Publications by authors named "Muyiwa Rotimi"

Article Synopsis
  • - The COVID-19 pandemic highlighted the deficiencies in intensive care medicine in low-resource settings (LRS), prompting a need for expert recommendations on establishing medical critical care.
  • - An international conference in December 2023, organized by the National Association of Intensivists from Bosnia and Herzegovina, involved 48 clinicians from 20 countries who used a modified Delphi methodology to reach consensus on key statements regarding organizational structure, staffing, and education for critical care units in LRS.
  • - The conference concluded with 13 out of 16 statements achieving consensus, emphasizing the importance of specialized training, multispecialty units, healthcare authority recognition, and the role of technology in improving critical care in LRS.
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Background: Acute respiratory failure, a major cause of death in COVID-19, is managed with high-flow oxygen therapy via invasive mechanical ventilation. In resource-limited settings like Nigeria, the shortage of ventilators and oxygen supply makes this option challenging. Evidence-based non-invasive alternatives to mechanical ventilation such as the use of continuous positive airway pressure (CPAP) devices exist, but there have been concerns that non-invasive ventilation may expose healthcare workers to infection from aerosolized dispersion of SARS-CoV-2.

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Purpose: To have a current overview of the state of critical care services in Nigeria, with a view to having information about the basic infrastructure, personnel, equipment, and processes in place to complement the acute peri-operative and medical emergencies in Nigeria.

Materials And Methods: This was a cross-sectional survey of public and private intensive care units (ICUs) in Nigeria at the instance of the Intensive and Critical Care Society of Nigeria. Structured questionnaires were sent and collated over a 4-month period.

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The COVID-19 pandemic is currently causing widespread infection and deaths around the world. Since the identification of the first case in Nigeria in February 2020, the number of confirmed cases has risen to over 9,800. Although pregnant women are not necessarily more susceptible to infection by the virus, changes to their immune system in pregnancy may be associated with more severe symptoms.

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