Adeyemi John Olufolabi

Journal Article Anesth Analg · March 1, 2023 BACKGROUND: The efficacy of postoperative nausea and vomiting (PONV) prevention protocols in low-income countries is not well known. Different surgical procedures, available medications, and co-occurring diseases imply that existing protocols may need vali ... Full text Link to item Cite

Use of WhatsApp messaging technology to strengthen obstetric referrals in the Greater Accra Region, Ghana: Findings from a feasibility study.

Journal Article PLoS One · 2022 In Ghana, the high-risk obstetric referral system is inadequate. Delay is common and patients often arrive to receiving hospitals in compromised states. An effective referral system should include an adequately resourced referral hospital, communication ac ... Full text Link to item Cite

Causes of Maternal Mortality in Rwanda, 2017-2019.

Journal Article Obstet Gynecol · October 1, 2021 OBJECTIVE: To assess the causes of maternal mortality at a referral hospital in Rwanda. METHODS: A secondary data analysis of 217 women with recorded maternal mortality from 2017 to 2019 was conducted among 11,308 total maternal admissions. Demographics, d ... Full text Link to item Cite

A cross-sectional study to evaluate adherence to the ten steps to successful breastfeeding at a Referral Hospital in Rwanda

Journal Article Pan African Medical Journal One Health · January 1, 2021 Introduction: the World Health Organization recommends exclusive breastfeeding for the first six months of life. Over 85% of infants are exclusively breastfed in Rwanda, with nearly 20% of them being stunted by this age. This suggests nutritional issues st ... Full text Cite

Rare but Fatal Subdural Hematoma Following Spinal Anesthesia: A Case Report of Unrecognized Untreated Postdural Puncture Headache in a Low-Resource Country Setting.

Journal Article A A Pract · July 2020 Dural puncture following neuraxial anesthesia can cause persistent cerebrospinal fluid leakage. A 35-year-old, 39-week gestation healthy parturient underwent cesarean delivery under spinal anesthesia. Spinal anesthesia was performed using a 25-gauge Quinck ... Full text Link to item Cite

Fetus-in-Fetu Airway Teratoma Management of a Newborn in a Low-Resource Country: A Case Report.

Journal Article A A Pract · September 15, 2019 A term baby was delivered by cesarean and found to have an unexpected large teratoma attached to its mouth. Surgical excision was planned within 24 hours. Anesthesia concern of airway control required multidisciplinary team consultation, airway and patient ... Full text Link to item Cite

Building health system capacity to improve maternal and newborn care: a pilot leadership program for frontline staff at a tertiary hospital in Ghana.

Journal Article BMC Med Educ · February 11, 2019 BACKGROUND: Frontline healthcare workers are critical to meeting the maternal, newborn and child health Sustainable Development Goals in low- and middle-income countries. The World Health Organization has identified leadership development as integral to ac ... Full text Link to item Cite

Postoperative pain after cesarean section: assessment and management in a tertiary hospital in a low-income country.

Journal Article BMC Health Serv Res · January 25, 2019 BACKGROUND: There is little information about the current management of pain after obstetric surgery at Mulago hospital in Uganda, one of the largest hospitals in Africa with approximately 32,000 deliveries per year. The primary goal of this study was to a ... Full text Link to item Cite

The introduction of a midwife-led obstetric triage system into a regional referral hospital in Ghana.

Journal Article Midwifery · June 2018 OBJECTIVE: to introduce and embed a midwife-led obstetric triage system in a busy labour ward in Accra, Ghana to improve the quality of care and to reduce delay. DESIGN: the study utilized a participatory action research design. Local staff participated in ... Full text Link to item Cite

Addressing the third delay: Implementing a novel obstetric triage system in Ghana

Journal Article BMJ Global Health · March 1, 2018 Institutional delivery has been proposed as a method for reducing maternal morbidity and mortality, but little is known about how referral hospitals in low-resource settings can best manage the expected influx of patients. In this study, we assess the impa ... Full text Cite

The third delay: understanding waiting time for obstetric referrals at a large regional hospital in Ghana.

Journal Article BMC Pregnancy Childbirth · July 11, 2017 BACKGROUND: Delay in receiving care significantly contributes to maternal morbidity and mortality. Much has been studied about reducing delays prior to arrival to referral facilities, but the delays incurred upon arrival to the hospital have not been descr ... Full text Link to item Cite

Where Are They Now? Evolution of a Nurse Anesthesia Training School in Ghana and a Survey of Graduates.

Journal Article Front Public Health · 2017 Ghana, like other countries in sub-Saharan African, has limited access to surgery. One contributing factor is the inadequate number of anesthesia providers. To address this need, Kybele, Inc., a US-based non-governmental organization, partnered with the Gh ... Full text Open Access Link to item Cite

The cost effectiveness of a quality improvement program to reduce maternal and fetal mortality in a regional referral hospital in Accra, Ghana.

