Dr. Tinuola A. ADIGUN

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 Adigun

Name: Tinuola A. Adigun

DesignationSenior lecturer
Faculty: CLINICAL SCIENCES
Department: Anaesthesia

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 Brief Biography:

Dr Tinuola Abiodun Adigun had her secondary school education at Queen”s school Ibadan, Oyo State in 1989. She proceeded to University of Ibadan where she obtained her MBBS in 1998. She started her residency training in the Department of Anaesthesia in the year 2001 and obtained diploma in Anaesthesia in 2003 at University of Ibadan. She has one year training for deepening knowledge in Anaesthesia, a scholarship awarded by DAAD at University of Cologne, Cologne Germany in 2015. She was thereafter awarded a fellowship of Medical Postgraduate College of Nigeria (FMCA) in 2007.
She joined the services of University of Ibadan as a lecturer 1 at the Department of Anaesthesia in 2008 and presently she is a senior lecturer and Honorary consultant at University College Hospital. She obtained Masters of Science in Epidemiology and Medical statistics from University of Ibadan in 2019. She assumed the position of head of Department of Anaesthesia in 2021. She is involved in teaching and research and training of medical, dental students and resident doctors in the Department of Anaesthesia.
She is a co-founder of a Pain Action interventional network (PAIN) group, the group is involved in training of doctors in interventional pain medicine.
Her research area of focus is on anaesthesia for neuro-surgical procedures, paediatric neuro-anaesthesia and paediatric general surgical procedures.

RESEARCH FOCUS

My research area of focus is on anaesthesia for neuro-surgical procedures including paediatric neuro-anaesthesia and paediatric general surgery anaesthesia. My contribution to neuro-anaesthesia include the use of local anaesthesia to perform awake craniotomy for patients with supratentorial tumours. This is novel procedure that is used to improve outcome and early discharge in neurosurgical procedures. Head injury is common in our environment, I and my colleague have found out the factors influencing the immediate postoperative outcome in operated head injured patients. This paper has been cited by many authors in neuro-anaesthesia within and outside Africa. Other papers were on intensive care management and outcome of cranial and cervical spinal cord injuries in the intensive care unit presented at the Critical Society of Nigeria conference. The risk factors contributing to mortality and how to reduce mortality in these critically ill patients were highlighted these papers appeared in referred conference proceedings.
My publications in paediatric neuro anaesthesia highlighted the cases done in our environment as the centre is an institute of neurosciences in Africa and a challenging case of anaesthetic management of a child with brain abscess that had congenital heart disease was discussed. My recent research involve giving anaesthesia to children undergoing general surgical procedures especially neonates and infants, and sedating adult and children undergoing procedures outside the theatre. Paediatric endoscopy is a new specialty and these children need sedation. Ketamine is a readily available drug and we use it in our environment to sedate these patients without taking them to theatre thereby reducing cost and increasing safety. Other areas in future is combining ketamine with other anaesthestic agents for maintenance of anaesthesia during general anaesthesia and procedural sedation, as taking out anaesthesia out of theatre is the concern of every anaesthetist.

Research

Current Research and Capacity Building Projects including Grants

Title:  Perioperative respiratory care and outcome for patients undergoing high risk abdominal surgery a 2X2 factorial, pragmatic randomized controlled trial across low and middle countries

Funder:  PENGUIN

Brief summary :  The study is a multicentre one to determine the incidence of postoperative pneumonia in patients undergoing midline surgery and to assess whether 0.2% chlorhexidine mouthwash before surgery versus no mouthwash can reduce the incidence of postoperative pneumonia at 30 days after surgery

Also to assess whether 80-100% fraction of inspired oxygen (FiO2) versus 21-35% FiO2 during surgery can reduce the incidence of surgical site infection at 30 days after surgery

Role: Co-investigator

Collaborators: Low and middle income countries

 

Completed Research

 1. The impact of non-closure of platysma muscle layer on cosmesis of thyroidectomy scar. Accepted for publication in South African Journal of surgery 2021

2. Challenges of neonatal anaesthesia in a tertiary institution in Nigeria: A 10 year retrospective review - In press.

3. Enhance postoperative surveillance versus standard of care to reduce mortality among adult surgical patients in Africa (ASOS -2).: a cluster -randomized controlled trial published in Lancet global health 2021.

