scholarly journals Use of Spinal Anaesthesia in Neonates and Infants in Antananarivo, Madagascar: A Retrospective Descriptive Study

2020 ◽  
Author(s):  
Harifetra Mamy Richard Randriamizao ◽  
Aurelia Rakotondrainibe ◽  
Lova Dany Ella Razafindrabekoto ◽  
Prisca Funken Ravoaviarivelo ◽  
Andriambelo Tovohery Rajaonera ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Low Cost ◽  
Perioperative Period ◽  
University Hospital ◽  
Hyperbaric Bupivacaine ◽  
Data Files ◽  
Male Sex ◽  
Neonates And Infants ◽  
The University ◽  
Perioperative Risks

Abstract Objective : The aim of this study was to present the first cases of spinal anesthesia, in newborns and infants, preterms / ex-prematures, in order to determine its feasibility and its potential harmlessness, in Antananarivo – Madagascar. Indeed, spinal anesthesia is a low cost technique and can limit respiratory complications, postoperative apnea a contrario with pediatric general anesthesia which can lead to perioperative risks. Results : In a retrospective, descriptive, seven-year (2013 to 2019) period study, conducted in the University Hospital Joseph Ravoahangy Andrianavalona, data files of 69 babies planned to have spinal anesthesia were recorded. These pediatric patients were predominantly male (sex ratio = 2.8) and 37 [28 - 52] days old. The smallest anesthetized child weighed 880g; the youngest was 4 days old. Twenty-seven (27) of them were premature and 20.3% presented respiratory diseases. They were mostly scheduled for hernia repair (90%). Spinal anesthesia was performed, with a Gauge 25 Quincke spinal needle, after 2 [1 - 2] attempts with hyperbaric bupivacaine of 4 [3.5 - 4] mg. Failure rate was 5.8%. The heart rate was stable throughout perioperative period and no complications were observed.

scholarly journals Use of Spinal Anaesthesia in Neonates and Infants in Antananarivo, Madagascar: A Retrospective Descriptive Study

2020 ◽  
Author(s):  
Harifetra Mamy Richard Randriamizao ◽  
Aurelia Rakotondrainibe ◽  
Lova Dany Ella Razafindrabekoto ◽  
Prisca Funken Ravoaviarivelo ◽  
Andriambelo Tovohery Rajaonera ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Low Cost ◽  
Perioperative Period ◽  
University Hospital ◽  
Hyperbaric Bupivacaine ◽  
Data Files ◽  
Male Sex ◽  
Neonates And Infants ◽  
The University ◽  
Perioperative Risks

Abstract Objective: The aim of this study was to present the first cases of spinal anesthesia, in newborns and infants, preterm / ex-prematures, in order to determine its feasibility and its potential harmlessness, in Antananarivo – Madagascar. Indeed, spinal anesthesia is a low cost technique and can limit respiratory complications, postoperative apnea a contrario with pediatric general anesthesia which can lead to perioperative risks.Results: In a retrospective, descriptive, seven-year (2013 to 2019) period study, conducted in the University Hospital Joseph Ravoahangy Andrianavalona, 69 patients’ data files planned to have spinal anesthesia were recorded. These pediatric patients were predominantly male (sex ratio = 2.8) and 37 [28 - 52] days old. The smallest anesthetized child weighed 880g; the youngest was 4 days old. Twenty-seven (27) of them were premature and 20.3% presented respiratory diseases. They were mostly scheduled for hernia repair (90%). Spinal anesthesia was performed, with a Gauge 25 Quincke spinal needle, after 2 [1 - 2] attempts with hyperbaric bupivacaine of 4 [3.5 - 4] mg. Failure rate was 5.8%. The heart rate was stable throughout perioperative period and no complications were observed.

scholarly journals Use of spinal anaesthesia in neonates and infants in Antananarivo, Madagascar: a retrospective descriptive study

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Harifetra M. R. Randriamizao ◽  
Aurélia Rakotondrainibe ◽  
Lova D. E. Razafindrabekoto ◽  
Prisca F. Ravoaviarivelo ◽  
Andriambelo T. Rajaonera ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Low Cost ◽  
Perioperative Period ◽  
University Hospital ◽  
Hyperbaric Bupivacaine ◽  
Data Files ◽  
Male Sex ◽  
Neonates And Infants ◽  
The University ◽  
Perioperative Risks

