Abstract: Objective: To make an inventory of anesthesia used during caesarean section in an urban medical center with surgical antenna in Bobo-Dioulasso. Patients and methods: This was a descriptive and retrospective study covering the year 2013. It concerned all women who delivered by caesarean section at Dafra, an urban district hospital. The caesarean indications were classified into extreme emergency, real/absolute emergency, delayed emergency and scheduled caesarean section. We reviewed medical records to extract data. Then analysis was performed with Excel 2000 Software. Results: A total of 291 operated women were collected, which represented 50% of the surgical activity of this hospital; 97.6% were performed in emergency. Half were extreme emergencies (50.2%) followed by real emergencies (34.7%) and delayed emergencies (12.7%), scheduled caesareans sections representing 2.4%. General anesthesia (69%) and spinal anesthesia (31%) were the two techniques practiced during cesareans sections in this center. According to nurses specialized in anesthesia, spinal anesthesia was less common because of the following reasons: surgeons put pressure on them, fear of hypotension during spinal anesthesia, absence of a physician anesthetist in the team, lack of training on spinal anesthesia. Conclusion: The regional anesthesia is the choice technique during all caesarean sections. It is advantageous for the mother and fetus and should be practiced even in district hospitals.Abstract: Objective: To make an inventory of anesthesia used during caesarean section in an urban medical center with surgical antenna in Bobo-Dioulasso. Patients and methods: This was a descriptive and retrospective study covering the year 2013. It concerned all women who delivered by caesarean section at Dafra, an urban district hospital. The caesarean ind...Show More
Abstract: Intravascular hemolysis, particularly blackwater fever is a rare but severe clinical syndrome, occurring after ingestion of antimalarials. Diagnosis relies on clinical symptoms and on the color of the urines. A resurgence of this affection which occurred frequently during the colonization has lately been noticed. We report a case of blackwater fever complicated with severe renal failure and severe acute hemolysis having evolved favorably with modest resuscitation means. A 16 year teenager from Burkina Faso, who regularly takes quinine to treat malaria presumptive access, presented the waning of an undocumented malaria, fever, consciousness disorders, anemia, jaundice and blackish urine. The thick drop, blood cultures and urine cultures were negative. Biology revealed leukocytosis 14,000/mm3, anemia in 6.5 g/dL, total bilirubin 80 μmol/L and kidney failure at 13 mmol/L of azotemia and 700 μmol/L creatinine. The evolution was favorable after a modest resuscitation. Blackwater fever still exists in our daily practice. We need to think about in front of sudden onset of hemolysis and acute renal failure with dark-red colored urine during treatment of malaria. We are facing an issue thus a rational use of antimalarials is necessary.Abstract: Intravascular hemolysis, particularly blackwater fever is a rare but severe clinical syndrome, occurring after ingestion of antimalarials. Diagnosis relies on clinical symptoms and on the color of the urines. A resurgence of this affection which occurred frequently during the colonization has lately been noticed. We report a case of blackwater feve...Show More
