Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria

Adamu Sadiq Abubakar; Mohammed Bukar; Aliyu Usman El-Nafaty; Mohammed Bala Audu; Gyadale Abdulhamid; Babagana Mulima; Ahmed Muhammed

doi:doi:10.11648/j.ja.20150302.11

Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria

Adamu Sadiq Abubakar, Mohammed Bukar, Aliyu Usman El-Nafaty, Mohammed Bala Audu, Gyadale Abdulhamid, Babagana Mulima, Ahmed Muhammed

Published in Journal of Anesthesiology (Volume 3, Issue 2)

Received: 4 May 2015 Accepted: 15 May 2015 Published: 28 May 2015

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Abstract

Background: Objectives: To determine the clinical characteristics of the obstetric patients that were complicated with eclampsia and compare it to all uncomplicated obstetrics patients (non-eclampsia) that had caesarean sections, determine the technique of anaesthesia and the anaesthetic management of the eclamptic patients in our centres. Materials and Methods: This was a retrospective case-control multi-centered study of eclamptic patients that had caesarean sections under anaesthesia in the University of Maiduguri Teaching Hospital, Maiduguri, Borno State and Federal Teaching Hospital, Gombe, Gombe State North-eastern Nigeria over four year period from January, 2011 to December, 2014. Results: A total of two hundred and seventy three (273) eclamptic patients made up 158(57.88%) and 115(42.12%) from University of Maiduguri Teaching Hospital, Maiduguri and Federal Teaching Hospital, Gombe respectively that had caesarean sections under various types of anaesthesia during the study period, which represents 17.42% of total caesarean sections (1,567 patients) and 1.87% of all deliveries (14,611 patients) during the 4-year period. Most of the eclamptic patients had GA (87.18%). The case fatality rate for eclampsia managed in ICU was 14.65%.However; the overall case fatality for eclampsia was 18.31%. Conclusion: The commonest anaesthesia employed for eclamptics was general anaesthesia, this was because most of the patients that presented to our centres were either unconscious or had late presentation. We therefore, recommend regular public enlightenment on eclampsia in our environment and also to encourage a team work among the team members.

Published in	Journal of Anesthesiology (Volume 3, Issue 2)
DOI	10.11648/j.ja.20150302.11
Page(s)	6-9
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Anaesthetic Management, Eclamptics, Caesarean Section, North-Eastern, Nigeria

References

[1]	Cunningham FG, Leveno KJ, Bloom SL, Haulth JC, Rouse DJ, Spong CY. Williams Obstetrics. Pregnancy Hypertension. 23rdChap 34, New York: McGraw-Hill; 2010:706-56.
[2]	Kaplan PW, Repke, JT. Eclampsia. Neuro Clin 1994; 12: 565-82.
[3]	Sibai BM, Eclampsia. In: Goldstein PJ, editors. Neurologic Disorder of Pregnancy, 2nd ed. Mount Kisco, New York: Futura Publishing Company; 1992: 1-24.
[4]	Sibai BM. Eclampsia. Maternal –perinatal outcome in 254 consecutive cases. Am J Obstet Gynecol. 1990; 163: 1049-55.
[5]	Mattar F, Sibai BM. Eclampsia VIII. Risk factors for maternal morbidity. Am J Obstet Gynecol. 2000; 182: 307-12.
[6]	Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE- A severity of disease classification system. Crit Care Med. 1995; 13: 818-829.
[7]	Parthasarathy S, Hemanth Kumar VR, Sripriya R, Ravishankar M. Anesthetic management of a patient presenting with eclampsia. Anesth Essay Res 2013; 7: 307-12.
[8]	Moodley J, Jjuuko G, Rout C. Epidural compared with general anaesthesia for caesarean delivery in conscious women with eclampsia. Br J Obstet Gynaecol 2001; 108: 378-82.
[9]	Razzaque M, Rahman K, Sashidhan R. Spinal is safer than GA for LSCS in eclamptics. Anesthesiology 2001; 94: A34.
[10]	Horlocker TT, Wedel DJ, Rowlingson JC, Enneking FK, Kopp SL et al. Regional anesthesia in the patient receiving antithrombotic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence –Based Guideline. 3rd ed. Reg Anesth Pain Med 2010; 35: 64-101.
[11]	Antonie AG, Mangin R, Vialles N, Ferrer JM, Robert C et al. Patients with severe Pre-eclampsia experience less hypotension during spinal anesthesia for elective cesarean delivery than healthy parturients: A Prospective cohort comparison. Anesth Analg 2003; 97: 867-72.
[12]	Adamu AS, Bako B, El-Nafaty AU, Babagana M, Ahmed M, et al. Obstetrics admission to the intensive care unit at the Nigerian teaching hospital: a four year review. Journal of Scientific Research and Studies 2014;1(5): 81-86.
[13]	Muhammad Z, Muhammad D, Ibrahim SA (2010). Obstetric admissions to the intensive care unit: A seven year review at Aminu Kano Teaching Hospital Kano, Nigeria. BOMJ. 7(1):1-15.
[14]	Osinaike BB, Amanor-Boadu SD, Sanusi AA. Obstetrics Admission to the Intensive Care Unit: an eight year review. Med Liban. 2008; 56 (4): 215-219.
[15]	Dao B, Rouamba A, Quedrago D. Transfer of Obstetrics patients in a pregnant and postpartum condition to an intensive care unit: Eighty-two cases in Burkina Faso. Gynaecol obstet fertile. 2003; 31: 123-126
[16]	Natalie YWL, Arthur CWL, Kenny KCC, Yan WW. Clinical characteristics and outcomes of obstetrics patients admitted to the Intensive Care Unit: A 10- year retrospective review. Hong Kong Med J; 16(1): 18-26.