4. Comparison of sedative effects and recovery profile of ketofol versus propofol in day case inguinal herniorrhapy under local anaesthesia. - In press

Publications

Journal Articles

1. Adigun, T.A., Amanor-Boadu, S.D. and Soyannwo, O.A. (2010). Comparison of intravenous Ephedrine with Phenylephrine for the maintenance of arterial blood pressure during elective Caesarean section under spinal anaesthesia. African Journal of Medicine and medical sciences Vol. 39: 13-20.

2. Adigun, T.A., Adeolu, A.A., Adeleye, A.O., Shokunbi, M.T., Malomo, A.O. and Amanor-Boadu, S.D. (2011). Anaesthetic and surgical predictor of treatment outcome in re-do craniotomy. Journal of Neurosciences in Rural Practice Vol. 2:137-40.

3. Adigun, T.A., Sotunmbi, P.T. and Akinwale, M.O. (2011). Challenges involved in the management of open compared with transurethral resection prostatectomy under spinal anaesthesia. Nigerian Journal of Genitourinary Medicine Vol.11. No.1: 11-15.

4. Adigun, T.A. and Adeolu, A.A. (2012). Factors influencing the immediate postoperative outcome in operated head injured patients in Ibadan, Nigeria. African Journal of Medicine and medical sciences Vol. 41:301-305.

5. Adigun, T.A. and Eyelade, O.R. (2012). Choice of anaesthetic technique for delivery of pregnancy complicated by Placenta Previa in Ibadan. Journal of Anaesthesia and Clinical Research Vol. 3: 4 http://dx.doi.org/10.4172/2155-6148.1000205.

6. Eyelade, O.R., Sanusi, A.A., Adigun, T.A. and Amanor –Boadu, S.D. (2012). Awareness under Anaesthesia: A review of patients following General Anaesthesia in a tertiary hospital in Nigeria. African Journal of Anaesthesia and Intensive Care Vol. 12. No .1: 1-5.

7. Adigun, T.A., Akinyemi., O.O, Amanor – Boadu., S.D, Adeleye., A.O. and Shokunbi, M.T. (2014). An audit of Anaesthesia for paediatric neurosurgical procedure in Ibadan. African Journal of Anaesthesia and Intensive Care Vol. 14. No.1: 12-16.

8. Olonisakin, P.R., Sotunmbi, P.T., Afuwape, O.O., Ayandipo, O.O. and Adigun, T.A. (2014). Regional technique for Laparoscopic appendicectomy in Ibadan. African Journal of Medicine and medical sciences Vol. 43: 219-223. (Nigeria) (Contribution: 20%).

9. Awana, E.E. and Adigun T.A. (2014). ECG Changes in the Elderly Urology Patients during preoperative Assessment in Ibadan, Nigeria. Journal of Anaesthesia and Clinical Research Vol.5:10. http://dx.doi.org/10.4172/2155-6148.1000462.

10. Sanusi, A.A., Osinaike, B.B., Fayemiwo, S.A., Nwadike, V.U., Akinyemi, A.A., Adigun, T.A., Olusanya, O.O. and Bakare, R.A. (2015). Epidemiology of bacteria colonization and ICU acquired infection in a Nigerian tertiary hospital. African Journal of Infectious Diseases Vol. 9. No. 2: 61-66.

11. Ayandipo, O.O., Adigun, T.A., Afuwape, O.O. and Idowu, O.K. (2015). Comparison of post-operative pain in diathermy and conventional scalpel skin incision after mastectomy in Ibadan. African Journal of Medicine and medical sciences Vol. 44: 27-31.

