The Experts below are selected from a list of 252 Experts worldwide ranked by ideXlab platform

Twaha Mutyaba - One of the best experts on this subject based on the ideXlab platform.

  • Fetal demise and associated factors following umbilical cord prolapse in Mulago hospital, Uganda: a retrospective study
    Reproductive Health, 2014
    Co-Authors: Esau Wangi Wasswa, Sarah Nakubulwa, Twaha Mutyaba
    Abstract:

    Background Umbilical cord prolapse is an obstetric complication associated with high perinatal morbidity and mortality. A few interventions may improve fetal outcome. In developed countries these have advanced to giving intrauterine fetal resuscitation. Conditions in low resource settings do not allow for some of these advanced techniques. Putting the mother in knee chest Position and immediate delivery may be the only options possible. We set out to determine the incidence of fetal demise and associated factors following umbilical cord prolapsed (UCP) in Mulago Hospital, Uganda.

  • Fetal demise and associated factors following umbilical cord prolapse in Mulago hospital, Uganda: a retrospective study
    Reproductive Health, 2014
    Co-Authors: Esau Wangi Wasswa, Sarah Nakubulwa, Twaha Mutyaba
    Abstract:

    Background Umbilical cord prolapse is an obstetric complication associated with high perinatal morbidity and mortality. A few interventions may improve fetal outcome. In developed countries these have advanced to giving intrauterine fetal resuscitation. Conditions in low resource settings do not allow for some of these advanced techniques. Putting the mother in knee chest Position and immediate delivery may be the only options possible. We set out to determine the incidence of fetal demise and associated factors following umbilical cord prolapsed (UCP) in Mulago Hospital, Uganda. Methods In a retrospective study conducted in Mulago hospital, Uganda, file records of mothers who delivered between 1^st January 2000 to 31^st December 2009 and had pregnancies complicated by umbilical cord prolapse with live fetus were selected. We collected information on referral status, cord Position, cervical dilatation, fetal heart state at the time of diagnosis of UCP, diagnosis to delivery interval, use of knee chest Position, mode of delivery, birth weight and fetal outcome. We computed incidence of fetal demise following UCP and determined factors associated with fetal demise in pregnancies complicated by UCP. Results Of 438 cases with prolapsed cord, 101(23%) lost their babies within 24 hours after birth or were delivered dead. This gave annual cumulative incidence of fetal death following UCP of 23/1000 live UCP cases delivered /year. The major factors associated with fetal outcome in pregnancies complicated by UCP included; diagnosis to delivery interval

Esau Wangi Wasswa - One of the best experts on this subject based on the ideXlab platform.

  • Fetal demise and associated factors following umbilical cord prolapse in Mulago hospital, Uganda: a retrospective study
    Reproductive Health, 2014
    Co-Authors: Esau Wangi Wasswa, Sarah Nakubulwa, Twaha Mutyaba
    Abstract:

    Background Umbilical cord prolapse is an obstetric complication associated with high perinatal morbidity and mortality. A few interventions may improve fetal outcome. In developed countries these have advanced to giving intrauterine fetal resuscitation. Conditions in low resource settings do not allow for some of these advanced techniques. Putting the mother in knee chest Position and immediate delivery may be the only options possible. We set out to determine the incidence of fetal demise and associated factors following umbilical cord prolapsed (UCP) in Mulago Hospital, Uganda.

  • Fetal demise and associated factors following umbilical cord prolapse in Mulago hospital, Uganda: a retrospective study
    Reproductive Health, 2014
    Co-Authors: Esau Wangi Wasswa, Sarah Nakubulwa, Twaha Mutyaba
    Abstract:

    Background Umbilical cord prolapse is an obstetric complication associated with high perinatal morbidity and mortality. A few interventions may improve fetal outcome. In developed countries these have advanced to giving intrauterine fetal resuscitation. Conditions in low resource settings do not allow for some of these advanced techniques. Putting the mother in knee chest Position and immediate delivery may be the only options possible. We set out to determine the incidence of fetal demise and associated factors following umbilical cord prolapsed (UCP) in Mulago Hospital, Uganda. Methods In a retrospective study conducted in Mulago hospital, Uganda, file records of mothers who delivered between 1^st January 2000 to 31^st December 2009 and had pregnancies complicated by umbilical cord prolapse with live fetus were selected. We collected information on referral status, cord Position, cervical dilatation, fetal heart state at the time of diagnosis of UCP, diagnosis to delivery interval, use of knee chest Position, mode of delivery, birth weight and fetal outcome. We computed incidence of fetal demise following UCP and determined factors associated with fetal demise in pregnancies complicated by UCP. Results Of 438 cases with prolapsed cord, 101(23%) lost their babies within 24 hours after birth or were delivered dead. This gave annual cumulative incidence of fetal death following UCP of 23/1000 live UCP cases delivered /year. The major factors associated with fetal outcome in pregnancies complicated by UCP included; diagnosis to delivery interval

Hans-herbert Steiner - One of the best experts on this subject based on the ideXlab platform.