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APA Style

Adamu Sadiq Abubakar, Mohammed Bukar, Aliyu Usman El-Nafaty, Mohammed Bala Audu, Gyadale Abdulhamid, et al. (2015). Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria. International Journal of Anesthesia and Clinical Medicine, 3(2), 6-9. https://doi.org/10.11648/j.ja.20150302.11

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ACS Style

Adamu Sadiq Abubakar; Mohammed Bukar; Aliyu Usman El-Nafaty; Mohammed Bala Audu; Gyadale Abdulhamid, et al. Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria. Int. J. Anesth. Clin. Med. 2015, 3(2), 6-9. doi: 10.11648/j.ja.20150302.11

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AMA Style

Adamu Sadiq Abubakar, Mohammed Bukar, Aliyu Usman El-Nafaty, Mohammed Bala Audu, Gyadale Abdulhamid, et al. Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria. Int J Anesth Clin Med. 2015;3(2):6-9. doi: 10.11648/j.ja.20150302.11

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@article{10.11648/j.ja.20150302.11,
  author = {Adamu Sadiq Abubakar and Mohammed Bukar and Aliyu Usman El-Nafaty and Mohammed Bala Audu and Gyadale Abdulhamid and Babagana Mulima and Ahmed Muhammed},
  title = {Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {3},
  number = {2},
  pages = {6-9},
  doi = {10.11648/j.ja.20150302.11},
  url = {https://doi.org/10.11648/j.ja.20150302.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ja.20150302.11},
  abstract = {Background: Objectives: To determine the clinical characteristics of the obstetric patients that were complicated with eclampsia and compare it to all uncomplicated obstetrics patients (non-eclampsia) that had caesarean sections, determine the technique of anaesthesia and the anaesthetic management of the eclamptic patients in our centres. Materials and Methods: This was a retrospective case-control multi-centered study of eclamptic patients that had caesarean sections under anaesthesia in the University of Maiduguri Teaching Hospital, Maiduguri, Borno State and Federal Teaching Hospital, Gombe, Gombe State North-eastern Nigeria over four year period from January, 2011 to December, 2014. Results: A total of two hundred and seventy three (273) eclamptic patients made up 158(57.88%) and 115(42.12%) from University of Maiduguri Teaching Hospital, Maiduguri and Federal Teaching Hospital, Gombe respectively that had caesarean sections under various types of anaesthesia during the study period, which represents 17.42% of total caesarean sections (1,567 patients) and 1.87% of all deliveries (14,611 patients) during the 4-year period. Most of the eclamptic patients had GA (87.18%). The case fatality rate for eclampsia managed in ICU was 14.65%.However; the overall case fatality for eclampsia was 18.31%. Conclusion: The commonest anaesthesia employed for eclamptics was general anaesthesia, this was because most of the patients that presented to our centres were either unconscious or had late presentation. We therefore, recommend regular public enlightenment on eclampsia in our environment and also to encourage a team work among the team members.},
 year = {2015}
}

