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CONTEXT: The safe practice of anesthesia encompasses professionalism, equipment, monitoring, medications, and conduct of anesthesia. Therefore, standard training is sine qua non to guarantee good surgical outcomes in a specialty associated with delicate and high-risk cases. AIMS: The aims are to survey the work practices among anesthetist trainees from different centers across Nigeria. SETTINGS AND DESIGN: A descriptive cross-sectional survey study conducted at the Department of Anaesthesia, University College Hospital, Ibadan, Nigeria. SUBJECTS AND METHODS: Anesthetist trainees were administered structured questionnaires following informed consent. STATISTICAL ANALYSIS USED: The Statistical Package for the Social Sciences (IBM SPSS version 23.0®) was used to analyze the obtained data. Results were presented using a frequency and percentage table, with a bar graph. RESULTS: Out of the 76 respondents, there were 57 (75.0%) male and 19 (25.0%) female trainees who were mostly >30 years (90.8%). Mean residency duration was 1.4 ± 0.6 years, with many within 1-2 years of postgraduate training (67.1%). Many were junior registrars 71 (93.4%) and mostly (64.5%) work for >8 h. On clinical work practices, all the respondents reported that they always discuss the risks, purpose, and benefits of anesthesia (100.0%), 77.6% always discuss patient management with superior, 57.9% always provide postanesthetic care, and 88.2% always obtain informed consent. Only 6 out of the 13 anesthetic techniques listed had =50% positive responses with confirmation of their abilities to perform these techniques. CONCLUSIONS: Most of the anesthetist trainees reported considerable abilities concerning clinical work practices in anesthesia. However, we observed significant limitations in the provisioning of some anesthetic techniques among many junior registrar trainees and this was not unexpected considering their current level of training. [ABSTRACT FROM AUTHOR]

This document is a compilation of various research studies and articles on prostate cancer, focusing on treatment approaches, patient characteristics, and outcomes. The studies cover countries such as Nigeria, Ghana, Burkina Faso, and Cameroon, and examine factors like marital status, socioeconomic status, and age in relation to prostate cancer. The document provides valuable information for researchers and healthcare professionals interested in understanding the diverse perspectives and experiences of prostate cancer patients in different regions. [Extracted from the article]

Extradural spinal arachnoid cysts are rare lesions. They frequently communicate with the subarachnoid space through a defect in the dura. Symptoms result from compression of the spinal cord or nerve roots. The treatment of choice is complete surgical excision. We report the case of a 12-year-old girl with extradural spinal arachnoid cyst who had complete surgical excision with good outcome. [ABSTRACT FROM AUTHOR]

Background Peritoneal sepsis is a life-threatening emergency, more so in the low- and middle-income countries (LMICs) where immediate hospital presentation for much needed urgent surgical care is the exception rather than the norm. Continued research into the multifactorial aetiopathogenesis responsible for the high level of morbidity and mortality is necessary. We aimed to determine the incidence of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in patients presenting with generalized peritonitis in a tertiary hospital in Nigeria. Methods We conducted a prospective study involving recruitment of consenting patients managed for generalized peritonitis over 12 months. Results Fifty-seven consenting and appropriate patients were recruited over the course of the study and managed as per study protocol. The duration of symptoms ranged between 11 hours and 7 days. All patients had varying degrees of IAH and ACS at presentation with generalized peritonitis. A laparotomy with definitive surgery was done in 51 patients (89%), with 6 patients (11%) having only a bedside peritoneal drain inserted for decompression. Significant improvement of the respiratory rate (P < 0.001), oxygen saturation (P = 0.041), and urinary output (P = 0.021) only occurred after decompression by laparotomy or tube drainage. The consecutive mean ± standard deviation (SD) intra-abdominal pressures measured, respectively, at presentation, immediately postsurgery, then postoperatively at 6 h, 24 h, and 72 h reflected significant improvement at each point (respectively in cmH2O: 11.4 ± 6.03, 6.58 ± 5.58, 5.78 ± 3.29, 4.73 ± 2.86, 6.72 ± 5.18; P < 0.001). Conclusions IAH and ACS are not uncommon in our setting, and ACS at presentation is a significant predictor of mortality in patients with peritoneal sepsis. Surgical decompression invariably leads to an improvement in all clinical variables investigated. [ABSTRACT FROM AUTHOR]

Background: Surgical intervention in patients with hemoglobinopathies has been extensively reviewed in the literature, but information on the outcome of cranial surgery in this patient population in sub-Saharan Africa is limited., Methods: This is a retrospective study of patients with hemoglobinopathies, who underwent brain surgery in our facility. The review covered a 5-year period. We examined patient- and surgery-related variables and described the surgical complications as well as the 60-day mortality., Results: A total of nine procedures (eight under general anesthesia and one under local anesthesia) were performed on seven patients with hemoglobinopathy during the study period. Eight (88.9%) of these were done in female patients and one (11.1%) in a male patient. Six (66.7%) were performed in patients with no previous history of blood transfusion. Hb SC accounted for five (55.6%), Hb SS for three (33.3%), and Hb CC for one (11.1%) procedure, respectively. Three (33.3%) of these procedures were brain tumor-related, three (33.3%) trauma-related, one (11.1%) cosmetic, one (11.1%) vascular, and one for a postoperative complication. Only one (11.1%) procedure was associated with preoperative blood transfusion, whereas there was a need for blood transfusion following five (55.6%) of the procedures. There was a mortality rate of 11.1% (1 case). Other complications were recorded after three (33.3%) of the procedures and none with five (55.6%) of the procedures., Conclusion: Neurosurgery is possible and safe in patients with hemoglobin disorders. Adequate preoperative preparation, proper anesthetic techniques, meticulous surgery, and excellent postoperative care can help optimize outcome of surgical intervention in this patient population., Competing Interests: There are no conflicts of interest.