Abstract Objective The aim of this study was to present the first cases of spinal anesthesia, in newborns and infants, preterm/ex-prematures, in order to determine its feasibility and its potential harmlessness, in Antananarivo—Madagascar. Indeed, spinal anesthesia is a low cost technique and can limit respiratory complications, postoperative apnea a contrario with pediatric general anesthesia which can lead to perioperative risks. Results In a retrospective, descriptive, 7-year (2013 to 2019) period study, conducted in the University Hospital Joseph Ravoahangy Andrianavalona, 69 patients’ data files planned to have spinal anesthesia were recorded. These pediatric patients were predominantly male (sex ratio = 2.8) and 37 [28–52] days old. The smallest anesthetized child weighed 880 g; the youngest was 4 days old. Twenty-seven (27) of them were premature and 20.3% presented respiratory diseases. They were mostly scheduled for hernia repair (90%). Spinal anesthesia was performed, with a Gauge 25 Quincke spinal needle, after 2 [1–2] attempts with hyperbaric bupivacaine of 4 [3.5–4] mg. Failure rate was 5.8%. The heart rate was stable throughout perioperative period and no complications were observed.

scholarly journals Use of Spinal Anaesthesia In Neonates And Infants In Antananarivo, Madagascar: A Retrospective Descriptive Study  

2020 ◽  
Author(s):  
Harifetra Mamy Richard Randriamizao ◽  
Aurelia Rakotondrainibe ◽  
Lova Dany Ella Razafindrabekoto ◽  
Prisca Funken Ravoaviarivelo ◽  
Andriambelo Tovohery Rajaonera ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Low Cost ◽  
Perioperative Period ◽  
University Hospital ◽  
Hyperbaric Bupivacaine ◽  
Data Files ◽  
Male Sex ◽  
Neonates And Infants ◽  
The University ◽  
Perioperative Risks

Abstract Objective: The aim of this study was to present the first cases of spinal anesthesia, in newborns and infants, preterm / ex-prematures, in order to determine its feasibility and its potential harmlessness, in Antananarivo – Madagascar. Indeed, spinal anesthesia is a low cost technique and can limit respiratory complications, postoperative apnea a contrario with pediatric general anesthesia which can lead to perioperative risks. Results: In a retrospective, descriptive, seven-year (2013 to 2019) period study, conducted in the University Hospital Joseph Ravoahangy Andrianavalona, 69 patients’ data files planned to have spinal anesthesia were recorded. These pediatric patients were predominantly male (sex ratio = 2.8) and 37 [28 - 52] days old. The smallest anesthetized child weighed 880g; the youngest was 4 days old. Twenty-seven (27) of them were premature and 20.3% presented respiratory diseases. They were mostly scheduled for hernia repair (90%). Spinal anesthesia was performed, with a Gauge 25 Quincke spinal needle, after 2 [1 - 2] attempts with hyperbaric bupivacaine of 4 [3.5 - 4] mg. Failure rate was 5.8%. The heart rate was stable throughout perioperative period and no complications were observed.

scholarly journals Use Of Spinal Anaesthesia In Neonates And Infants In Antananarivo, Madagascar: A Retrospective Descriptive Study 

2020 ◽  
Author(s):  
Harifetra Mamy Richard Randriamizao ◽  
Aurelia Rakotondrainibe ◽  
Lova Dany Ella Razafindrabekoto ◽  
Prisca Funken Ravoaviarivelo ◽  
Andriambelo Tovohery Rajaonera ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Low Cost ◽  
Perioperative Period ◽  
University Hospital ◽  
Hyperbaric Bupivacaine ◽  
Data Files ◽  
Male Sex ◽  
Neonates And Infants ◽  
The University ◽  
Perioperative Risks

Abstract Objective : The aim of this study was to present the first cases of spinal anesthesia, in newborns and infants, preterm / ex-prematures, in order to determine its feasibility and its potential harmlessness, in Antananarivo – Madagascar. Indeed, spinal anesthesia is a low cost technique and can limit respiratory complications, postoperative apnea a contrario with pediatric general anesthesia which can lead to perioperative risks. Results : In a retrospective, descriptive, seven-year (2013 to 2019) period study, conducted in the University Hospital Joseph Ravoahangy Andrianavalona, 69 patients’ data files planned to have spinal anesthesia were recorded. These pediatric patients were predominantly male (sex ratio = 2.8) and 37 [28 - 52] days old. The smallest anesthetized child weighed 880g; the youngest was 4 days old. Twenty-seven (27) of them were premature and 20.3% presented respiratory diseases. They were mostly scheduled for hernia repair (90%). Spinal anesthesia was performed, with a Gauge 25 Quincke spinal needle, after 2 [1 - 2] attempts with hyperbaric bupivacaine of 4 [3.5 - 4] mg. Failure rate was 5.8%. The heart rate was stable throughout perioperative period and no complications were observed.