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TY  - JOUR
T1  - Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria
AU  - Adamu Sadiq Abubakar
AU  - Mohammed Bukar
AU  - Aliyu Usman El-Nafaty
AU  - Mohammed Bala Audu
AU  - Gyadale Abdulhamid
AU  - Babagana Mulima
AU  - Ahmed Muhammed
Y1  - 2015/05/28
PY  - 2015
N1  - https://doi.org/10.11648/j.ja.20150302.11
DO  - 10.11648/j.ja.20150302.11
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 6
EP  - 9
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ja.20150302.11
AB  - Background: Objectives: To determine the clinical characteristics of the obstetric patients that were complicated with eclampsia and compare it to all uncomplicated obstetrics patients (non-eclampsia) that had caesarean sections, determine the technique of anaesthesia and the anaesthetic management of the eclamptic patients in our centres. Materials and Methods: This was a retrospective case-control multi-centered study of eclamptic patients that had caesarean sections under anaesthesia in the University of Maiduguri Teaching Hospital, Maiduguri, Borno State and Federal Teaching Hospital, Gombe, Gombe State North-eastern Nigeria over four year period from January, 2011 to December, 2014. Results: A total of two hundred and seventy three (273) eclamptic patients made up 158(57.88%) and 115(42.12%) from University of Maiduguri Teaching Hospital, Maiduguri and Federal Teaching Hospital, Gombe respectively that had caesarean sections under various types of anaesthesia during the study period, which represents 17.42% of total caesarean sections (1,567 patients) and 1.87% of all deliveries (14,611 patients) during the 4-year period. Most of the eclamptic patients had GA (87.18%). The case fatality rate for eclampsia managed in ICU was 14.65%.However; the overall case fatality for eclampsia was 18.31%. Conclusion: The commonest anaesthesia employed for eclamptics was general anaesthesia, this was because most of the patients that presented to our centres were either unconscious or had late presentation. We therefore, recommend regular public enlightenment on eclampsia in our environment and also to encourage a team work among the team members.
VL  - 3
IS  - 2
ER  -

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Author Information

Adamu Sadiq Abubakar

Department of Anaesthesia and Intensive Care, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
Mohammed Bukar

Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
Aliyu Usman El-Nafaty

Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
Mohammed Bala Audu

Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
Gyadale Abdulhamid

Department of Anaesthesia and Intensive care, Federal Teaching Hospital, Gombe, Gombe state, Nigeria
Babagana Mulima

Department of Anaesthesia and Intensive Care, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
Ahmed Muhammed

Department of Anaesthesia and Intensive Care, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria

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Plain Text BibTeX RIS

APA Style

Adamu Sadiq Abubakar, Mohammed Bukar, Aliyu Usman El-Nafaty, Mohammed Bala Audu, Gyadale Abdulhamid, et al. (2015). Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria. International Journal of Anesthesia and Clinical Medicine, 3(2), 6-9. https://doi.org/10.11648/j.ja.20150302.11

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ACS Style

Adamu Sadiq Abubakar; Mohammed Bukar; Aliyu Usman El-Nafaty; Mohammed Bala Audu; Gyadale Abdulhamid, et al. Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria. Int. J. Anesth. Clin. Med. 2015, 3(2), 6-9. doi: 10.11648/j.ja.20150302.11

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AMA Style

Adamu Sadiq Abubakar, Mohammed Bukar, Aliyu Usman El-Nafaty, Mohammed Bala Audu, Gyadale Abdulhamid, et al. Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria. Int J Anesth Clin Med. 2015;3(2):6-9. doi: 10.11648/j.ja.20150302.11

