Aminu Kano Teaching Hospital, Kano Nigeria

Zaria Road, P.M.B 3452 Kano GSM: 0706 8297399, 0706 8297396 (Selfless Service to Humanity)

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HOD Anesthesiology and Intensive Care The department of Anaesthesiology and Intensive Care is responsible for the training of undergraduate and postgraduate students in anaesthesia, research in anaesthesia as well as providing anaesthesia services and the management of patients in the intensive care unit.

Functions:

The department has seven (7) units through which it provides services to various clinical departments of the hospital.

  • Main operating theatre complex: Here anaesthesia is administered for elective surgical procedures across six (6). Subspecialties and some emergencies from Monday to Thursday.
  • Obstetrics and Gynaecology theatre complex: Anesthesia services for elective and emergency Obstetrics and Gynecological procedures are provided in this unit. The unit also provides anaesthesia for emergency neonatal surgeries 24/7.
  • Urology and Transplant suite:  Anaesthesia for elective urology and paediatric procedures are provided in this unit on Monday and Thursday respectively. Also included in this unit is a high dependary unit (HDU) where post operative care for renal transplant patients would be provided in this unit.
  • Opthalmic theatre suite: Anaesthesia for both elective and Emergency Ophthalmic Surgeries are provided in this unit.
  • A & E theatre suite:  Anaesthesia services for general and Paediatric Surgical Emergencies during working hours from Monday to Friday are provided in this theatre.
  • Intensive care unit: This unit provides supportive care to critically ill patients, from all the clinical departments with 24hrs coverage by a Physician Anaesthetist.

Out of theatre Anaesthesia services: departments that currently benefit from this service are:

  • Radiology: Sedation for diagnostic and therapeutic imaging including providing anaesthesia for angiography.
  • Medicine: Sedation for endoscopy and central venous cannulation for dialysis patients.
  • Psychiatry: Anaesthesia for Electroconvulsive therapy (ECT).

 Staff Disposition:

  1. Consultants                    -  4
  2. Sessional Consultants       -  2
  3. Senior Registrars              -  10 (3 supernumerary)
  4. Registrars                       - 7 (4 supernumeraries)
  5. Nurse Anesthetists           -  15
  6. Departmental Secretary    - 1
  7. Hospital Attendants         - 4
  8. Anaesthetic Technicians   - 4 (2 still on training)
  9. Departmental messenger   - 1

Performance:

In the year 2012, anesthetics were served as either general or regional anesthesia to elective and emergency cases across the different surgical specialties.

(174) cases were admitted and managed in the Intensive Care Unit, out of which (44) deaths were recorded and (130) transferred out.

During the year, the department achieved successes for candidates presented in both part I and II fellowship examinations of the West African College of Surgeons.

Success, staff Development and training:

During the year under review, the department recorded crucial achievements in terms of staff development which include;

  • Dr Sarki Successfully completed and passed the part II fellowship examinations of the West African College of Surgeons.
  • An anaesthetist technician have successfully completed and passed his examination and is now serving the department.
  • All junior residents have attended their mandatory courses during the year 2012. 
  • The monthly Basic Life Support (BLS) training being run by the department across all cadres of staff in the hospital continued through the year.

Research and Publications:

The following researches and dissertations are at various stages of completion:

  • Effects of Midazolam pretreatment on the induction dose of Propofol. Part II Thesis by Dr Sadiq U G.
  • Management of shivering following subarachnoid block: A comparative
  • Study of pentazocine and pethidine Part II Thesis by Dr Mustapha  Miko M.
  • Comparison of ondansetron and metoclopramide for postoperative nausea and vomiting prophylaxis in gynaecological day case laparascopic procedure. Part II Thesis by Dr Salahu Dalhat.

Future Plans and Challenges:

  • The department plans to commence the much desired epidural analgesia for labour in the year 2012. Plans have reached advanced stage to train the personnel that will be involved, and acquire the necessary facilities and logistics for the take up of the programme.
  • The department expects to extend its anaesthesia services to the newly constructed Urology/Transplant theatre suites which are expected to commence operation in 2012.
  • Plans are also underway to extend services to the Comprehensive Health Centre at Kumbotso. 
  • Establishment of a Life Support Training Centre with affiliation to the American Heart Association (AHA) for better training and certification.
  • The department also plans to commence Preanaesthetic assessment clinic to forestall late hour cancellation of elective surgical case.

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