[Loco-regional anesthesia practices in 1261 cases]

Area of Science:

• Anesthesiology
• Surgical Practice
• Patient Safety

Context:

• Loco-regional anesthesia (LRA) is a critical component of surgical care.
• Assessing the safety and efficacy of LRA is essential for improving patient outcomes.
• The University Hospital Center of Point G serves as a key medical facility in its region.

Purpose:

• To evaluate the practice of loco-regional anesthesia (LRA) at the University Hospital Center of Point G between 2004 and 2008.
• To identify the types of surgeries, anesthetic techniques, and patient demographics associated with LRA.
• To analyze the incidence and types of adverse events and complications related to LRA.

Summary:

• A retrospective study analyzed 1261 cases of LRA (8.30% of total surgeries) from 2004-2008.
• Spinal anesthesia (87.60%) was predominant, mainly for prostatic adenomectomy and cesarean sections.
• 24% of patients experienced adverse events, including hypotension (94.40%) and bradycardia (4.60%), with 3 fatal cardiac arrests (0.024‰).
• Patients over 60 and those receiving spinal anesthesia had significantly higher adverse event rates (p <0.05).

Impact:

• Findings highlight the need for enhanced monitoring and risk management strategies for LRA, particularly in elderly patients and those undergoing spinal anesthesia.
• The study provides valuable data for refining LRA protocols and improving patient safety in similar healthcare settings.
• Understanding LRA practice patterns and associated risks can inform clinical decision-making and resource allocation.