Pediatric anesthesia in developing countries: experience in the two main university hospitals of Benin in West Africa
| Autor: | Abdou Rhaman Aguemon, Thomas Lokossou, Aboudoul-Fataou Ouro-Bang’na Maman, Pamphile Assouto, Gervais Hounnou, M. Chobli, Séraphin Gbenou, Eugène Zoumenou |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Pediatrics business.industry Incidence (epidemiology) Developing country Retrospective cohort study Perioperative University hospital Anesthesiology and Pain Medicine Muscle relaxation Pediatrics Perinatology and Child Health Emergency medicine Anesthetic medicine Pediatric anesthesia business medicine.drug |
| Zdroj: | Pediatric Anesthesia. 20:741-747 |
| ISSN: | 1155-5645 |
| DOI: | 10.1111/j.1460-9592.2010.03348.x |
| Popis: | Summary Aims: To describe the practice of pediatric anesthesia in the main University Hospitals in Benin. Patients and Methods: We conduct a retrospective study involving 512 children at the ‘Centre National Hospitalier et Universitaire’ and the ‘Hopital de la Mere et de l’Enfant Lagune’ in Cotonou. All children less than 15 years of age undergoing surgery from January to December 2007 were included. Patient demographics, anesthetic technique, perioperative monitoring and complications were analyzed. Results: General anesthesia was used in 94% of children. Regional anesthesia was used in 1.7% of children at CNHU and 17% of children at Hopital de la Mere et de l’Enfant Lagune. Inhalational induction was the commonest technique used. Halothane was the only inhalational agent available for induction. Seventy-two percent of children having general anesthesia were intubated. Muscle relaxation was used in 48% of cases, only with pancuronium. The available perioperative monitoring equipment was not used regularly. All children having general anesthesia breathed spontaneously with manual assistance. There were eight cardiac arrests recorded, giving an incidence of 156 cardiac arrests per 10 000 anesthetics. Hypoxia was the commonest cause of cardiac arrest. The mortality associated with cardiac arrest was very high (62%). There were three prognostic factors that predicted a poor outcome: age |
| Databáze: | OpenAIRE |
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