Pratique de l’anesthésie pédiatrique au Maroc

Taibi, H.; Hmamouchi, B.; Lazraq, Mohamed; Semlali, F.Z.; Yaqini, K.; Chlilek, A.

doi:10.1016/j.annfar.2014.07.105

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…Halothane was used in 53.9% of cases. This result is superimposable to those obtained in Cameroon, Gabon, Togo and Morocco [10][11][12]17]. The large usage of halothane in these studies could be explained by its availability despite its numerous cardiovascular and hepatic side effects.…”

Section: Anaesthetic Agents Used At Maintenance Of Anaesthesiasupporting

confidence: 62%

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Practice of Pediatric Anesthesia in Sub-Saharan Africa: Experience of Two Referral Hospitals in Benin

Joseph¹,

Serge²,

Ernest³

et al. 2021

AJP

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Introduction: The practice of pediatric anesthesia present particular risks and requires specifically trained staff. We describe here the practice of pediatric anesthesia in two referral hospitals of Cotonou. Method: This was an observational study conducted over a period of 05 months from August 4 to December 31, 2020. All children who had undergone an anesthetic procedure in these reference hospitals of Cotonou during the study period and who met the inclusion criteria were recruited. Data collection was carried out by filling out an individual physical form for each child on whom a surgery was performed. Children who underwent surgery were followed up until their discharge from hospital and called back 30 days later. Results: A total of 345 patients were registered. Among them, 224 (64.9%) were male, for a sex ratio of 1.85. The average age was 55 months±4 months with extremes of one day and 190 months. Medical history was found in 9.56% of cases, and in 80.90% of cases, most interventions were scheduled. Digestive surgery was the most common (30.1%). The ASA1 class was the most represented (73.04%). The practice of pediatric anesthesia was medicalized in 17.39% of cases. All children were monitored. General anaesthesia was the most commonly used anaesthesia technique (89.85%). Loco-regional anaesthesia techniques were less used (27.53%). Spinal anesthesia (11.90%) and caudal anesthesia (11.30%) were the most commonly used local anesthesia techniques. The prevalence of anesthetic incidents and/or accidents during our study was 23.7% with a rate of 29 cardiac arrests per 10,000 anesthetics and an intraoperative mortality rate of 29 per 10,000 anesthetics. Perioperative complications were dominated by respiratory complications (11.57%), followed by cardiovascular complications (8.68%) and neurological complications (6.95%). A total of 84.35% of our patients were referred to an immediate post-interventional monitoring unit. I recorded 13 deaths in the postoperative period, representing a mortality rate of 3.7%. Conclusion: This work shows that the practice of pediatric anesthesia in Benin compared to previous years is becoming more and more satisfactory, even if the anesthetic safety is not yet optimal. It seems imperative to favor the specialization of practitioners, to promote loco-regional anaesthesia and to create pediatric hospitals with adapted resuscitation rooms and operating theaters.

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Section: Anaesthetic Agents Used At Maintenance Of Anaesthesiasupporting

confidence: 62%

“…Muscle relaxation was done with suxamethonium in 40.9% of cases in our study. In Morocco, in 2014 [17] it was used in 65% of cases. However in Cameroon in 2019 [10] and in Togo in 2016 [12] it was very less used respectively 19% and 16%.…”

Section: Anaesthetic Agents Used At Inductionmentioning

confidence: 99%

Practice of Pediatric Anesthesia in Sub-Saharan Africa: Experience of Two Referral Hospitals in Benin

Joseph¹,

Serge²,

Ernest³

et al. 2021

AJP

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“…In Morocco, anesthesiology has undergone specific development in recent years as a result of better training being delivered to anesthetists, the use of new anesthetic drugs, and improved perioperative monitoring [ 13 , 14 ]. The creation of the Moroccan Society of Anesthesia, Analgesia, and Critical Care in 1984 [ 15 ] was a major event in this development.…”

Section: Introductionmentioning

confidence: 99%

The New Reform of the National Health System in Morocco: An Opportunity to Meet the Challenges and Improve the Practice of Anesthesiology

Harfaoui,

Belyamani,

Zentar

et al. 2024

Cureus

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The health sector in Morocco has undergone major changes in recent years, thanks to the reform of the national health system. This reform aims to improve accessibility and the equitable distribution of care throughout the country and enhance the quality and safety of health services. Anesthesia plays an important role in improving patients' quality of life and reducing the risks associated with surgical procedures. However, anesthetic practice in Morocco faces several challenges, including territorial disparities, unequal access to anesthetic services, financial constraints, a shortage of qualified staff, insufficient continuing education, and the need for appropriate administrative and legal frameworks regarding current anesthesiology practice. The reform of the Moroccan national health system has the potential to significantly advance the practice of anesthesia in Morocco. Indeed, this reform includes a number of measures that could help to improve access to anesthesia services, enhance the quality of care, ensure patient safety, and promote research in this field. Its success will depend on the effective implementation of planned measures and the ability to overcome potential obstacles.

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Pratique de l’anesthésie pédiatrique au Maroc

Cited by 2 publications

References 2 publications

Practice of Pediatric Anesthesia in Sub-Saharan Africa: Experience of Two Referral Hospitals in Benin

Practice of Pediatric Anesthesia in Sub-Saharan Africa: Experience of Two Referral Hospitals in Benin

The New Reform of the National Health System in Morocco: An Opportunity to Meet the Challenges and Improve the Practice of Anesthesiology

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