Anesthesia for children in Sub-Saharan Africa – a description of settings, common presenting conditions, techniques and outcomes
ABOUDOUL-FATAOU OURO-BANG’NA MAMAN MD
Service of Anesthesia and Intensive Care, Lome Teaching Hospital, Togo
Search for more papers by this authorRAWÉLÉGUINBASBA ARMEL FLAVIEN KABORE MD
Service of Anesthesia and Intensive Care, Charles De Gaulle (CDG) Hospital, Ouagadougou, Burkina Faso
Search for more papers by this authorEUGÈNE ZOUMENOU MD
Department of Anesthesia and Intensive Care, Cotonou Teaching Hospital, Benin
Search for more papers by this authorKOMLAN GNASSINGBÉ MD
Service of Pediatric Surgery, Lome Teaching Hospital, Togo
Search for more papers by this authorMARTIN CHOBLI MD PhD
Service of Anesthesia and Intensive Care, Charles De Gaulle (CDG) Hospital, Ouagadougou, Burkina Faso
Search for more papers by this authorABOUDOUL-FATAOU OURO-BANG’NA MAMAN MD
Service of Anesthesia and Intensive Care, Lome Teaching Hospital, Togo
Search for more papers by this authorRAWÉLÉGUINBASBA ARMEL FLAVIEN KABORE MD
Service of Anesthesia and Intensive Care, Charles De Gaulle (CDG) Hospital, Ouagadougou, Burkina Faso
Search for more papers by this authorEUGÈNE ZOUMENOU MD
Department of Anesthesia and Intensive Care, Cotonou Teaching Hospital, Benin
Search for more papers by this authorKOMLAN GNASSINGBÉ MD
Service of Pediatric Surgery, Lome Teaching Hospital, Togo
Search for more papers by this authorMARTIN CHOBLI MD PhD
Service of Anesthesia and Intensive Care, Charles De Gaulle (CDG) Hospital, Ouagadougou, Burkina Faso
Search for more papers by this authorSummary
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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