title: [Locoregional anesthesia for pediatric surgery in remote rural settings: experience of an NGO in Bangladesh].
abstract: Performing safe pediatric anesthesia in developing countries is a technical challenge for NGOs working in remote locations. The aim of this study is to describe our experience aboard a hospital ship working off the coast of northern Bangladesh. Anesthesia protocol records for a 3-year period were retrospectively reviewed. A total of 463 procedures were performed with no severe anesthetic complications. Regional anesthesia was performed in 83% of patients. It was carried out alone in 15% of patients and in association with IV or IM ketamine sedation in 68%. General anesthesia was performed using ketamine in 17% of patients. Tracheal intubation was carried out in only 3 cases. These findings indicate that regional anesthesia in association with ketamine as sedation agent is a simple and safe technique for pediatric anesthesia in remote rural settings.
authors.affiliation: Polyclinique St Roch, Montpellier. jean-christian.sleth@wanadoo.fr
authors.forename: J C
authors.initials: JC
authors.lastname: Sleth
authors.forename: M
authors.initials: M
authors.lastname: Coulon
authors.forename: R
authors.initials: R
authors.lastname: Fesseau
authors.forename: L
authors.initials: L
authors.lastname: Rami
mesh_terms: D000758:Anesthesia / Q000379:methods*; D000778:Anesthetics, Dissociative / Q000627:therapeutic use; D001459:Bangladesh; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries; D006761:Hospitals; D006801:Humans; D007442:Intubation, Intratracheal; D007649:Ketamine / Q000627:therapeutic use; D012189:Retrospective Studies; D019035:Rural Health Services; D012767:Ships
chemical_list: D000778:Anesthetics, Dissociative; D007649:Ketamine