Journal Article PLoS One · 2017 OBJECTIVE: To evaluate the cost-effectiveness of a quality improvement intervention aimed at reducing maternal and fetal mortality in Accra, Ghana. DESIGN: Quasi-experimental, time-sequence intervention, retrospective cost-effectiveness analysis. METHODS: ... Full text Link to item Cite

A Novel Multiplayer Screen-Based Simulation Experience for African Learners Improved Confidence in Management of Postpartum Hemorrhage.

Journal Article Front Public Health · 2017 INTRODUCTION: Postpartum hemorrhage (PPH) remains a global challenge, affecting thirteen million women each year. In addition, PPH is a leading cause of maternal mortality in Asia and Africa. In the U.S.A., care of critically ill patients is often practice ... Full text Link to item Cite

The effect of anti-emetic doses of dexamethasone on postoperative blood glucose levels in non-diabetic and diabetic patients: a prospective randomised controlled study.

Journal Article Anaesthesia · September 2016 There are few data regarding postoperative hyperglycaemia in non-diabetic compared with diabetic patients following postoperative nausea and vomiting prophylaxis with dexamethasone. Eighty-five non-diabetic patients and patients with type-2 diabetes were r ... Full text Link to item Cite

A conundrum: general or neuraxial anesthesia and the use of ROTEM.

Journal Article J Clin Anesth · August 2016 We report the use of rotational thromboelastometry (ROTEM) to guide the management of a 29-year-old primigravida at 36weeks' gestation with portal hypertension, esophageal varices, suspected pseudocholinesterase deficiency, and steroid refractory thrombocy ... Full text Link to item Cite

Measuring the impact of a quality improvement collaboration to decrease maternal mortality in a Ghanaian regional hospital.

Journal Article Int J Gynaecol Obstet · August 2016 OBJECTIVE: To evaluate the performance of a continuous quality improvement collaboration at Ridge Regional Hospital, Accra, Ghana, that aimed to halve maternal and neonatal deaths. METHODS: In a quasi-experimental, pre- and post-intervention analysis, syst ... Full text Open Access Link to item Cite

Refractory status epilepticus after inadvertent intrathecal injection of tranexamic acid treated by magnesium sulfate.

Journal Article Int J Obstet Anesth · May 2016 We present a case of accidental injection of tranexamic acid during spinal anesthesia for an elective cesarean delivery. Immediately following intrathecal injection of 2mL of solution, the patient complained of severe back pain, followed by muscle spasm an ... Full text Link to item Cite

The impact of gestational age and fetal weight on the risk of failure of spinal anesthesia for cesarean delivery.

Journal Article Int J Obstet Anesth · May 2016 BACKGROUND: There are limited data about spinal dosing for cesarean delivery in preterm parturients. We investigated the hypothesis that preterm gestation is associated with an increased incidence of inadequate spinal anesthesia for cesarean delivery compa ... Full text Open Access Link to item Cite

Heparin-induced thrombocytopenia in pregnancy: an interdisciplinary challenge—a case report and literature review

Journal Article International Journal of Obstetric Anesthesia · May 2016 Full text Open Access Cite

Investigating the Association Between a Risk-Directed Prophylaxis Protocol and Postoperative Nausea and Vomiting: Validation in a Low-Income Setting.

Use of WhatsApp messaging technology to strengthen obstetric referrals in the Greater Accra Region, Ghana: Findings from a feasibility study.

Causes of Maternal Mortality in Rwanda, 2017-2019.

A cross-sectional study to evaluate adherence to the ten steps to successful breastfeeding at a Referral Hospital in Rwanda

Rare but Fatal Subdural Hematoma Following Spinal Anesthesia: A Case Report of Unrecognized Untreated Postdural Puncture Headache in a Low-Resource Country Setting.

Fetus-in-Fetu Airway Teratoma Management of a Newborn in a Low-Resource Country: A Case Report.

Building health system capacity to improve maternal and newborn care: a pilot leadership program for frontline staff at a tertiary hospital in Ghana.

Postoperative pain after cesarean section: assessment and management in a tertiary hospital in a low-income country.

The introduction of a midwife-led obstetric triage system into a regional referral hospital in Ghana.

Addressing the third delay: Implementing a novel obstetric triage system in Ghana

The third delay: understanding waiting time for obstetric referrals at a large regional hospital in Ghana.

Where Are They Now? Evolution of a Nurse Anesthesia Training School in Ghana and a Survey of Graduates.

The cost effectiveness of a quality improvement program to reduce maternal and fetal mortality in a regional referral hospital in Accra, Ghana.

A Novel Multiplayer Screen-Based Simulation Experience for African Learners Improved Confidence in Management of Postpartum Hemorrhage.

