| Autor: |
Donamou J; Service d'anesthésie-réanimation de l'hôpital national Ignace Deen, Conakry Guinée., Touré A; Service de chirurgie générale de l'hôpital national Ignace Deen., Bandiaré MM; Service des urgences médicochirurgicales de l'hôpital national Lamorde, Niamey, Niger., Konaté M; Service d'anesthésie-réanimation de l'hôpital national Ignace Deen, Conakry Guinée., Sylla AI; Service d'anesthésie-réanimation de l'hôpital national Ignace Deen, Conakry Guinée. |
| Jazyk: |
angličtina |
| Zdroj: |
Medecine et sante tropicales [Med Sante Trop] 2019 Feb 01; Vol. 29 (1), pp. 79-83. |
| DOI: |
10.1684/mst.2019.0885 |
| Abstrakt: |
To review the practice of anesthesia in Conakry hospitals This multicenter descriptive study focused on the practice of anesthesia in Conakry hospitals. We selected 9 healthcare facilities: 6 public and 3 private hospitals. Together, these hospitals had 23 operating theaters, of which 11 (47.8 %) had an anesthesia machine, while 12 (51.9 %) did not have an oxygen supply. Six (26.1 %) had a complete intubation platform. For monitoring, we observed a multiparametric scope in five (21.7 %) of the operating rooms and a pulse oximeter in five. The anesthesia products used most frequently were: ketamine (narcotic), fentanyl (opioid), vecuronium (neuromuscular blocking agent), halothane (volatile anesthetic), and bupivacaine (local anesthetic). These nine facilities have 51 professional anesthesia practitioners: 44 (86.27%) senior technicians in anesthesia-resuscitation, and 7 (13.73 %) physicians specialized in anesthesiology and resuscitation. Over a one-year period (2016), 6303 patients received anesthesia. Gynecology-obstetrical surgery accounted for the highest proportion of patients receiving anesthesia (43.47 %). General anesthesia without intubation was the most common anesthetic technique (67.5 %). Most incidents were intraoperative and cardiovascular (95.6 %). The mortality rate was 0.4 %. Better technical platforms and better training of young practitioners would improve the practice of anesthesia in Guinea. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
