Anestesia obstétrica en Chad. Volviendo a los orígenes

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dc.catalogadorpau
dc.contributor.authorGhiringhelli, Juan Pablo
dc.contributor.authorLópez, Rodrigo
dc.contributor.authorCatalán, Cynthia
dc.contributor.authorKattan, Eduardo
dc.contributor.authorUrzúa, Miguel
dc.contributor.authorCruzat, Francisco
dc.date.accessioned2024-11-25T13:54:47Z
dc.date.available2024-11-25T13:54:47Z
dc.date.issued2022
dc.description.abstract© 2022 Authors. All rights reserved.Background: Most maternal deaths occur in low- and middle-income countries, with Chad being one of the countries with the most alarming figures. There aren't many reports of anesthetic management for cesarean delivery in these countries. Aim: To report the obstetrical anesthetic experience in a hospital in Chad, Africa in the context of an international cooperation project to reduce the global shortage of anesthesiologists. Material and Methods: Case series of pregnant woman who were admitted to the ward of the Good Samaritan University Hospital Complex. Results: Thirty-two cesarean sections were performed, all using spinal anesthesia. The median age was 22 years, seven of them being adolescents. In two cases sedation with ketamine was used due to insufficient level and in one case general anesthesia with halothane was converted due to total spinal diagnosis. In twelve patients the interruption was due to immediate maternal/fetal vital risk (emergency cesarean section), the main causes being fetal bradycardia and placental abruption. Three patients presented uterine inertia refractory to medical treatment and resolved with the B-Lynch technique. Two patients decided to have immediate skin-to-skin contact. Three neonates had to be resuscitated with positive pressure ventilation, one of them died. No operative deaths were reported in the patients who underwent c-section, but there was one maternal death due to severe preeclampsia and postpartum hemorrhage after vaginal delivery. No epidural analgesia was requested for labor. Conclusions: This individual report provides insight into a particular reality with very limited staff and resources.
dc.fechaingreso.objetodigital2024-11-25
dc.format.extent7 páginas
dc.fuente.origenScopus
dc.identifier.doi10.25237/REVCHILANESTV5103101256
dc.identifier.issn0716-4076
dc.identifier.scopusidSCOPUS_ID:85146521502
dc.identifier.urihttps://revistachilenadeanestesia.cl/revchilanestv5103101256/
dc.identifier.urihttps://doi.org/10.25237/REVCHILANESTV5103101256
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/88661
dc.information.autorucEscuela de Medicina; Catalán, Cynthia; S/I; 162887
dc.information.autorucEscuela de Medicina; Kattan, Eduardo; 0000-0002-1997-6893; 172152
dc.information.autorucEscuela de Medicina; Urzúa, Miguel; S/I; 162914
dc.information.autorucEscuela de Medicina; Cruzat, Francisco; S/I; 179209
dc.issue.numero6
dc.language.isoes
dc.nota.accesocontenido completo
dc.pagina.final715
dc.pagina.inicio709
dc.publisherSociedad de Anestesiologia de Chile
dc.relation.ispartofRevista Chilena de Anestesia
dc.revistaRevista Chilena de Anestesia
dc.rightsacceso abierto
dc.subjectCesarean section
dc.subjectChad
dc.subjectObstetrical anesthesia
dc.subjectPregnancy
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleAnestesia obstétrica en Chad. Volviendo a los orígenes
dc.title.alternativeObstetric Anesthesia in Chad. Back to basics
dc.typeartículo
dc.volumen51
sipa.codpersvinculados162887
sipa.codpersvinculados172152
sipa.codpersvinculados162914
sipa.codpersvinculados179209
sipa.trazabilidadSCOPUS;02-03-2023
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