The effect of anti-emetic doses of dexamethasone on postoperative blood glucose levels in non-diabetic and diabetic patients: a prospective randomised controlled study.

A conundrum: general or neuraxial anesthesia and the use of ROTEM.

Measuring the impact of a quality improvement collaboration to decrease maternal mortality in a Ghanaian regional hospital.

Refractory status epilepticus after inadvertent intrathecal injection of tranexamic acid treated by magnesium sulfate.

The impact of gestational age and fetal weight on the risk of failure of spinal anesthesia for cesarean delivery.

Heparin-induced thrombocytopenia in pregnancy: an interdisciplinary challenge—a case report and literature review

Journal Article International Journal of Obstetric Anesthesia · May 2016 Full text Open Access Cite

PENTAZOCINE VERSUS PENTAZOCINE WITH RECTAL DICLOFENAC FOR POSTOPERATIVE PAIN RELIEF AFTER CESAREAN SECTION- A DOUBLE BLIND RANDOMIZED PLACEBO CONTROLLED TRIAL IN A LOW RESOURCE AREA.

Journal Article Middle East J Anaesthesiol · February 2016 BACKGROUND: The unimodal approach of using pentazocine as post-cesarean section pain relief is inadequate, hence the need for a safer, easily available and more effective multimodal approach. AIM: To evaluate the effectiveness of rectal diclofenac combined ... Open Access Link to item Cite

Transforming Maternal and Neonatal Outcomes in Tertiary Hospitals in Ghana: An Integrated Approach for Systems Change.

Journal Article J Obstet Gynaecol Can · October 2015 OBJECTIVE: In Ghana, regional referral facilities by design receive a disproportionate number of high-risk obstetric and neonatal cases and therefore have mortality rates higher than the national average. High volumes and case complexity result in these fa ... Full text Link to item Cite

Teaching neuraxial anesthesia techniques for obstetric care in a Ghanaian referral hospital: achievements and obstacles.

Journal Article Anesth Analg · June 2015 Featured Publication Anesthesia providers in low-income countries may infrequently provide regional anesthesia techniques for obstetrics due to insufficient training and supplies, limited manpower, and a lack of perceived need. In 2007, Kybele, Inc. began a 5-year collaboratio ... Full text Open Access Link to item Cite

Low-dose spinal anaesthesia provides effective labour analgesia and does not limit ambulation

Journal Article Southern African Journal of Anaesthesia and Analgesia · January 1, 2015 Background: While epidural analgesia for labour pain is standard in high-resource countries, minimal to no analgesia is usually provided in low-resource countries. Intrathecal local anaesthetics provide good pain relief, but the potential impact on ambulat ... Full text Cite

Advancing obstetric and neonatal care in a regional hospital in Ghana via continuous quality improvement.

Journal Article Int J Gynaecol Obstet · January 2012 Featured Publication OBJECTIVE: To reduce maternal and neonatal death at a large regional hospital through the use of quality improvement methodologies. METHODS: In 2007, Kybele and the Ghana Health Service formed a partnership to analyze systems and patient care processes at ... Full text Link to item Cite

Impact of intraoperative dexmedetomidine on postoperative analgesia following gynecologic surgery.

Journal Article Curr Med Res Opin · November 2011 OBJECTIVE: To assess the impact of intraoperative dexmedetomidine infusion on postoperative analgesia in women undergoing major open and laparoscopic gynecologic surgery under general anesthesia. RESEARCH DESIGN AND METHODS: A retrospective analysis of pat ... Full text Link to item Cite

Minimum effective dose of spinal ropivacaine with and without fentanyl for postpartum tubal ligation.

Journal Article Int J Obstet Anesth · October 2010 BACKGROUND: Ropivacaine may be the ideal spinal anesthetic for postpartum tubal ligation due to its medium duration of action, low incidence of side effects and possibly reduced post-anesthetic care unit (PACU) stay. METHODS: Two prospective up-down sequen ... Full text Link to item Cite

Multidisciplinary team partnerships to improve maternal and neonatal outcomes: the Kybele experience.

Journal Article Int Anesthesiol Clin · 2010 Featured Publication Full text Link to item Cite

A pilot study to compare the Episure Autodetect syringe with the glass syringe for identification of the epidural space in parturients.

Journal Article Anesth Analg · February 2008 Featured Publication The Episure AutoDetect syringe, a spring-loaded syringe, is a new loss-of-resistance syringe with an internal compression spring that applies constant pressure on the plunger. In this pilot study, we compared the spring-loaded syringe with the standard gla ... Full text Link to item Cite

The management of Cesarean delivery in a parturient with paroxysmal nocturnal hemoglobinuria complicated by severe preeclampsia.

