Anesthetic Practice in Neurosurgery at University Hospital of Brazzaville (Congo)

• 作者: Gilbert Fabrice Otiobanda Gilles Niengo Outsouta Hugues Brieux Ekouele Mbaki Marie Elombila
• 来源期刊: 神经系统科学与医药(英文)
• 学科: 医学
• 关键词: ANESTHESIA NEUROSURGERY PERIOPERATIVE Period
• 年，卷（期）: 2017,（4）
• 页码范围: 77-86
• 页数: 10页
• 分类号: R73

摘要

Aim: To evaluate the anesthetic management of neurosurgical patients in University Hospital of Brazzaville. Materials and methods: We performed a transversal and descriptive study during the period from January to June 2015 into operating room of the University Hospital of Brazzaville. 60 cases of anesthesia have been analyzed. Results: The neurosurgery represented 2.88% of the activity of the operating room in University Hospital of Brazzaville. The average age was 44.7 ± 18.36 years old. The sex ratio was 1.07. The scheduled interventions have concerned 83.4% of cases. Surgical indications were concerned the spine degenerative disease and spinal trauma in 40% and 18.3% of cases respectively. The patients classified ASA I and II were most represented in 40% and 46.7% of cases respectively. General anesthesia was used in 98.4% of cases. The peroperative complications were represented by arterial hypotension (31.7%), hemorrhage (11.7%), bradycardia (5%), difficult intubation (3.3%) and one case of peroperative cardiac arrest. The blood transfusion rate was 18.7%. The stay in ICU concerned 8.3% of the cases. We recorded three cases (5%) of death in our series. Conclusion: The neuroanesthesia knows an evolution in our country because of increasing number of neurosurgeons;it’s necessary to train medical staff in her practice.