dc.contributor.author | Mkubwa, J M W | |
dc.date.accessioned | 2013-05-25T09:23:29Z | |
dc.date.available | 2013-05-25T09:23:29Z | |
dc.date.issued | 1991 | |
dc.identifier.citation | Masters of Medicine (Anaesthesia) | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/25631 | |
dc.description.abstract | A ten year retrospective study, running from 1980 to 1989; both
years included, was undertaken at the Kenyatta National Hospital
(K.N.H). This study was undertaken to find the mortality and
assess the management of the patients admitted" to the intensive
care unit with tetanus.
A total of 90 files, out of the expected 115 (78.3%) were
studied. The rest of the files were not traced.
The patients were all cases of tetanus, admitted and managed in
the intensive care unit (I.C.U). Their ages ranged from one year
to seventy three years. An in-patient number was obtained from
the I.C.U admission records. The number was then used to trace
the file in the records department. Each file was then
scrutinised carefully for the appropriate details which were
noted on a data collection sheet.
Following admission to the I.C.U. most of the patients were
managed in the same way using the Total paralysis Regime (T.P.R).
Wound debridement was done where necessary, then tetanus toxoid
(0.5 mls intra muscular stat) or Anti-tetanus serum (ATS'10000 to
15000 I.U; LM.stat) was given. Sedation was undertaken either
with diazepam (mainly), phenobarbitone or in a few instances,
chlorpromazine (largactil). Some patients were known epileptics
and therefore they required phenytoin. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | A ten year review of the mortality among tetanus patients admitted to the intensive care unit at Kenyatta National Hospital, Nairobi | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | School of Medicine | en |