Journal Article Can J Anaesth · August 2007 PURPOSE: To describe the anesthetic and peripartum management of a parturient with paroxysmal nocturnal hemoglobinuria complicated by severe preeclampsia, review the pathophysiology of this condition, rationale for thromboembolic prophylaxis, and its impli ... Full text Link to item Cite

Critical arrhythmia associated with pulmonary artery catheterization in a parturient with severe pulmonary hypertension.

Journal Article Can J Anaesth · June 2007 Full text Link to item Cite

Minimum effective dose of spinal ropivacaine for post partum tubal ligation surgery

Conference ANESTHESIOLOGY · May 1, 2007 Link to item Cite

Pulmonary artery catheter induced hypotension in a parturient with severe pulmonary hypertension

Conference ANESTHESIOLOGY · May 1, 2007 Link to item Cite

The anesthestic mangement of a parturient with a surgically corrected double chambered right ventricle for labor and cesarean delivery

Conference ANESTHESIOLOGY · May 1, 2007 Link to item Cite

A comparison between the glass syringe and the episure autodetect syringe for identifying the epidural space using the loss of resistance technique

Conference ANESTHESIOLOGY · May 1, 2007 Link to item Cite

Postoperative nausea and vomiting following the use of fentanyl or remifentanil in ambulatory gynecologic laparoscopic surgery: A prospective randomized trial

Journal Article Ambulatory Surgery · March 1, 2007 Purpose: To test the hypothesis that using remifentanil during nitrous oxide-sevoflurane anesthetic would be associated with less postoperative nausea and vomiting (PONV) compared to a similar technique with fentanyl. Scope: Sixty patients undergoing outpa ... Cite

Caesarean section in a patient with torsion dystonia.

Journal Article Br J Anaesth · May 2006 We present a case of torsion dystonia in a 35-yr-old primigravida who presented for a Caesarean section under general anaesthesia. She had limb contractures and severe kyphoscoliosis associated with limited respiratory reserve and function. General anaesth ... Full text Link to item Cite

A randomized, prospective double-blind comparison of the efficacy of generic propofol (sulphite additive) with diprivan.

Journal Article Eur J Anaesthesiol · April 2006 BACKGROUND AND OBJECTIVE: We compared the dose requirement and side effect profile of total intravenous anaesthesia using Diprivan to generic propofol at a specific anaesthetic target level utilizing the bispectral index monitor to determine efficacy diffe ... Full text Link to item Cite

Transcutaneous acupoint electrical stimulation with the ReliefBand for the prevention of nausea and vomiting during and after cesarean delivery under spinal anesthesia.

Journal Article Anesth Analg · February 2006 We randomized 94 patients undergoing cesarean delivery with spinal anesthesia to receive transcutaneous acupoint electrical stimulation using the ReliefBand at the P6 point (active group) or an active ReliefBand applied to the dorsum of the wrist (sham con ... Full text Link to item Cite

Remifentanil for labor pain: is the drug or the method the problem?

Journal Article Anesth Analg · October 2005 Full text Link to item Cite

Chronobiology of motor block during labor

Conference ANESTHESIOLOGY · May 1, 2005 Link to item Cite

Sacral cyst and choice of anesthesia technique for cesarean section

Conference ANESTHESIOLOGY · May 1, 2005 Link to item Cite

Peripartum cardiomyopathy: A common cause of late maternal mortality in North Carolina

Conference ANESTHESIOLOGY · May 1, 2005 Link to item Cite

Initiating an obstetric anesthesia collaboration to reduce maternal and neonatal mortality and morbidity in Ghana

Conference ANESTHESIOLOGY · May 1, 2005 Link to item Cite

The effectiveness of rescue antiemetics after failure of prophylaxis with ondansetron or droperidol: a preliminary report.

Journal Article J Clin Anesth · February 2005 STUDY OBJECTIVES: To compare the effectiveness of treating established postoperative nausea and vomiting (PONV) with an antiemetic acting at a different receptor with that of treating PONV with the antiemetic used for prophylaxis. DESIGN: Analysis of data ... Full text Link to item Cite

Intrathecal morphine for analgesia after postpartum bilateral tubal ligation.

Journal Article Anesth Analg · January 2005 Postpartum bilateral tubal ligation (PPBTL) causes postoperative pain. We designed this study to determine the efficacy of 50 microg intrathecal morphine for analgesia after PPBTL. Sixty-five women received spinal anesthesia with 12.75 mg hyperbaric bupiva ... Full text Link to item Cite

Subtle desaturation and perioperative methemoglobinemia. The need for continued vigilance.

Journal Article Can J Anaesth · 2005 Full text Link to item Cite

Effect of head posture on tracheal tube position in children.

Journal Article Anaesthesia · November 2004 Changes in the tracheal tube tip to carina distance were measured by radiographic screening following various head postures in 45 children undergoing cardiac catheterisation under general anaesthesia who were intubated via nasal and oral routes. Extension ... Full text Link to item Cite