Copy | Download

@article{10.11648/j.ja.20150302.11,
  author = {Adamu Sadiq Abubakar and Mohammed Bukar and Aliyu Usman El-Nafaty and Mohammed Bala Audu and Gyadale Abdulhamid and Babagana Mulima and Ahmed Muhammed},
  title = {Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {3},
  number = {2},
  pages = {6-9},
  doi = {10.11648/j.ja.20150302.11},
  url = {https://doi.org/10.11648/j.ja.20150302.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ja.20150302.11},
  abstract = {Background: Objectives: To determine the clinical characteristics of the obstetric patients that were complicated with eclampsia and compare it to all uncomplicated obstetrics patients (non-eclampsia) that had caesarean sections, determine the technique of anaesthesia and the anaesthetic management of the eclamptic patients in our centres. Materials and Methods: This was a retrospective case-control multi-centered study of eclamptic patients that had caesarean sections under anaesthesia in the University of Maiduguri Teaching Hospital, Maiduguri, Borno State and Federal Teaching Hospital, Gombe, Gombe State North-eastern Nigeria over four year period from January, 2011 to December, 2014. Results: A total of two hundred and seventy three (273) eclamptic patients made up 158(57.88%) and 115(42.12%) from University of Maiduguri Teaching Hospital, Maiduguri and Federal Teaching Hospital, Gombe respectively that had caesarean sections under various types of anaesthesia during the study period, which represents 17.42% of total caesarean sections (1,567 patients) and 1.87% of all deliveries (14,611 patients) during the 4-year period. Most of the eclamptic patients had GA (87.18%). The case fatality rate for eclampsia managed in ICU was 14.65%.However; the overall case fatality for eclampsia was 18.31%. Conclusion: The commonest anaesthesia employed for eclamptics was general anaesthesia, this was because most of the patients that presented to our centres were either unconscious or had late presentation. We therefore, recommend regular public enlightenment on eclampsia in our environment and also to encourage a team work among the team members.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria
AU  - Adamu Sadiq Abubakar
AU  - Mohammed Bukar
AU  - Aliyu Usman El-Nafaty
AU  - Mohammed Bala Audu
AU  - Gyadale Abdulhamid
AU  - Babagana Mulima
AU  - Ahmed Muhammed
Y1  - 2015/05/28
PY  - 2015
N1  - https://doi.org/10.11648/j.ja.20150302.11
DO  - 10.11648/j.ja.20150302.11
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 6
EP  - 9
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ja.20150302.11
AB  - Background: Objectives: To determine the clinical characteristics of the obstetric patients that were complicated with eclampsia and compare it to all uncomplicated obstetrics patients (non-eclampsia) that had caesarean sections, determine the technique of anaesthesia and the anaesthetic management of the eclamptic patients in our centres. Materials and Methods: This was a retrospective case-control multi-centered study of eclamptic patients that had caesarean sections under anaesthesia in the University of Maiduguri Teaching Hospital, Maiduguri, Borno State and Federal Teaching Hospital, Gombe, Gombe State North-eastern Nigeria over four year period from January, 2011 to December, 2014. Results: A total of two hundred and seventy three (273) eclamptic patients made up 158(57.88%) and 115(42.12%) from University of Maiduguri Teaching Hospital, Maiduguri and Federal Teaching Hospital, Gombe respectively that had caesarean sections under various types of anaesthesia during the study period, which represents 17.42% of total caesarean sections (1,567 patients) and 1.87% of all deliveries (14,611 patients) during the 4-year period. Most of the eclamptic patients had GA (87.18%). The case fatality rate for eclampsia managed in ICU was 14.65%.However; the overall case fatality for eclampsia was 18.31%. Conclusion: The commonest anaesthesia employed for eclamptics was general anaesthesia, this was because most of the patients that presented to our centres were either unconscious or had late presentation. We therefore, recommend regular public enlightenment on eclampsia in our environment and also to encourage a team work among the team members.
VL  - 3
IS  - 2
ER  -

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