA) with propofol in children may cause hypotension, laryngospasm and apnoea. Ketamine and fentanyl have been combined separately with propofol to prevent depression of cardiovascular system during LMA insertion, especially in paediatric patients. Ketamine-fentanyl and propofol-fentanyl combinations...

Sacroiliac joint (SI) diagnostic injections are commonly performed for chronic low back and leg pain, when SI pathology is suspected. This chapter provides a step-by-step guide on how to perform this intervention safely and shows all the relevant C-arm and needle positions that need to be demonstrated during the Fellow of Interventional Pain Practi...

Pain arising from pelvis may be difficult to diagnose due to the complex innervation of the visceral and somatic structures. Persistent acute noxious stimuli in the pelvis, as in other regions of the body, can lead to development chronic pelvic pain. Chronic pelvic pain constitutes a constellation of poorly understood complex disorders that are oft...

Background: Oxygen is like any other medication that can cause severe consequences if administered inappropriately. Objective: To audit the pattern of acute oxygen therapy on regular hospital wards of a referral centre in Ilorin, Nigeria. Methods: We reviewed 150 patients that received or had a prescription for acute oxygen therapy in three mo...

Background Prescription and administration of oxygen in emergencies by healthcare providers are reported to be inappropriate in most settings. There is a huge gap in the knowledge of health care providers on various aspects of oxygen therapy, and this may be a barrier to optimal oxygen administration. Hence, it is essential to ascertain providers’...

Revised AOTQ after content validity. The correct responses are in blue color. (DOC)

Background: The injection of mixture of plain bupivacaine and triamcinolone acetonide into the sacroiliac joint (SIJ) to relieve chronic low back pain is uncommon in the West African sub-region. The objective of this study was to demonstrate the efficacy or otherwise of fluoroscopic-guided SI joint injection in the management of chronic axial low...

Background: Ketamine is a common anaesthetic agent for surgical procedures in both paediatric and adult populations in our environment. In polytraumatised patients its cardio-stimulatory effects may be advantageous in supporting the cardiovascular system while awaiting the clinical effects of on-going resuscitative interventions. However, its clini...

Background: Lumbosacral radicular pain is a common cause of chronic low back pain. Despite published reports of effectiveness of transforaminal epidural steroid for lumbosacral radicular pain, it is underutilised in many tertiary hospitals in sub-Saharan Africa. This study assessed the clinical effects of transforaminal epidural steroid injections...

Background Hospital-acquired infections (HAIs), one of the leading causes of, morbidity and mortality, are common in developing countries. Methicillin-resistant staphylococcus aureus (MRSA), commonest cause of HAIs, has been isolated from the hands of more than half of health care workers. Practice of hand hygiene may help in the control of nosocom...

Background Airway management problems may arise when intubating patients with goitre scheduled for thyroidectomy. Goitres are not uncommon in sub-Saharan Africa, thyroidectomy being the main treatment. The aim of this study was to determine incidences of difficult intubation (DI), failed intubation (FI) and predictors of DI using a modified intubat...

Cancer pain management is comprehensive, and it generally begins with pharmacotherapy in a step-wise approach per analgesic guidelines established decades ago by the World Health Organization. This analgesic ladder involves the prescribing of co-analgesics, adjuvants, and opioids, with each step depending on pain severity. Although the majority of...

Labour pain has been described as the worst possible pain known to mankind. It is more excruciating than cancer pain, phantom pain or toothache. Failure to relieve pain of any cause has been regarded as a violation of fundamental human rights. This study aimed to evaluate the current obstetrics analgesia practice among physicians in Nigeria, identi...

Peri-operative management of patients with significant cardio-respiratory disease scheduled for non-cardiac non-thoracic surgeries requires great expertise to ensure a successful outcome. Patients with cardio-respiratory diseases are prone to developing some intra-operative complications such as delayed recovery from anaesthesia, persistent poor ar...

Objective: Although opioid analgesics are effective in the treatment of moderate to severe acute, cancer and chronic non-malignant pains, they are under-prescribed in Nigeria. The objective of this study was to assess the prescription pattern of opioids among physicians in a north central State, Nigeria.. Design: This was a descriptive cross sec...

Cervical radicular pain is a common cause of chronic neck pain especially among adult population; and it impairs functions and reduces qualities of life of patients. Of the available conservative non-operative treatment options such as analgesic medications, exercises, heat therapy, stabilizing the cervical spine with neck collar among others, epid...

Shoulder pain complaints are common in our environment. The disorder can occur among the young active age group or in the older patients as a result of degenerative changes with its attendant limitations of the function of the affected upper limb, hindrance of the performance of activities of daily living, and reduced quality of life. The tradition...

Background and Purpose: Most of the available intravenous (IV) induction agents produce hypotension except ketamine. However, its use is limited due to cardiovascular stimulation. We therefore investigated the effects of oral clonidine premedication on ketamine-induced cardiostimulation. Methodology: This was a prospective, double-blind, randomized...

BACKGROUND: Improved surgical care and protocol-driven intensive care interventions for head injured patients have contributed to the overall reduction in mortality in developed countries. The aim of this study is to highlight the clinical outcomes of patients with severe traumatic brain injury managed in the multispecialty ICU of our institution....

There is a need for interventional pain management in the developing world; however, there are many barriers to the introduction of interventional pain therapies. This brief report describes one approach to the introduction of interventional pain medicine to a Nigerian teaching hospital. Although many barriers exist, interventional pain medicine ca...