Correction to: General anaesthesia related mortality in a limited resource settings region: a retrospective study in two teaching hospitals of Butembo

Abstract Background: General anaesthesia (GA) in developing countries is still a high-risk practice, especially in Africa, accompanied with high morbidity and mortality. No study has yet been conducted in Butembo to determine the mortality related to GA practice. The main objective of this study was to assess mortality related to GA in Butembo. Methods: This study was a retrospective analytic study of patients who underwent surgery under GA in the 2 main teaching hospitals of Butembo from January 2011 to December 2015. Data were collected from patients file, anaesthesia registries and were analysed with SPSS 26. Results: From a total of 921patients, male and female patients were 539 (58.5%) 382 (41.5%) respectively. A total of 83 (9.0%) patients died. The overall perioperative mortality rate was 90 per 1,000. From the 83 deaths, 38 occurred within 24h representing GA related mortality of 41 per 1,000. There was a global drop in mortality from 2011 to 2015. The risk factors of death were neonate and senior adult age, emergency operation, ASA physical status more than 2 and single deranged vital sign preoperatively. The occurrence of any complication during GA increased the risk of death. Anaesthesia duration more than 120 minutes increased mortality as well as visceral surgeries/laparotomies. Ketamine was the most employed agent. Conclusion: GA related mortality is very high in Butembo. Improved GA services and outcomes can be obtained by training more anaesthesia providers, proper patients monitoring, enhanced the infrastructure, better equipment and drugs procurement.

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General anaesthesia related mortality in a limited resource settings region: a retrospective study in two teaching hospitals of Butembo

BMC Anesthesiology ◽

10.1186/s12871-021-01280-2 ◽

2021 ◽

Vol 21 (1) ◽

Cited By ~ 1

Author(s):

Furaha Nzanzu Blaise Pascal ◽

Agnes Malisawa ◽

Andreas Barratt-Due ◽

Felix Namboya ◽

Gregor Pollach

Keyword(s):

General Anaesthesia ◽

Limited Resource ◽

Emergency Operation ◽

Teaching Hospitals ◽

High Morbidity ◽

Perioperative Mortality ◽

Republic Of The Congo ◽

Very High ◽

Risk Practice ◽

Related Mortality

Abstract Background General anaesthesia (GA) in developing countries is still a high-risk practice, especially in Africa, accompanied with high morbidity and mortality. No study has yet been conducted in Butembo in the Democratic Republic of the Congo to determine the mortality related to GA practice. The main objective of this study was to assess mortality related to GA in Butembo. Methods This was a retrospective descriptive and analytic study of patients who underwent surgery under GA in the 2 main teaching hospitals of Butembo from January 2011 to December 2015. Data were collected from patients files, anaesthesia registries and were analysed with SPSS 26. Results From a total of 921 patients, 539 (58.5%) were male and 382 (41.5%) female patients. A total of 83 (9.0%) patients died representing an overall perioperative mortality rate of 90 per 1000. Out of the 83 deaths, 38 occurred within 24 h representing GA related mortality of 41 per 1000. There was a global drop in mortality from 2011 to 2015. The risk factors of death were: being a neonate or a senior adult, emergency operation, ASA physical status > 2 and a single deranged vital sign preoperatively, presenting any complication during GA, anaesthesia duration > 120 minutes as well as visceral surgeries/laparotomies. Ketamine was the most employed anaesthetic. Conclusion GA related mortality is very high in Butembo. Improved GA services and outcomes can be obtained by training more anaesthesia providers, proper patients monitoring, improved infrastructure, better equipment and drugs procurement and considering regional anaesthesia whenever possible.

