title: [Perioperative management of emergency abdominal surgery in adult patients at the Aristide Le Dantec University Hospital].
abstract: Perioperative management of emergency abdominal surgery remains a major concern for anesthesiologists due to hemodynamic and/or metabolic disorders often present preoperatively as well as to potential postoperative complications. This study aims to evaluate the epidemiological, diagnostic, therapeutic and prognostic factors of abdominal emergencies. We conducted a retrospective descriptive study involving patients over 16 years old undergoing emergency abdominal surgery at the Aristide Le Dantec University Hospital over a period of six months. The parameters studied were the epidemiological, diagnostic, therapeutic and prognostic factors of emergency abdominal surgery. We collected 161 cases, nearly 20% of the activity in the department. The average age was 41 years [16, 80 years]. The sex ratio was 2.9. The mean consultation time was 4.6 days. Peritonitis was the most frequent pathologies (25.5%). The average heart rate in patients was 92 bpm (beats/ min) and 97 bpm in patients who underwent preoperative hemodynamic preparation. The average Mean Arterial Pressure (MAP) was 96.6 mmHg and 86.1 mmHg in prepared patients. 49.1% of patients were ASA class 1, 39.9% were ASA2, 8.7% ASA3, 2.5% ASA4 and 0.6% ASA5. Antibiotic prophylaxis was used in 46.30% of patients and 53.41% of them underwent antibiotic therapy. 95.6% of patients underwent general anesthesia and 4.4% underwent spinal anesthesia. The frequency of perioperative incidents was 11.08%. Morbidity was 4.3% and mortality was 4.96%. The management of emergency abdominal surgery requires a multidisciplinary approach that involves anesthetists, surgeons and biologists to further reduce morbidity and mortality rate which remains significant even today.
authors: Service d'Anesthésie-Réanimation CHU Le Dantec, Faculté de Médecine UCAD, Dakar, Sénégal.
authors: Ibrahima
authors: I
authors: Gaye
authors: Service d'Anesthésie-Réanimation CHU Le Dantec, Faculté de Médecine UCAD, Dakar, Sénégal.
authors: Pape Alassane
authors: PA
authors: Leye
authors: Service d'Anesthésie-Réanimation HEAR de Fann, Faculté de Médecine UCAD, Dakar, Sénégal.
authors: Mamadou Mour
authors: MM
authors: Traoré
authors: Service d'Anesthésie-Réanimation CHU Le Dantec, Faculté de Médecine UCAD, Dakar, Sénégal.
authors: Pape Ibrahima
authors: PI
authors: Ndiaye
authors: Service d'Anesthésie-Réanimation CHU Le Dantec, Faculté de Médecine UCAD, Dakar, Sénégal.
authors: El Hadji Boubacar
authors: EH
authors: Ba
authors: Service d'Anesthésie-Réanimation CHU Le Dantec, Faculté de Médecine UCAD, Dakar, Sénégal.
authors: Mamadou Diawo
authors: MD
authors: Bah
authors: Service d'Anesthésie-Réanimation CHU Le Dantec, Faculté de Médecine UCAD, Dakar, Sénégal.
authors: Mouhamed Lamine
authors: ML
authors: Fall
authors: Service d'Anesthésie-Réanimation CHU Le Dantec, Faculté de Médecine UCAD, Dakar, Sénégal.
authors: Elisabeth
authors: E
authors: Diouf
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General / Q000379:methods; D000775:Anesthesia, Spinal / Q000379:methods; D019072:Antibiotic Prophylaxis / Q000379:methods; D004630:Emergencies; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology*; D011379:Prognosis; D012189:Retrospective Studies; D012675:Senegal; D055815:Young Adult
keywords: Anesthesia; adult; emergency abdominal surgery; perioperative