Biomedical subjects

J O Wambani

Publications and source records attributed to J O Wambani.

3 recordsLinked to original sources

PubMed2002

Management of tracheo-bronchial foreign bodies in children.

OBJECTIVES: To review alternative surgical and anaesthetic options in the management of foreign bodies lodged in the tracheobronchial tree in children aged below 10 years. DESIGN: A five year retrospective secondary data analysis. SETTING: Three hospitals based in Eldoret Municipality, Kenya. MAIN OUTCOME MEASURES: Outcome variables included morbidity and mortality. RESULTS: Of the thirty two children studied, 74.1% had bronchoscopy and 25.9% thoracotomy. The overall mortality rate was 3.3%. CONCLUSION: Foreign bodies in the tracheo-bronchial tree are a major cause of morbidity and mortality in children aged below 10 years. In settings where appropriate equipment is inadequate, timely thoracotomy may be life saving.

Age Distribution↗

PubMed1997

Use of breath sounds to assist difficult intubation of the trachea.

The technique of locating the laryngeal inlet using breath sounds was attempted on six patients referred for appropriate management following a failed intubation at the Eldoret District Hospital. Five of these were successfully intubated. It was still impossible to intubate the sixth patient who subsequently required a tracheostomy.

Adolescent↗

PubMed1996

Halothane consumption under varying breathing circuit designs.

Thirty one patients at the Eldoret District Hospital, currently being used as a referral and teaching hospital, were anaesthetised and allowed to breathe through any of the three standard Maplesons circuits. The quantity of halothane required to maintain a satisfactory level of anaesthesia was measured and expressed in millilitres per kilogramme body weight, per minute. This value was used to compare the cost-effectiveness of the three circuits under different modes of ventilation.

Adult↗