Morbidité–mortalité périopératoire dans un pays en développement : expérience du CHU de Lomé (Togo)

Maman, A. F. Ouro-Bang'na; Agbetra, N.; Egbohou, P; Sama, H.D.; Chobli, M.

doi:10.1016/j.annfar.2008.08.015

Cited by 10 publications

(6 citation statements)

References 4 publications

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“… 28 , 30 , 31 , 60 – 63 Most often, perioperative deaths in LMICs are related to acute anaemia or septic shock, frequently hastened by pre-existing morbid conditions. 31 , 48 , 59 , 61 , 64 In the combat environment, haemorrhage remains the most common cause of death. 35 , 36 , 45 In these circumstances, the prevention and prompt correction of major blood loss is critical and requires the availability of blood products.…”

Section: Resultsmentioning

confidence: 99%

“… 35 , 36 , 45 In these circumstances, the prevention and prompt correction of major blood loss is critical and requires the availability of blood products. 31 , 36 , 49 , 64 , 65 Postoperative infections are usually prevented with antibiotic prophylaxis and sterilization of instruments, 31 , 66 although the risk of post-operative infection persists in situations such as trauma with contamination, hollow viscus perforation or intra-abdominal abscess and will require full course of antibiotics.…”

Section: Resultsmentioning

confidence: 99%

“…In LMICs and elsewhere, preventable anaesthesia mortality stems from two main factors: hypoxemia and hypotension, which are primarily related to failed intubation and induction of anaesthesia in the presence of hypovolaemia. 29 , 31 , 60 , 64 Anaphylaxis, aspiration, cardiac events and medication interactions are also potentially life-threatening problems. 31 , 60…”

Section: Resultsmentioning

confidence: 99%

“… 15 , 34 , 38 , 62 , 94 Indeed, regional and perimedullar anaesthesia (spinal anaesthesia in particular) are often the preferred choice where expertise is available, but are otherwise virtually non-existent. 26 , 28 , 34 , 38 , 47 , 48 , 62 , 64 They are regularly delivered by non-anaesthetists, demonstrating that they can successfully be trained to RA techniques in austere environments. 38 , 62 , 83 , 125 – 127 Most limb surgery is feasible with only 3 blocks (axillary brachial plexus, femoral and sciatic blocks).…”

Section: Resultsmentioning

confidence: 99%

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Anaesthesia in austere environments: literature review and considerations for future space exploration missions

et al. 2018

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Future space exploration missions will take humans far beyond low Earth orbit and require complete crew autonomy. The ability to provide anaesthesia will be important given the expected risk of severe medical events requiring surgery. Knowledge and experience of such procedures during space missions is currently extremely limited. Austere and isolated environments (such as polar bases or submarines) have been used extensively as test beds for spaceflight to probe hazards, train crews, develop clinical protocols and countermeasures for prospective space missions. We have conducted a literature review on anaesthesia in austere environments relevant to distant space missions. In each setting, we assessed how the problems related to the provision of anaesthesia (e.g., medical kit and skills) are dealt with or prepared for. We analysed how these factors could be applied to the unique environment of a space exploration mission. The delivery of anaesthesia will be complicated by many factors including space-induced physiological changes and limitations in skills and equipment. The basic principles of a safe anaesthesia in an austere environment (appropriate training, presence of minimal safety and monitoring equipment, etc.) can be extended to the context of a space exploration mission. Skills redundancy is an important safety factor, and basic competency in anaesthesia should be part of the skillset of several crewmembers. The literature suggests that safe and effective anaesthesia could be achieved by a physician during future space exploration missions. In a life-or-limb situation, non-physicians may be able to conduct anaesthetic procedures, including simplified general anaesthesia.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Anaesthesia in austere environments: literature review and considerations for future space exploration missions

et al. 2018

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“…Lack of equipment and shortage of qualified staff are frequent contributing factors to the high incidence of complications and death. The lack of transport to hospital and the requirement for the patient or family to pay for treatment and medications before receiving any clinical care, irrespective of their clinical condition, also serve to worsen outcomes (13).…”

Section: High Perioperative Morbidity and Mortality Ratesmentioning

confidence: 99%

Anesthesia for children in Sub‐Saharan Africa – a description of settings, common presenting conditions, techniques and outcomes

Maman

Kaboré

Zoumenou

et al. 2008

Pediatric Anesthesia

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Anesthesia in developing countries deserves special attention. The most common technique is general anesthesia (with spontaneous or manually assisted ventilation). Nonmedical anesthetists with limited training and supervision and lacking the most common drugs and anesthetic equipment administer anesthesia, usually for emergency surgery. There are important safety issues, especially for pediatric anesthesia. Regarding pediatric surgery, the major workload is due to abdominal emergencies, mainly neonatal bowel obstruction or peritonitis due to typhoid perforation. The morbidity and mortality rate for these conditions is high.

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Mortalité des urgences digestives dans le service de réanimation du CHU Tambohobe, Fianarantsoa

Rasamoelina

Fanantenantsoa

Razafindrabekoto

et al. 2017

J Afr Hepato Gastroenterol

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Morbidité–mortalité périopératoire dans un pays en développement : expérience du CHU de Lomé (Togo)

Cited by 10 publications

References 4 publications

Anaesthesia in austere environments: literature review and considerations for future space exploration missions

Anaesthesia in austere environments: literature review and considerations for future space exploration missions

Anesthesia for children in Sub‐Saharan Africa – a description of settings, common presenting conditions, techniques and outcomes

Mortalité des urgences digestives dans le service de réanimation du CHU Tambohobe, Fianarantsoa

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