Mobio MP, Abhe CM, Ouattara A, Coulibaly KT, Olama MC, Netro D, Bedie YV, N'Guessan YF, Tétchi YD, Brouh Y. [Anesthesic practice for gynecological and obstetric emergency in the Cocody CHU].
Mali Med 2021;
36:31-34. [PMID:
37973565]
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Abstract
OBJECTIVE
To evaluate the anesthetic practice in the operating theater of gynecological and obstetric emergencies.
MATERIAL AND METHOD
Prospective, descriptive and analytical study on patients admitted to the operating room for a gynecological and or obstetric emergency over a period of six months.
RESULTS
We collected 3,486 patients out of 7,574 admissions, or 46.02%. The average age was 27.3 years with extremes of 15 and 45. SFA was the first operative indication for obstetric emergencies while gynecological emergencies were dominated by first trimester bleeding. 99.39% of the patients benefited from a CPA and 45.40% of them, were classified ASA I u. LAR by spinal anesthesia was the most commonly performed anesthetic regimen. Maternal lethality was 0.005. For the mother, the age group [30-45 years], the provenance, the hemorrhagic syndromes, the ASA III and IV classes, the long delays in transfusion and block management were factors of poor prognosis. (P≤0.05) For the fetus, hemorrhagic syndromes and general anesthesia were factors of poor prognosis. (P ≤ 0.05).
CONCLUSION
Spinal anesthesia was the most widely used anesthetic regimen.
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