Abstract
Concept: We opted for this study because the hospital unit Gabriel Touré was renovated with 7 surgical specialties. Our study was the very last study before the advent of coronavirus disease 2019 (COVID 19). Goal: Evaluate the anesthetic activities of the planned surgery at the University Hospital Center CHU Gabriel Touré. Method and Material: This was a descriptive prospective study carried out in the cold operating theater of the CHU Gabriel Touré from January to December 2018. It focused on all patients operated on for regulated surgery and who had benefited from anesthesia. Our data was entered and analyzed on SPSS 25 software. Word processing performed on Microsoft WORD® 2016 and graphics on Microsoft EXCEL® 2016. Results: During the study period 1700 patients were operated on in the operating room for scheduled surgery. The age range of 0 to 5 years accounted for (14.8%). The average age was 6.64 years; male predominance (52.6%) of operated patients with a sex ratio of 1.1. A history of general anesthesia was found in 62.1%. The classification of the American Anesthesia Society (ASA) ASA1 class represented 92.7%. Tonsillitis was the most common operative diagnosis (9.5%). Hernia cures and eventrations were the most common surgical technique (11.8%). General anesthesia was achieved in 65.3% of patients. Hypotension was the most common adverse event in the operating room, 44.5%. The intraoperative mortality was 0.11%. Conclusion: Our study covered the entire population anesthetized. It provided an update on the practice of anesthesia in the intensive care unit anesthesia. General anesthesia was the most used technique; a predominance of cardiovascular adverse events, occurring more often in induction and mainly favorable outcome with mortality intraoperative 0.11%. A growing presence of MAR and DES who had performed more than 30% of anesthesia.
Highlights
The anesthesia allows the operation to proceed smoothly with pain relief, patient immobility and neurovegetative protection [1]
Our study covered the entire population anesthetized. It provided an update on the practice of anesthesia in the intensive care unit anesthesia
Dembele, A.S., et al at the Polyclinic Pasteur in Bamako [6], in their series the intraoperative mortality was 0.6%. This could be due to the fact that our study only looked at regulated surgery and the majority of the anesthesia population was relatively well doing ASA1 especially
Summary
The anesthesia allows the operation to proceed smoothly with pain relief, patient immobility and neurovegetative protection [1]. In well-off countries, it allows the efficient care of fragile patients for increasingly heavy interventions. Several studies have been carried out on the evaluation of the quality of anesthetic care at the CHU Gabriel Touré [5]; as well as the reports of anesthetic activities [6] at the Pasteur Bamako clinic. In order to improve the quality of the activities and to have recent statistical data of the activity provided by the cold operating room of the CHU Gabriel Touré, the present work was initiated. It could represent a frame of reference making it possible to periodically gauge the evolution of the practice of anesthesia over time. Our objective was to evaluate the anesthetic activities of the planned surgery at CHU Gabriel Touré
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