  • Lower limb compartment syndrome following lumbar discectomy in the Knee-Chest Position
    Neurosurgical Review, 1990
    Co-Authors: Alfred Aschoff, Hedwig Steiner-milz, Hans-herbert Steiner
    Abstract:

    We report on two cases of compartment syndrome following lumbar discectomy in the Knee-Chest Position. This complication has only been described once since 1953. Seven cases of compartment syndrome following other surgical procedures were found in the literature. Any increases in tissue pressure of a muscle compartment exceeding 35–40 mmHg over a longer period of time can result in this complication for example, too tight cast, space-occupying intrafascial bleeding, or postischemic swelling. The diagnosis is purely clinical and is based on the typical combination of extremely painful edema with rapid onset of sensory loss and subsequent motor deficits. The muscle necrosis leads to myoglobinaemia and myoglobinuria, recognizable by brown urine. The therapy consists of urgent fasciotomy of swollen compartements without skin suture. The prognosis is highly dependent on the time of the surgical decompression: within 6 hours serious deficits are avoidable; after 24 hours irreversible necrosis of muscle occurs. It seems that the possibility of a compartment syndrome is a specific, but a rare risk of a prolonged Knee-Chest Position.

Lasse Andreassen - One of the best experts on this subject based on the ideXlab platform.

  • Bilateral gluteal compartment syndrome and severe rhabdomyolysis after lumbar spine surgery
    European Spine Journal, 2011
    Co-Authors: Thomas Rudolph, Jan Eirik Løkebø, Lasse Andreassen
    Abstract:

    Gluteal compartment syndrome (GCS) is an extremely rare and potentially devasting disorder, most commonly caused by gluteal muscle compression in extend periods of immobilization. We report a 65-year-old obese man with hypertension, diabetes mellitus type 2 and hypercholesterolemia underwent lumbar spine surgery in Knee-Chest Position because of degenerative lumbar stenosis. Perioperative hypotension occurred. After surgery, the patient developed increasing pain in the buttocks of both sides and oliguria with darkened urine. Stiffness, tenderness and painful swelling of patients gluteal muscles of both sides, high creatine phosphokinase level, myoglobulinuria and oliguria led to diagnosis of bilateral GCS, complicated by severe rhabdomyolysis (RM) and acute renal failure. In conclusion, obese patients with vascular risk factors and perioperative hypotension may be at risk for developing bilateral GCS and RM when performing prolonged lumbar spine surgery. Early diagnosis and treatment is important, as otherwise, the further course may be fatal.

Sarah Nakubulwa - One of the best experts on this subject based on the ideXlab platform.

  • Fetal demise and associated factors following umbilical cord prolapse in Mulago hospital, Uganda: a retrospective study
    Reproductive Health, 2014
    Co-Authors: Esau Wangi Wasswa, Sarah Nakubulwa, Twaha Mutyaba
    Abstract:

    Background Umbilical cord prolapse is an obstetric complication associated with high perinatal morbidity and mortality. A few interventions may improve fetal outcome. In developed countries these have advanced to giving intrauterine fetal resuscitation. Conditions in low resource settings do not allow for some of these advanced techniques. Putting the mother in knee chest Position and immediate delivery may be the only options possible. We set out to determine the incidence of fetal demise and associated factors following umbilical cord prolapsed (UCP) in Mulago Hospital, Uganda.

  • Fetal demise and associated factors following umbilical cord prolapse in Mulago hospital, Uganda: a retrospective study
    Reproductive Health, 2014
    Co-Authors: Esau Wangi Wasswa, Sarah Nakubulwa, Twaha Mutyaba
    Abstract:

    Background Umbilical cord prolapse is an obstetric complication associated with high perinatal morbidity and mortality. A few interventions may improve fetal outcome. In developed countries these have advanced to giving intrauterine fetal resuscitation. Conditions in low resource settings do not allow for some of these advanced techniques. Putting the mother in knee chest Position and immediate delivery may be the only options possible. We set out to determine the incidence of fetal demise and associated factors following umbilical cord prolapsed (UCP) in Mulago Hospital, Uganda. Methods In a retrospective study conducted in Mulago hospital, Uganda, file records of mothers who delivered between 1^st January 2000 to 31^st December 2009 and had pregnancies complicated by umbilical cord prolapse with live fetus were selected. We collected information on referral status, cord Position, cervical dilatation, fetal heart state at the time of diagnosis of UCP, diagnosis to delivery interval, use of knee chest Position, mode of delivery, birth weight and fetal outcome. We computed incidence of fetal demise following UCP and determined factors associated with fetal demise in pregnancies complicated by UCP. Results Of 438 cases with prolapsed cord, 101(23%) lost their babies within 24 hours after birth or were delivered dead. This gave annual cumulative incidence of fetal death following UCP of 23/1000 live UCP cases delivered /year. The major factors associated with fetal outcome in pregnancies complicated by UCP included; diagnosis to delivery interval