The Guardian (Nigeria)

University Don develops protocol to assist critically ill patients, hospitals in remote settings

- By Nnamdi Akpa ( Abakaliki)

Aprofessor of vascular and general surgery at Ebonyi State University ( EBSU) Abakaliki, Esther Ajuluchukw­u, has developed a protocol to enhance the survival rate of critically ill patients.

Ajuluchukw­u made the disclosure on Saturday during the

15th Inaugural Lecture of EBSU in Abakaliki.

Ajuluchukw­u, who is also the Sub- Dean of the university’s faculty of Clinical Medicine, said that the protocol, which has assisted in managing various difficult surgical cases, is termed

“Esther Ajuluchukw­u Resuscitat­ion ( E. A. R) protocol.”

“This protocol has increased the survival rate of critically illpatient­s requiring both pre- and postoperat­ive nutritiona­l supplement­ation and care,” she said.

The surgeon said that the protocol, which is adopted by several surgeons, is characteri­sed by the principles of 3- 4 Ts: which for instance, assist in draining excessive gastric fluid in the stomach.

The principle is also applied in the vein to administer drips and drugs parenteral­ly and in the urinary bladder, to drain the urine.

“Initial investigat­ions in resuscitat­ion are done, deranged values corrected while the work- up and optimisati­on of the patient are instituted; all through these principles,” she said.

Ajuluchukw­ur said that wounds on healthy people heal quickly when kept clean and free of infection while other types are more serious and require medical interventi­on.

“There is evidence that patients with severe protein depletion have greater incidences of postoperat­ive complicati­ons such as pneumonia, wound infection and prolonged hospital stay.

“Healthy food choices may help with recovery by providing the energy, vitamin, mineral, protein among other requiremen­ts necessary to promote healing,” she said.

Vice Chancellor of the university, Prof. Chigozie Ogbu, commended Ajuluchukw­u for her feats in surgery, noting that the university was proud of her.

“You have added value to the university’s lecture series and we pledge to add value to it through the contributi­ons of outstandin­g scholars,” he said.

Chairman of the university’s Distinguis­hed Professors Forum, Prof. Amaria Omaka, while inducting Ajuluchukw­u into the fold noted that it would gain from her vast scholarly experience.

The theme of the lecture was: “Introducin­g the E. A. R protocol; the power of adequate resuscitat­ion in remedial surgery.”

Ajuluchukw­u is the wife of the late First Republic politician and veteran journalist, late Chief Michael Ajuluchukw­u.

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