Covid Reflections

@#A series of experiences shared by frontline medical doctors in Fiji during the Covid-19 pandemic

A Prospective Study of Acute Spinal Blockade Complications Occurring in 24 hours at Labasa Divisional Hospital – from November 2019 to November 2020

Objective@#To determine the incidence of acute spinal blockade complications and the association of frequent spinal blockade complications and acute spinal blockade complications.@*Methodology@#A prospective, qualitative survey of 685 adults at Labasa Hospital was done from November 2019 to November 2020 to determine the incidence of having spinal blockade complications in 24 hours. Cross tabulation was used to determine the strength of association between frequent spinal blockade complications and the incidence of acute post spinal blockade complications.@*Results@#The incidence of acute post spinal complications was 18%. 685 participants were entered into analysis. 17% of patients thereby had frequent spinals during the study period. The Odds Ratio of frequent spinal blockade complications to acute post spinal complications was found to be 2.56 (Confidence Interval: 1.62-4.02).@*Conclusion@#The study describes the cohort getting spinal blockades in Labasa Hospital. In addition, this audit highlights the incidence of acute post spinal blockade complications. The strong association of acute post spinal blockade complications and frequent spinal blockades is confirmed. The author believes that this lays groundwork for studies showing the validity of doing post anaesthesia visits and increasing research into the dangers of having frequent spinal blockades.

A Rare Case of Postmenopausal Uterine Inversion

@#Uterine inversion is a rare complication of delivery, and rarer still is a non-puerperal uterine inversion. Anecdotally some gynaecologists do not come across such cases in their whole career. The following case will illustrate a case of uterine inversion and its management undertaken at Labasa Hospital.