Anesthetic Practice in Neurosurgery at University Hospital of Brazzaville (Congo)
- 1 Faculty of Health Sciences, Marien N’GOUABI University of Brazzaville, Brazzaville, Congo
- 2 Department of Surgery, University Hospital of Brazzaville, Brazzaville, Congo
- 3 Department of Intensive Care, University Hospital of Brazzaville, Brazzaville, Congo
- 4 Department of Intensive Care, University Hospital of Brazzaville, Brazzaville, Congo
Abstract
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.
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