Acupuncture analgesia for surgery--initial experiences in Ibadan, Nigeria.
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Biomedical subjects
Publications and source records attributed to O O Akinyemi.
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Lorazepam, a benzodiazepine derivative, is a hypnotic useful for premedication. Four milligrams given orally, intramuscularly or intravenously, is more effective than many other agents, including diazepam, in attenuating the psychic sequelae of ketamine administration. This study compares the efficacy of intravenous administration of 2 mg of lorazepam with that of 10 mg of diazepam. The results reveal that the lower dose of lorazepam is superior to 10 mg of diazepam in taming ketamine sequelae. Therefore, lorazepam is suggested for use instead of the higher dose of diazepam.
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The complications observed in twelve patients undergoing guided blind nasotracheal intubation are presented. The commonest was minor bleeding, followed by difficulty in hooking the cannula out of the nostril. These complications are minor enough to justify the more frequent use of the technique in patients with intubation problems.
A case of ameloblastic sarcoma of the mandible in a 19-year-old man is presented. Pain, paresthesia, and rapidity of growth were features of the lesion. Successful excision was followed by death from secondary hemorrhage.
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A study of the choice between general and local anaesthetic techniques among 200 post-operative Nigerian patients was conducted, using a questionnaire. The patients were interviewed between two and seven days after various types of surgery. Most of the patients (59.5%) preferred general anaesthesia. The commonest reason was fear with psychological upset if they are awake during surgery. This appears to be a basic human feeling which does not appear to be related to sophistication or level of development. Adequate pre-operative communication between doctors and patients should minimise this apprehension. 18% preferred local anaesthetic techniques while 21.5% would not mind either.
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We present 30 cases of ankylosis of the lower jaw following cancrum oris. The clinical and radiological findings, the anesthetic methods, and the surgical management are described. Adequate excision of limiting scar and any bony ankylosis, with immediate mucosal or skin coverage of any raw surfaces created, is the proper approach. Postoperative jaw exercises and the use of a bite block may be helpful.
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