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Lumbar spine instrumented fusion surgery under spinal anaesthesia versus general anaesthesia-A retrospective study of 239 cases

Journal of Clinical Orthopaedics and Trauma ◽

10.1016/j.jcot.2021.04.026 ◽

2021 ◽

Author(s):

Saikat Sarkar ◽

Aditi Banerji ◽

Arindam Chattopadhyaya ◽

Sitikantha Banerjee

Keyword(s):

Retrospective Study ◽

Lumbar Spine ◽

General Anaesthesia ◽

Spinal Anaesthesia ◽

Fusion Surgery ◽

Instrumented Fusion

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P.105 Survey of drugs used in obstetric emergency general anaesthesia in South Yorkshire Teaching Hospitals

International Journal of Obstetric Anesthesia ◽

10.1016/j.ijoa.2021.103103 ◽

2021 ◽

Vol 46 ◽

pp. 103103

Author(s):

R.H. Hawes ◽

R. Harrold ◽

SHARC Group ◽

E. Cromarty

Keyword(s):

General Anaesthesia ◽

Teaching Hospitals ◽

Obstetric Emergency

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Limb fracture during recovery from general anaesthesia : an often tragic complication of equine anaesthesia : clinical communication

Journal of the South African Veterinary Association ◽

10.4102/jsava.v79i3.262 ◽

2008 ◽

Vol 79 (3) ◽

Cited By ~ 2

Author(s):

T.B. Dzikiti ◽

L. Bester ◽

I. Cilliers ◽

A. Carstens ◽

G.F. Stegmann ◽

...

Keyword(s):

Case Report ◽

General Anaesthesia ◽

Arthroscopic Surgery ◽

Sesamoid Bone ◽

Clinical Communication ◽

Limb Fracture ◽

Metatarsal Bones ◽

Anaesthetic Procedure ◽

Related Mortality

A 10-year-old Thoroughbred mare was presented for lameness of the left hindlimb as a result of an apical fracture of the lateral proximal sesamoid bone. The mare was ultimately euthanased after suffering catastrophic fractures of the 3rd and 4th metatarsal bones of the contra-lateral hindlimb during an uncoordinated attempt to rise during recovery from general anaesthesia after undergoing arthroscopic surgery. The case report focuses mostly on horse anaesthesia-related mortality, anaesthetic procedure in the horse, possible causes of fractures in horses during recovery and ways in which rate of occurrence of these fractures can be minimised.

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Validation and modification of existing mortality prediction model for lower gastrointestinal bleeding: A retrospective study

10.21203/rs.3.rs-701789/v1 ◽

2021 ◽

Author(s):

Hyun Suk Lee ◽

Hee Seok Moon ◽

In Sun Kwon ◽

Hyun Yong Jeong ◽

Byung Seok Lee ◽

...

Keyword(s):

Retrospective Study ◽

Confidence Interval ◽

Gastrointestinal Bleeding ◽

Scoring System ◽

Vital Signs ◽

International Normalized Ratio ◽

Mortality Prediction ◽

Lower Gastrointestinal Bleeding ◽

Operating Characteristics ◽

Related Mortality

Abstract Background Lower gastrointestinal bleeding (LGIB) often subsides by itself; however, in some cases, the bleeding does not stop and the patient’s condition worsens. Therefore, if the occurrence of severe lower gastrointestinal bleeding can be predicted in advance, it can be helpful for treatment. This study aimed to evaluate variables related to mortality from LGIB and to propose a scoring system. Methods This retrospective study reviewed the medical records of patients who visited the emergency room with hematochezia between January 2016 and December 2020. Through regression analysis of vital signs, laboratory investigations, and hospital stay, variables related to LGIB-related mortality were evaluated. A scoring system was developed, and the appropriateness with an area under the receiver operating characteristics curve (AUROC) was evaluated and compared with other existing models. Results A total of 932 patients were hospitalized for LGIB. Variables associated with LGIB-related mortality were the presence of cancer, heart rate of > 100 beats/min, blood urea nitrogen level of ≥ 30 mg/dL, an international normalized ratio of > 1.50, and albumin level of ≤ 3.0 g/dL. The AUROCs of CNUH-4 and CNUH-5 were 0.890 (p < 0.001; cutoff, 2.5; 95% confidence interval, 0.0851 − 0.929) and 0.901 (p < 0.001; cutoff, 3.5; 95% confidence interval, 0.869 − 0.933), respectively. Conclusions The model developed for predicting the risk of LGIB-related mortality is simple and easy to apply clinically. The AUROC of the model was better than that of the existing models.

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