Anaesthetic Complications in Immediate Postoperative Period during Ambulatory Paediatric Surgery at the National Hospital of Zinder in Children aged 0 to 5 years
Author(s): Magagi Amadou, Boukari Mahamane Bawa, Maikassoua Mamane, Habou Oumarou, Rabiou Maman Sani
Anaesthesia is a field procedure. Paediatric anaesthesia requires vigilance and rigour at all stages. It must be carried out in an adapted structure by a team accustomed and updating its knowledge. What complications of paediatric anaesthesia in outpatient surgery?
Evaluation of immediate postoperative complications of paediatric anaesthesia in outpatient surgery.
Patients and method
Prospective, descriptive and analytical study of 160 cases of outpatient surgery performed at the national hospital of Zinder over six months from 1 January to 30 June 2018. Included were children aged 01 month to 05 years operated during outpatient surgery. The variables were epidemiological data, ASA class, type of anaesthesia, operative indications and patient outcome.
During the study period 160 anaesthesias were performed. The mean age of the patients was 27.44 months with extremes from 01 month to 60 months. The sex ratio was 3.8 in favour of boys. ASA I class represented 80% of the patients. General anaesthesia with intubation was the technique of choice in 82.50%. The drugs frequently used were ketamine, propofol, halothane and fentanyl. The main operative indication was hernia in 63.12% of cases. The complications observed were bursal haematoma (06.87%), respiratory complications (03.12%) and hyperthermia (01.25%) of cases. The evolution was favourable for all patients and no deaths were recorded.
Paediatric anaesthesia for outpatient surgery generates fewer complications if it is carried out in a suitable structure and by staff who are used to it and have updated their knowledge. This practice should be popularised as it allows us to relieve congestion in our departments with limited beds.