During electrical accidents, various mechanisms are observed: electric flash, electric arc, lightning and true electrification. Whatever the mechanism, various types of lesions can be observed such as subarachnoid hemorrhages. Exposure to a high voltage current, the appearance of initial consciousness disorder, the existence of skin burn lesions testifying to the passage of current through the cephalic end homolateral to the hemorrhage, the existence of hemorrhage meningeal at d0, the real existence of this complication in victims of lightning strikes (which is an electric shock) and the existence of a similar case in the literature make electric accidents, an etiology of hemorrhage meningeal.

Ischemic strokes have varying etiologies and multiple locations. Some locations are much rarer than others and just as difficult to diagnose. This is the case of the ischemic bi-thalamic stroke, attributable to the Percheron artery occlusion that we report in a 33-year-old woman with a history of taking estrogen-progestin. The lesion diagnosis could only be possible thanks to the performance of brain MRI, thus testifying to the diagnostic difficulties observed. Etiological research has shown dyslipidemia. The length of stay was 88 days. At the end of intensive care, the patient was conscious, not deficient and did not present memory disorders.

Background: To evaluate the satisfaction of patients operated under spinal anaesthesia and to identify its determinants. Methods: We conducted a prospective analytical study in the hospital wards of the gynaecology-obstetrics, general surgery and traumatology departments of the Yopougon University Hospital in Abidjan (Côte d'Ivoire) over a period of 5 months from February to June 2019. Results: At the end of the study, 156 patients were selected. The mean age was 38.89±14.28 years with extremes of 19 and 72 years and a sex ratio of 0.8. The unemployed represented 20.41% of the total number of patients. The types of intervention were dominated by caesarean sections with 53.21% of patients. All our patients had a pre-anaesthetic consultation which was carried out by an anaesthetist, however 44.23% were dissatisfied due to anxiety. During the operation, nausea and vomiting were the main sources of discomfort for 25% of patients. Thirst, hunger and pain were the most common discomforts encountered in the ICU by 40.38%, 42.31% and 36.52% respectively. The determinants of dissatisfaction were age over 45 years, female gender of patients. Osteosynthesis of the femur and osteotomy of the tibial plateau were significantly associated with a reduction in dissatisfaction. Conclusion: Several causes of dissatisfaction remain during spinal anaesthesia. Their management would allow to improve the comfort of our patients, thus the quality of care.

Background: ALRIV, a simple, reliable, inexpensive and easily reproducible technique, is still little practised in sub-Saharan Africa. The objective of this study is to describe our practice in order to popularize this anesthetic technique. Methods: This was a prospective and descriptive study covering a 12-month period. All patients admitted for surgical management of upper limb except the arm and lower limb except the thigh were included. The parameters studied were epidemiological, clinical, therapeutic, anaesthetic and evolutionary. Results: We selected 73 patients out of 675 (10.81%). The majority of the patients were seen in the framework of a regulated surgery against only 13.69% in emergency. The operative indications were: removal of osteosynthesis materials (52.05%), limb osteosynthesis (43.83%) and phlegmon evacuation (4.10%). The double tourniquet technique was used in (93.15%). Lidocaine 0.5% was used at a dose of 0.5ml/kg. The average duration of the procedures was 57.28 minutes. Postoperatively, all our patients received multimodal analgesia. In the postoperative monitoring room, 64.38% of patients did not experience any discomfort or pain. Conclusion: ALRIV is a simple technique of peripheral local anaesthesia that is easy to teach, consistently effective and inexpensive.