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The aim of the study was to identify Burn-out factors among caregivers in intensive care units in University Hospital of Parakou. We used a descriptive, analytical and correlational study with prospective data collection carried out over four months (March 1 to June 30, 2015) and 123 caregivers concerned consenting to the study. The Maslach Burn-out Inventory (MBI) was used for the assessment of burnout of the respondents. Among the 143 agents identified, 123of them (86%) consented to the survey. The average age of caregivers was 34.4 ± 9.3 years with a male predominance (56.9%). Seventy-six caregivers lived with a partner (61.8%) and 90.8% of them were monogamous. Seventy-one caregivers (57.7%) were not satisfied with their socio-economic situations and 88.7% of them associate secondary activities. Eighty eight caregivers (71.5%) were identified in their industry stressful conditions. The frequency of Burn-out was 68.3%. The occurrence of burn out was associated with sex (p = 0.001), type of family (p = 0.001), vocational qualification (p = 0.001) in the industry (p = 0 001), socio-economic conditions (p = 0.01), disease appeared in the exercise of the profession (p = 0.02), organizational factors (p = 0.001) and stressful conditions (p = 0.04). In conclusion we observe that the function nurse in the intensive care unit of the University Hospital of Parakou has a physical and mental hardship among caregivers inducing a high score of Burn-out, implementing an adapted prevention program is therefore necessary to lowering it.

Background: The bispectral index (BIS) derived from the electroencephalogram is an additional means of monitoring the depth of narcosis. Objective: To compare the monitoring of the depth of narcosis by the BIS associated with clinical data versus standard monitoring at the University Hospital of Parakou in Benin in 2019. Methods: This was an observational study for descriptive and analytical purposes with prospective data collection, carried out in general surgery and intensive care unit for 4 months. The inclusion criteria were: an age ≥ 18 years, an ASA score ≤ 3, surgery under general anesthesia and informed consent of the patient. Two groups were formed: non-BIS group monitored by clinical parameters (PA, FC, FR, EtCO 2 , and SpO 2) only and BIS group monitored by bispectral index in addition to clinical parameters. Patients were seen 48 hours after the procedure. Results: 36 patients were collected. The mean age was 40.63 ± 16.77 years with a sex ratio of 3. ASA 1 patients represented 86.11% of the sample and ASA2 patients 13.89%. The average doses of Propofol were not significantly reduced in the BIS group (p = 0.555). On the other hand, the period of intraoperative recovery (p-value = 0.007) and the NVPO (p = 0.043; OR = 0.10; 95% CI [0.01-0.97]) were significantly reduced by the use of BIS. One case of intraoperative memorization (2.78%) was however found in the BIS group. Conclusion: The bispectral index makes it possible to significantly reduce the risk of intraoperative awakening and PONV, and not significantly reduce the consumption of Propofol.

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