Mahoungou Guimbi, KC Marien Ngouabi University - Maternity and surgery Department, Congo , Mahoungou Guimbi, KC Brazzaville University Teaching Hospital - Anesthesia Department, Congo , Mawandza, PD Brazzaville University Teaching Hospital - Anesthesia Department, Congo , Mawandza, PD Marien Ngouabi University - Maternity and surgery Department, Congo , Odzebe, AWS Marien Ngouabi University - Maternity and surgery Department, Congo , Odzebe, AWS Brazzaville University Teaching Hospital - Urology, Congo , Biez, U Brazzaville University Teaching Hospital - Anesthesia Department, Congo , Atipo, M Brazzaville University Teaching Hospital - Urology, Congo , Bouya, AP Marien Ngouabi University - Maternity and surgery Department, Congo , Bouya, AP Brazzaville University Teaching Hospital - Urology, Congo

Anaesthetic Practice in Urological Surgery in a Tertiary Hospital at Brazzaville - Congo

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Purpose. To evaluate anaesthetic practice during urological surgery procedures. Patients and methods. This was a retrospective study of anaesthetic records of patients undergoing elective urological surgery. We studied comorbidities, anaesthetic technique, incidents and accidents, duration of surgery, surgical procedure and use of blood transfusion. Results. 194 patients were included. Their mean age was 52.7 years (range 16-94 years). Females constituted 14.5% of the study population. Hypertension was found in 40 (20.6%) patients and was the main comorbidity. ASA class 1 included 118 (60.8%) patients. Locoregional anaesthesia performed in 167 cases (86.1%) was the predominant anaesthetictechnique. Sedation concerned 21 (10.8%) patients and 35 (18.1%) patients received general anaesthesia. intraoperative incidents were found in to 44.8%, including hypotension (80%) and bradycardia (15%). The mean duration of surgery was 85.3 ± 50.6 minutes, and adenomectomy was the most common surgical procedure. Blood transfusion concerned 29 (14.9%) patients. Medical supervision of anaesthetic actions was present in 33.7% of cases. Conclusion. Anaesthesia in urological surgery concerns mainly adult patients. Medical supervision is low and the rate of intraoperative incidents high. Working time organisation for the medical team would probably improve these practices.

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Anaesthesia , prostate surgery , spinal anaesthesia , urology

Health Sciences an‎d Diseases

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