scholarly journals Use Of Spinal Anaesthesia In Neonates And Infants In Antananarivo, Madagascar: A Retrospective Descriptive Study 

2020 ◽  
Author(s):  
Harifetra Mamy Richard Randriamizao ◽  
Aurelia Rakotondrainibe ◽  
Lova Dany Ella Razafindrabekoto ◽  
Prisca Funken Ravoaviarivelo ◽  
Andriambelo Tovohery Rajaonera ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Low Cost ◽  
Perioperative Period ◽  
University Hospital ◽  
Hyperbaric Bupivacaine ◽  
Data Files ◽  
Male Sex ◽  
Neonates And Infants ◽  
The University ◽  
Perioperative Risks

Abstract Objective: The aim of this study was to present the first cases of spinal anesthesia, in newborns and infants, preterm / ex-prematures, in order to determine its feasibility and its potential harmlessness, in Antananarivo – Madagascar. Indeed, spinal anesthesia is a low cost technique and can limit respiratory complications, postoperative apnea a contrario with pediatric general anesthesia which can lead to perioperative risks. Results: In a retrospective, descriptive, seven-year (2013 to 2019) period study, conducted in the University Hospital Joseph Ravoahangy Andrianavalona, 69 patients’ data files planned to have spinal anesthesia were recorded. These pediatric patients were predominantly male (sex ratio = 2.8) and 37 [28 - 52] days old. The smallest anesthetized child weighed 880g; the youngest was 4 days old. Twenty-seven (27) of them were premature and 20.3% presented respiratory diseases. They were mostly scheduled for hernia repair (90%). Spinal anesthesia was performed, with a Gauge 25 Quincke spinal needle, after 2 [1 - 2] attempts with hyperbaric bupivacaine of 4 [3.5 - 4] mg. Failure rate was 5.8%. The heart rate was stable throughout perioperative period and no complications were observed.

scholarly journals First Realizations of Spinal Anesthesia in Neonates and Infants - Preterms or Ex prematures - in Antananarivo, Madagascar

2020 ◽  
Author(s):  
Harifetra Mamy Richard Randriamizao ◽  
Aurelia Rakotondrainibe ◽  
Lova Dany Ella Razafindrabekoto ◽  
Prisca Funken Ravoaviarivelo ◽  
Andriambelo Tovohery Rajaonera ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Pediatric Patients ◽  
Low Cost ◽  
Perioperative Period ◽  
University Hospital ◽  
Hyperbaric Bupivacaine ◽  
Data Files ◽  
Neonates And Infants ◽  
The University

Abstract Objective: The aim of this study was to describe the first realizations of spinal anesthesia in neonates and infants (preterms or ex prematures) in Antananarivo - Madagascar, because spinal anesthesia – a low cost technique – can limit respiratory complications and postoperative apnea and also general anesthesia can present perioperative risks for pediatric patients.Results: In a retrospective, descriptive, seven-year (2013 to 2019) period study, conducted in the University Hospital Joseph Ravoahangy Andrianavalona, data files of 69 babies planned to have spinal anesthesia were recorded. These pediatric patients were predominantly male (sex ratio = 2.8) and 37 [28 - 52] days old. The smallest anesthetized child weighed 880 g; the youngest was 4 days old. Twenty-seven (27) of them were premature and 20.3% presented respiratory diseases. They were mostly scheduled for hernia repair (97.1%). Spinal anesthesia was performed, with a Gauge 25 Quincke spinal needle, after 2 [1 - 2] attempts with hyperbaric bupivacaine of 4 [3.5 - 4] mg. Failure rate was 5.8% needing general anesthesia conversion. The heart rate was stable throughout perioperative period and no complications were observed.

