Maintien des compétences en anesthésie pédiatrique

Courrèges, Philippe; Ecoffey, Claude; Galloux, Y.; Godard, Jean; Goumard, D.; Orliaguet, Gilles; Yavordios, P.-G.

doi:10.1016/j.annfar.2005.11.011

Cited by 16 publications

(5 citation statements)

References 2 publications

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“…This would mean that the addition of Clonidine was not a factor that increased the time for the procedure. This is contrary to several authors such as Courrèges and Afane [4] [5] respectively.…”

Section: Epidemiological Aspectscontrasting

confidence: 96%

“…The anaesthetic drugs used and their dosage were: Bupivacaine 0.5% isobaric for patients 5 -15 kg: 0.08 ml/kg or 0.4 mg/kg; 0.06 ml/kg or 0.3 mg/kg for children over 15 kg, according to the 2010 expert recommendations [4]. Clonidine 0.5 µg/kg; Fentanyl 0.5 µg/kg; Morphine 5 µg/kg; Ketamine 1 mg/kg and Diazepam 0.1 mg/kg IV for sedation; Propofol 3 mg/kg for general anaesthesia with Halothane or Sevoflurane for maintenance of anaesthesia.…”

Section: Performance Of Anaesthesiamentioning

confidence: 99%

“…Bupivacaine isobaric 0.5% associated with Fentanyl was administered in 33 child-Open Journal of Anesthesiology ren (55%), Clonidine in 18 children (29.5%). This follows the formalised expert recommendations on locoregional anaesthesia in children according to Courrèges [4]. Adjuvants, even for short procedures, have advantages: they prolong the administration time of regular analgesics, reducing their cost.…”

Section: Bupivacaine and Adjuvants For Spinal Anaesthesiamentioning

confidence: 99%

“…With the 25 Gauge the cerebrospinal fluid reflux was too slow and the needle more flexible without an introducer; but prevents post-spinal puncture headaches according to Eledjam [22]. The expert conference recommends the following lumbar puncture needles depending on the age of the child: premature babies 25 and 26 Gauge, infants 22; 25 and 26 Gauge, children 25 to 29 Gauge according to Courrèges [4].…”

Section: Spinal Anesthesia Equipmentmentioning

confidence: 99%

“…Since 2008-2009, paediatric locoregional anaesthesia has gained new impetus in France with the objective of providing intra-and postoperative analgesia by establishing formalised recommendations [4].…”

Section: Introductionmentioning

confidence: 99%

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Practice of Pediatric Spinal Anesthesia in a Country with Limited Means: Example of Togo

Mouzou¹,

Assénouwè²,

Tchètikè³

et al. 2023

OJAnes

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Introduction:The practice of spinal anesthesia in pediatric surgery is declining, especially in countries with limited means. What about in our context? Objective: To evaluate the practice of spinal anesthesia in pediatric surgery in Togo. Framework and method of study: This was a prospective study from November 2017 to May 2018 in pediatric surgery at CHU SO de Lomé, in the operating room and hospital ward of CHU Kara. The surgical, anesthesiological and evolutionary aspects of the patients were analyzed. Results: Sixty children were selected for the study who had an indication for sub-umbilical surgery. The male sex was predominant (73.3%). 47 (78.30%) patients were operated on for scheduled surgery. Hernia repair was the most performed surgical intervention (43.30%). The mean duration of the surgery was 78 ± 35.9 minutes. Most of the patients were ASA 1 (98.30%). The local anesthetic used was 0.5% isobaric Bupivacaine. Fentanyl was the predominant adjuvant (55%). The most widely used lumbar puncture needle was 25 Gauge with 75 millimeters in length (63.30%). Diazepam was the most widely used sedative (50%). The predominant spinal anesthesia protocol was spinal anesthesia alone (60%). Only one patient had hypotension (1.70%). Conclusion: The fairly satisfactory pediatric spinal anesthesia in Togo remains poorly performed. Its promotion involves the training of anesthesia practitioners and the strengthening of the technical platform.

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Section: Epidemiological Aspectscontrasting

confidence: 96%

Section: Performance Of Anaesthesiamentioning

confidence: 99%

Section: Bupivacaine and Adjuvants For Spinal Anaesthesiamentioning

confidence: 99%

Section: Spinal Anesthesia Equipmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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