12. Adeolu, A.A., Oyemolade, T.A., Salami, T.A., Adigun, T.A., Malomo, A.O., Shokunbi M.T. and Akang, E.U (2015). Features and Outcome of surgical management of spinal tumour in a cohort of Nigerian patients. World Neurosurgery Vol.10:1016 http://dx.doi.org/10.1016/wneu/2015.05.081.

13. Eyelade O.R., Sanusi A.A., Adigun, T.A., and Adejumo , O (2016). Outcome of Anaesthesia in elective in elective surgical patients with comorbidity. Annals of African Medicine Vol. 15: 78-82

14. Ayandipo, O.O., Adigun, T.A., Afuwape, O.O., Afolabi, A.O. and Daniel, A. (2016). Airway
complications and Outcome after thyroidectomy in Ibadan: A 15- year review. Archives of Medicine Vol. 8. No 4:7.

15. Afuwape, O.O., Ayandipo, O.O. and Adigun, T.A. (2016). Short- stay surgery experience
with laparoscopic appendicectomy in Ibadan. Nigeria Journal of Surgical Sciences.Vol. 26. 8-11

16. Adigun TA., Sotunmbi PT. (2017). Combined spinal Epidural Anaesthesia for TURP in a Nigerian geriatric patient with low ejection fraction – Case report. SM Journal of Clinical Medicine. Vol. 3(2).1027.

17. Adigun TA. (2017). Multiple cerebellar abscess in a 6 year- old with uncorrected congenital heart disease: Anaesthetic Challenges. MOJ Clinical and Medical of case report 6(2). 35-37

18. Adigun TA., Brown BJ., Amanor – Boadu SD. (2018) Oral ketamine use for lumbar puncture in children undergoing chemotherapy in a developing country. Internal Journal of Medical Science and Clinical invention. Vol. 5 (7). 3921-3924

19. Adigun TA. Sotumbi PT. (2018) Hypothermia in Renal transplant patients expect it as an anaesthetist. Nigerian Journal of Genitourinary Medicine Vol.15. 15-17.

20 Adejumo OO., Eyelade OR., Adigun TA. (2017). Caudal Anaesthesia in Ambulatory colonoscopy: Lidocaine only versus lidocaine / fentanyl combination. Journal of Anaesthesia and Clinical Research Vol. 8: 10

Supervision

CURRENT STUDENTS

Masters Level : Nil

Doctoral Level : Nil

Fellowship Level:

1. Magnesium sulphate versus fentanyl as adjuncts to epidural Anaesthesia for lower limb orthopaedic surgeries: A Comparative Study. Olatunji O.F. West African college of surgeons. 2022

2. A Comparative study of Nebulised Dexmedetomidine versus Nebulised Lignocaine on Haemodynamic Responses to Laryngoscopy and Intubation in adult patients scheduled for General Anaesthesia. Joseph Olufunke Comfort. National Postgraduate Medical College of Nigeria. 2022

3. Effects of priming with atracurium or pancuronium on the onset of pancuronium in patients undergoing general anaesthesia for elective surgery. Okonkwo ThankGod chukwunonso. National Postgraduate Medical College of Nigeria 2022.

PREVIOUS STUDENTS (Selected)

Masters Level: Nil

Doctoral level: Nil

Fellowship:

1. Caudal Anaesthesia in Ambulatory colonoscopy: Lidocaine only versus lidocaine / fentanyl combination . Adejumo O. West African College of Surgeon. 2017

2. Comparative effects of perineural versus perivascular technique for axillary brachial plexus block in upper limb surgery. Adebayo K.O. National Postgraduate Medical College of Nigeria. 2020

3. Comparison of sedative effects and recovery profile of ketofol versus propofol in day case inguinal herniorrhapy under local anaesthesia.Oghueke kelvin. West African college of surgeons. 2021

Grants

Not Available

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Other Interest/Hobbies

Reading and singing.


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