Desire N. Onwochei
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Author Swipe
View article: Gastric emptying in pregnancy and its clinical implications: a narrative review
Gastric emptying in pregnancy and its clinical implications: a narrative review Open
Delayed gastric emptying increases the risk of pulmonary aspiration during anaesthesia for Caesarean delivery. Our aim in conducting this narrative review was to consider the effect of pregnancy on gastric emptying. The indices of gastric …
View article: Comparison of intravenous versus perineural dexamethasone as a local anaesthetic adjunct for peripheral nerve blocks in the lower limb
Comparison of intravenous versus perineural dexamethasone as a local anaesthetic adjunct for peripheral nerve blocks in the lower limb Open
BACKGROUND As a local anaesthetic adjunct, the systemic absorption of perineural dexamethasone in the lower limb could be restricted because of decreased vascularity when compared with the upper limb. OBJECTIVES To compare the pharmacodyna…
View article: Evaluation of neuraxial analgesia on outcomes for patients undergoing robot assisted abdominal surgery
Evaluation of neuraxial analgesia on outcomes for patients undergoing robot assisted abdominal surgery Open
Spinal analgesia with long acting neuraxial opioid had a favourable effect on analgesic indices and opioid consumption, and is recommended by the authors, but the evidence for spinal analgesia with short acting neuraxial opioid and epidura…
View article: Comparison of different nonsteroidal anti-inflammatory drugs for cesarean section: a systematic review and network meta-analysis
Comparison of different nonsteroidal anti-inflammatory drugs for cesarean section: a systematic review and network meta-analysis Open
Background: Cesarean section is associated with moderate to severe pain and nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly employed. The optimal NSAID, however, has not been elucidated. In this network meta-analysis and systema…
View article: Comparison of different delivery modalities of epidural analgesia and intravenous analgesia in labour: a systematic review and network meta-analysis
Comparison of different delivery modalities of epidural analgesia and intravenous analgesia in labour: a systematic review and network meta-analysis Open
View article: Cognitive aids in the management of clinical emergencies: a systematic review
Cognitive aids in the management of clinical emergencies: a systematic review Open
Summary Clinical emergencies can be defined as unpredictable events that necessitate immediate intervention. Safety critical industries have acknowledged the difficulties of responding to such crises. Strategies to improve human performanc…
View article: Comparison of analgesic modalities for patients undergoing midline laparotomy: a systematic review and network meta-analysis
Comparison of analgesic modalities for patients undergoing midline laparotomy: a systematic review and network meta-analysis Open
View article: Airway devices for awake tracheal intubation in adults: a systematic review and network meta-analysis
Airway devices for awake tracheal intubation in adults: a systematic review and network meta-analysis Open
Flexible bronchoscopes, optical stylets, and channelled and unchannelled videolaryngoscopes were clinically comparable airway devices in the setting of awake trachela intubation and the time to tracheal intubation was shortest with optical…
View article: Comparison of videolaryngoscopy and direct laryngoscopy for tracheal intubation in obstetrics: a mixed-methods systematic review and meta-analysis
Comparison of videolaryngoscopy and direct laryngoscopy for tracheal intubation in obstetrics: a mixed-methods systematic review and meta-analysis Open
View article: Conventional landmark palpation vs. preprocedural ultrasound for neuraxial analgesia and anaesthesia in obstetrics – a systematic review and meta‐analysis with trial sequential analyses
Conventional landmark palpation vs. preprocedural ultrasound for neuraxial analgesia and anaesthesia in obstetrics – a systematic review and meta‐analysis with trial sequential analyses Open
Summary The aim of this systematic review and meta‐analysis was to examine the efficacy, time taken and the safety of neuraxial blockade performed for obstetric patients with the assistance of preprocedural ultrasound, in comparison with t…
View article: Carbetocin compared with oxytocin in non-elective Cesarean delivery: a systematic review, meta-analysis, and trial sequential analysis of randomized-controlled trials
Carbetocin compared with oxytocin in non-elective Cesarean delivery: a systematic review, meta-analysis, and trial sequential analysis of randomized-controlled trials Open
View article: Critical care after major surgery: a systematic review of risk factors for unplanned admission
Critical care after major surgery: a systematic review of risk factors for unplanned admission Open
Summary Critical care admission may be necessary for surgical patients requiring organ support or invasive monitoring in the peri‐operative period. Unplanned critical care admission poses a potential risk to patients and pressure on servic…
View article: Airway management research: a systematic review
Airway management research: a systematic review Open
Summary Recent controversy regarding the ethics of conducting airway research in patients led to disagreements concerning the value and frequency of manikin‐based investigation. However, no formal examination of the methodology of airway r…
View article: Experience in awake fibreoptic intubation: a reply
Experience in awake fibreoptic intubation: a reply Open
We thank Drs. Chong and Oti for their comments on our recent article 1. We agree with the stance that training in awake tracheal intubation (ATI) is lacking, hence it would not be the first choice for many anaesthetists when managing a dif…
View article: Abdominal wall blocks for intra-abdominal surgery
Abdominal wall blocks for intra-abdominal surgery Open
View article: A practical solution for preventing wrong‐side blocks
A practical solution for preventing wrong‐side blocks Open
Moppett and Shorrock's editorial 1 (accompanying Hopping et al.'s paper 2) makes some interesting points about how to practically prevent wrong-side blocks, above and beyond the admirable aims of the ‘Stop Before You Block’ (SBYB) campaign…
View article: Combined thoracic paravertebral and pectoral nerve blocks for breast surgery under sedation: a prospective observational case series
Combined thoracic paravertebral and pectoral nerve blocks for breast surgery under sedation: a prospective observational case series Open
Summary Avoidance of general anaesthesia for breast surgery may be because of clinical reasons or patient choice. There is emerging evidence that the use of regional anaesthesia and the avoidance of volatile anaesthetics and opioid analges…
View article: Current practice for awake fibreoptic intubation – asking the right questions
Current practice for awake fibreoptic intubation – asking the right questions Open
We would like to thank Drs. Murphy and Howes for their thoughtful editorial, which accompanied our recent study of awake fibreoptic intubation (AFOI) practice 1, 2, and for recognising the training opportunities that our institution provid…
View article: The effect of virtual endoscopy on diagnostic accuracy and airway management strategies in patients with head and neck pathology: a prospective cohort study
The effect of virtual endoscopy on diagnostic accuracy and airway management strategies in patients with head and neck pathology: a prospective cohort study Open
View article: A prospective cohort study of awake fibreoptic intubation practice at a tertiary centre
A prospective cohort study of awake fibreoptic intubation practice at a tertiary centre Open
Summary Contemporary data are lacking for procedural practice, training provision and outcomes for awake fibreoptic intubation in the UK . We performed a prospective cohort study of awake fibreoptic intubations at a tertiary centre to asse…
View article: Effect of magnesium sulfate on oxytocin-induced contractility in human myometrium: an in vitro study
Effect of magnesium sulfate on oxytocin-induced contractility in human myometrium: an in vitro study Open
View article: Intra‐oral ignition of monopolar diathermy during transnasal humidified rapid‐insufflation ventilatory exchange ( <scp>THRIVE</scp> )
Intra‐oral ignition of monopolar diathermy during transnasal humidified rapid‐insufflation ventilatory exchange ( <span>THRIVE</span> ) Open
Summary We present the case of unanticipated airway ignition during hard palate biopsy. Transnasal humidified rapid‐insufflation ventilatory exchange ( THRIVE ) and monopolar diathermy were utilised for the procedure, during which an arc a…