@article{10.11648/j.ijacm.20231102.19,
  author = {Jean de Dieu Muamba and Wilfrid Mbombo and Christian Nantulu and Gibency Mfulani and Raphael Mubunda and Didier Kandongo and Eric Landu and Didier Mayemba and Arthur Isamba and Etienne Ngombe and Ivan Ebondo and Gabriel Makeya and Augustin Bananga and Sylvain Kabudisa and Gauthier Ngiay and Antoine Tshimpi and Alex Ngalala and Berthe Barahiga},
  title = {Inventory of the Practice of Sedation Procedural Analgesia in Digestive Endoscopy: Case of Hospitals in the City of Kinshasa},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {11},
  number = {2},
  pages = {106-114},
  doi = {10.11648/j.ijacm.20231102.19},
  url = {https://doi.org/10.11648/j.ijacm.20231102.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20231102.19},
  abstract = {Objective: This study was conducted to take stock of the practice of procedural analgesia sedation in digestive endoscopy in Kinshasa hospitals. Methods: This is a cross-sectional study from 06/01/2021 to 06/30/2022 in three Kinshasa hospitals in patients who received sedation analgesia for digestive endoscopy. Socio demographic, preoperative, postoperative variables and complications were sought, analyzed with SPSS 23.0 for Results: Four hundred and seven patients were selected; the mean age was 48.069 years (range 2 to 90). The M/F sex ratio was 1.04. The pre-anaesthetic consultation was done the same day in 41.5%, the comorbidities were: arterial hypertension (27%), obesity (4.9%), diabetes (4.2%) and heart disease (3.2%). Pre-anesthetic examinations were prescribed in 70.3%, pre-anesthetic fasting was respected in 95.8%. Mallampati's grade was I (69.8%), II (23.1%) and III (7.1%). ASA classes I and II accounted for 89.7%. Pre oxygenation was done in 96.6% of patients. The products used were: propofol (98.8% for an average dose of 228.11 mg), midazolam (5.4% average dose of 1.53mg), ketamine (4.2% the average dose of 9.6mg), fentanyl (32.7% mean dose of 38.66μg), sufentanil (9.2% mean dose of 3.86μg) and haloperidol (7.6%). The endoscopy performed was high (56.8%), low (25.3%) and combined (16.5%). The procedure performed was: exploration/biopsy (53.8%), exploration (23.3%), removal of the foreign body (3.4%) and haemostasis (3.2%). Complications were present in 47.7% (desaturation, cough, arterial hypotension, bradycardia, tachycardia, arterial hypertension, spasm and apnea). The high total doses of the products (fentanyl, midazolam and ketamine) were associated with complications but in multivariate analysis, persisted: the grade of Mallampati III, the ASA class IV, the duration of the procedures greater than or equal to ten minutes, endoscopy combined and the junior anesthesiologist. Conclusion: Procedural analgesia sedation in Kinshasa is increasingly practiced in gastrointestinal endoscopies. It is provided by anesthesiologists who use the same products cited in the literature but with a relatively high rate of complications.
},
 year = {2023}
}

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TY  - JOUR
T1  - Inventory of the Practice of Sedation Procedural Analgesia in Digestive Endoscopy: Case of Hospitals in the City of Kinshasa
AU  - Jean de Dieu Muamba
AU  - Wilfrid Mbombo
AU  - Christian Nantulu
AU  - Gibency Mfulani
AU  - Raphael Mubunda
AU  - Didier Kandongo
AU  - Eric Landu
AU  - Didier Mayemba
AU  - Arthur Isamba
AU  - Etienne Ngombe
AU  - Ivan Ebondo
AU  - Gabriel Makeya
AU  - Augustin Bananga
AU  - Sylvain Kabudisa
AU  - Gauthier Ngiay
AU  - Antoine Tshimpi
AU  - Alex Ngalala
AU  - Berthe Barahiga
Y1  - 2023/11/21
PY  - 2023
N1  - https://doi.org/10.11648/j.ijacm.20231102.19
DO  - 10.11648/j.ijacm.20231102.19
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 106
EP  - 114
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20231102.19
AB  - Objective: This study was conducted to take stock of the practice of procedural analgesia sedation in digestive endoscopy in Kinshasa hospitals. Methods: This is a cross-sectional study from 06/01/2021 to 06/30/2022 in three Kinshasa hospitals in patients who received sedation analgesia for digestive endoscopy. Socio demographic, preoperative, postoperative variables and complications were sought, analyzed with SPSS 23.0 for Results: Four hundred and seven patients were selected; the mean age was 48.069 years (range 2 to 90). The M/F sex ratio was 1.04. The pre-anaesthetic consultation was done the same day in 41.5%, the comorbidities were: arterial hypertension (27%), obesity (4.9%), diabetes (4.2%) and heart disease (3.2%). Pre-anesthetic examinations were prescribed in 70.3%, pre-anesthetic fasting was respected in 95.8%. Mallampati's grade was I (69.8%), II (23.1%) and III (7.1%). ASA classes I and II accounted for 89.7%. Pre oxygenation was done in 96.6% of patients. The products used were: propofol (98.8% for an average dose of 228.11 mg), midazolam (5.4% average dose of 1.53mg), ketamine (4.2% the average dose of 9.6mg), fentanyl (32.7% mean dose of 38.66μg), sufentanil (9.2% mean dose of 3.86μg) and haloperidol (7.6%). The endoscopy performed was high (56.8%), low (25.3%) and combined (16.5%). The procedure performed was: exploration/biopsy (53.8%), exploration (23.3%), removal of the foreign body (3.4%) and haemostasis (3.2%). Complications were present in 47.7% (desaturation, cough, arterial hypotension, bradycardia, tachycardia, arterial hypertension, spasm and apnea). The high total doses of the products (fentanyl, midazolam and ketamine) were associated with complications but in multivariate analysis, persisted: the grade of Mallampati III, the ASA class IV, the duration of the procedures greater than or equal to ten minutes, endoscopy combined and the junior anesthesiologist. Conclusion: Procedural analgesia sedation in Kinshasa is increasingly practiced in gastrointestinal endoscopies. It is provided by anesthesiologists who use the same products cited in the literature but with a relatively high rate of complications.

VL  - 11
IS  - 2
ER  - 

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