Anesthetic management and morbidity in thoracic surgery: Results of the first series in Togo.

Autor:	Tchetike P; Department of Anesthesia and Intensive Care, Teaching Hospital Sylvanus Olympio, Lome, Togo., Lamboni D; Medico-surgical Clinic, Teaching Hospital Sylvanus Olympio (CHU-SO), Lome, Togo., Assenouwe S; Medico-surgical Clinic, Teaching Hospital Sylvanus Olympio (CHU-SO), Lome, Togo.; Department of Anesthesia and Intensive Care, Faculty of Health Sciences, Teaching Hospital of Kara, University of Kara, Togo., Poko M; Medico-surgical Clinic, Teaching Hospital Sylvanus Olympio (CHU-SO), Lome, Togo., Ahounou E; National University Hospital Centre of Cotonou, Benin., Anate AST; Medico-surgical Clinic, Teaching Hospital Sylvanus Olympio (CHU-SO), Lome, Togo., Alassani T; Medico-surgical Clinic, Teaching Hospital Sylvanus Olympio (CHU-SO), Lome, Togo., Dissoba HK; Department of Anesthesia and Intensive Care, Teaching Hospital Sylvanus Olympio, Lome, Togo., Sama HD; Department of Anesthesia and Intensive Care, Teaching Hospital Sylvanus Olympio, Lome, Togo.; Medico-surgical Clinic, Teaching Hospital Sylvanus Olympio (CHU-SO), Lome, Togo., Mouzou E; Department of Anesthesia and Intensive Care, Faculty of Health Sciences, Teaching Hospital of Kara, University of Kara, Togo.
Jazyk:	francouzština
Zdroj:	La Tunisie medicale [Tunis Med] 2023 May 05; Vol. 101 (5), pp. 491-496. Date of Electronic Publication: 2023 May 05.
Abstrakt:	Introduction: Thoracic surgery is a specialty with specific anesthetic management requirements. This is a recent specialty in Togo, with a multi-skilled anesthetic team. Aim: To describe the anesthetic management and morbidity of thoracic surgery. Methods: A descriptive, prospective and observational study was conducted on a cohort of patients who underwent a thoracic surgery between June 1 and August 31, 2022, at the national referral hospital in Lomé. The study examined pre-anesthetic assessment, surgical, anesthetic, and postoperative data. Results: Twenty-five patients with a mean age of 40 ±13 years were included. The surgery was elective in 69% of cases. The anesthetic assessment showed anemia (64%) and a reduced forced expiratory volume in one second (60%) All patients were operated on under general anesthesia with controlled ventilation, including 64% of one-lung ventilation. Surgical procedures included pleural decortication (28%), pericardial drainage (16%), pneumonectomy (16%), and pulmonary lobectomy (12%). Twenty-three patients (92%) experienced intraoperative complications, including arterial hypotension (80%), shock (56%), and hypoxia (24%). Multimodal analgesia including paracetamol (100%), nefopam (92%), morphine (76%), paravertebral analgesia (20%), and thoracic epidural analgesia (8%), was used postoperatively. Seventeen patients (68%) experienced postoperative complications, including anemia (20%), pneumonia (12%), and parietal infection (12%). Three patients (12%) died. Conclusion: General anesthesia with, one-lung ventilation in most cases, was the anesthetic technique in thoracic surgery. Complications, mainly cardiovascular, occurred intraoperatively, with high postoperative mortality.
Databáze:	MEDLINE
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