Feasibility of a Ketamine Anesthesia Package in Support of Obstetric and Gynecologic Procedures in Kenya When No Anesthetist is Available.
Afr J Reprod Health
; 23(1): 37-45, 2019 Mar.
Article
en En
| MEDLINE
| ID: mdl-31034170
ABSTRACT
The objective was to assess the feasibility and safety of the ̳Every Second Matters for Emergency and Essential Surgery - Ketamine' (ESM-Ketamine) package in support of obstetric and gynecologic emergency and essential surgery when no anesthetist is available. A consecutive case series was conducted in twelve hospitals across five severely resource-limited counties in Kenya. 530 women underwent obstetric or gynecological operative procedures supported by non-anesthetist clinicians using the ESM-Ketamine package between November 1, 2013 and September 30, 2017. Main outcomes included reasons for ESM-Ketamine activations and ketamine-related adverse events. There were two (0.4%) prolonged (>30 seconds) oxygen desaturations below 92%. Brief oxygen desaturations (<30 seconds) below 92% occurred in 15 (2.8%) cases and 113 (21.3%) were administered diazepam to treat hallucinations or agitation. There were no ketamine-related deaths or injuries. The ESM- Ketamine package appears feasible and safe for use in support of obstetric and gynecologic surgeries when no anesthetist is available.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Urgencias Médicas
/
Anestesia
/
Ketamina
/
Anestésicos Disociativos
Límite:
Female
/
Humans
/
Pregnancy
País como asunto:
Africa
Idioma:
En
Año:
2019
Tipo del documento:
Article