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Anesthesia for children in Sub‐Saharan Africa – a description of settings, common presenting conditions, techniques and outcomes
Author(s) -
OUROBANG’NA MAMAN ABOUDOULFATAOU,
KABORE RAWÉLÉGUINBASBA ARMEL FLAVIEN,
ZOUMENOU EUGÈNE,
GNASSINGBÉ KOMLAN,
CHOBLI MARTIN
Publication year - 2009
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2008.02838.x
Subject(s) - medicine , anesthesia , typhoid fever , perforation , intensive care medicine , workload , materials science , pathology , computer science , punching , metallurgy , operating system
Summary 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.