Spectraplot: A PC-based spectrum translation and display program

1988 ◽  
Vol 46 ◽  
pp. 918-919
Author(s):  
H. O. Colijn
Keyword(s):  
Low Cost ◽  
Transfer Program ◽  
File Transfer ◽  
Transfer Data ◽  
Error Checking ◽  
Data Files ◽  
The University

Many labs today wish to transfer data between their EDS systems and their existing PCs and minicomputers. Our lab has implemented SpectraPlot, a low- cost PC-based system to allow offline examination and plotting of spectra. We adopted this system in order to make more efficient use of our microscopes and EDS consoles, to provide hardcopy output for an older EDS system, and to allow students to access their data after leaving the university.As shown in Fig. 1, we have three EDS systems (one of which is located in another building) which can store data on 8 inch RT-11 floppy disks. We transfer data from these systems to a DEC MINC computer using “SneakerNet”, which consists of putting on a pair of sneakers and running down the hall. We then use the Hermit file transfer program to download the data files with error checking from the MINC to the PC.

scholarly journals Costs of bariatric surgery in a teaching hospital and the financing provided by the Public Unified Health System

2010 ◽  
Vol 25 (2) ◽  
pp. 201-205 ◽  
Author(s):  
Wilson Salgado Júnior ◽  
Karoline Calfa Pitanga ◽  
José Sebastião dos Santos ◽  
Ajith Kumar Sankarankutty ◽  
Orlando de Castro e Silva Jr ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Health System ◽  
Perioperative Period ◽  
University Hospital ◽  
Retrospective Evaluation ◽  
The Public ◽  
Unified Health System ◽  
The Government ◽  
The Cost ◽  
The University

PURPOSE: Analyze the effect of some measures on the costs of bariatric surgery, adopting as reference the remuneration of the procedure provided by the Unified Health System (SUS). METHODS: A retrospective evaluation conducted in the Costs Section of the University Hospital of Ribeirão Preto, of the costs involved in the perioperative period for patients submitted to bariatric surgery from 2004 to 2007. Changes in the routines and protocols of the service aiming at the reduction of these costs during the study period were also analyzed. RESULTS: Nine patients in 2004 and seven in 2007 submitted to conventional vertical banded "Roux-en-Y" gastric bypass were studied. All patients presented good postoperative evolution. The average cost with these patients was R$ 6,845.17 in 2004. Even though an effort was made to contain expenditures, the cost in 2007 was of R$ 7,525.64 because of the increase in the price of materials and medicines. The Government remuneration of the procedure in the two years was R$ 3,259.72. CONCLUSION: Despite the adoption of diverse measures to reduce the expenditures of bariatric surgery, in fact there was an increase in the costs, a fact supporting the necessity of permanent evaluation of the financing of public health.

Symptomatic vascular complications after vascular closure device use following diagnostic and interventional catheterisation

VASA ◽  
2004 ◽  
Vol 33 (2) ◽  
pp. 78-81 ◽  
Author(s):  
Thalhammer ◽  
Aschwanden ◽  
Jeanneret ◽  
Labs ◽  
Jäger
Keyword(s):  
Current Literature ◽  
Vascular Complications ◽  
University Hospital ◽  
Closure Device ◽  
Ultrasound Guided ◽  
Vascular Closure Device ◽  
Device Use ◽  
Arterial Stenoses ◽  
The University ◽  
Stenotic Lesions

Background: Haemostatic puncture closure devices for rapid and effective hemostasis after arterial catheterisation are a comfortable alternative to manual compression. Implanting a collagen plug against the vessel wall may become responsible for other kind of vascular injuries i.e. thrombotic or stenotic lesions and peripheral embolisation. The aim of this paper is to report our clinically relevant vascular complications after Angio-Seal® and to discuss the results in the light of the current literature. Patients and methods: We report the symptomatic vascular complications in 17 of 7376 patients undergoing diagnostic or therapeutic catheterisation between May 2000 and March 2003 at the University Hospital Basel. Results: Most patients presented with ischaemic symptoms, arterial stenoses or occlusions and thrombotic lesions (n = 14), whereas pseudoaneurysms were extremely rare (n = 3). Most patients with ischaemic lesions underwent vascular surgery and all patients with a pseudoaneurysm were successfully treated by ultrasound-guided compression. Conclusions: Severe vascular complications after Angio-Seal® are rare, consistent with the current literature. There may be a shift from pseudoaneurysms to ischaemic lesions.

Sign in / Sign up

Export Citation Format

Share Document