Browsing by Author "Okidi, Ronald"

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    The Effectiveness of Post-Operative Pain Regime in C-Section Mothers, Lira Regional Referral Hospita
    (IAR J. Med Ser, 2023) Oyella, Pamela; Okidi, Ronald; Ogena, Jonathan; Acire, Robin; Otim, Tom Charles; Okello, Tom Richard
    Purpose: This study sought to explore the effectiveness of pain management in post-caesarian section mothers in Lira Regional Referral hospital Methods: Using a descriptive cross sectional design, data was collected from 110 randomly selected mother who underwent Caesarian section delivery in Lira regional referral hospital for a period of 2months. An interviewer administered questionnaire was used to collect data as well as review of patients’ charts to discern the analgesic drug given to the post C-section mother in the first 24hrs. Findings: Out of the 110 participants who had C-section within the study period, 65.5% suffered excruciating pain, 30.9% got severe pain and 3.6% experienced moderate pain. None of the patients who suffered excruciating pain was given strong opioids like morphine, pethidine but they were instead treated with weak opioid like tramadol (67.6%) or NSAIDs (19.7%). Those with severe pain were treated predominantly with weak opioids (58.8%), although 14.7% received strong opioids. Overall, only 79.1% of the C-section mothers reported the got effective pain control Conclusion Most mothers who undergo CS at LRRH suffer either excruciating pain or severe pain, despite that, the commonly used analgesia in Post-Operative Pain Management at the facility are weak opioids and NSAIDs irrespective of whether a mother is suffering excruciating or severe pain. Effective pain control after C-section at LRRH is achieved in only79.1%.
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    Factors affecting mortality after traumatic brain injury in a resource-poor setting
    (BJS Open, 2019) Okidi, Ronald; Ogwang, Martin David; Okello, Tom Richard; Ezati, Daniel; Kyegombe, W.; Nyeko, D.; Scolding, N. J.
    Background: Traumatic brain injury (TBI) is a major cause of long-term disability and economic loss to society. The aim of this study was to assess the factors affecting mortality after TBI in a resource-poor setting. Methods: Chart review was performed for randomly selected patients who presented with TBI between 2013 and 2017 at St Mary’s Hospital, Lacor, northern Uganda. Data collected included demographic details, time from injury to presentation, and vital signs on arrival. In-hospital management and mortality were recorded. Severe head injury was dened as a Glasgow Coma Scale score below 9. Results: A total of 194 patient charts were reviewed. Median age at time of injury was 27 (i.q.r. 2–68) years. The majority of patients were male (M : F ratio 4⋅9 : 1). Some 30⋅9 per cent of patients had severe head injury, and an associated skull fracture was observed in 8⋅8 per cent. Treatment was mainly conservative in 94⋅8 per cent of patients; three patients (1⋅5 per cent) had burr-holes, four (2⋅1 per cent) had a craniotomy, and three (1⋅5 per cent) had skull fracture elevation. The mortality rate was 33⋅0per cent; 46 (72 per cent) of the 64 patients who died had severe head injury. Of the ten surgically treated patients, seven died, including all three patients who had a burr-hole. In multivariable analysis, factors associated with mortality were mean arterial pressure (P = 0⋅012), referral status (P = 0⋅001), respiratory distress (P = 0⋅040), severe head injury (P = 0⋅011) and pupil reactivity (P = 0⋅011). Conclusion: TBI in a resource-poor setting remains a major challenge and affects mainly young males. Decisions concerning surgical intervention are compromised by the lack of both CT and intracranial pressure monitoring, with consequent poor outcomes
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    Incidental cholecystocolonic fistula in obstructive jaundice
    (Wiley, 2021) Okidi, Ronald; Ogwang, Martin David; Natumanya, Robert; Mukalazi, Abraham; Kyomuhendo, Tracy; Okello, Tom Richard
    Cholecystocolonic fistula is a rare condition often diagnosed intraoperatively, requiring an adequate set of knowledge and skills to allow safe intraoperative change of prior planned surgery and alleviate significant morbidity.