alexa Use of Ketamine in Rural Area at the East of the Democratic Republic of the Congo (DRC) | OMICS International| Abstract
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Journal of Anesthesia & Clinical Research
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  • Research Article   
  • J Anesth Clin Res 2019, Vol 10(6): 895

Use of Ketamine in Rural Area at the East of the Democratic Republic of the Congo (DRC)

Joel Kambale Ketha1*, Michel Kalongo Ilumbulumbu2, Moise Muhindo Valimungighe3, Blaise Pascal Furaha Nzanzu4, Piet Bekaert5, Paulin Ruhatho Banguti6, Dalton Kambale Munyambalu7, Franck Katembo Sikakulya8 and Roger Eltringham9
1Department of Anesthesia and Critical Care Medicine, University of Rwanda, Republic of Rwanda, Democratic Republic of the Congo
2Department of General Surgery, Higher Institute of Medical Techniques of Beni, Beni, Democratic Republic of the Congo
3Department of General Surgery, University of ABOMEY CALAVI, Butembo, Democratic Republic of the Congo
4Department of Anesthesia and Intensive Care, College of Medicine, University of Malawi, Democratic Republic of the Congo
5Department of Anesthesia and Intensive Care, Catholic University of Graben, Belgium
6Department of Anesthesia, Critical Care Medicine and Emergency Medicine, King Faisal Hospital of Kigali, School of Medicine and Pharmacy, Rwanda
7Department of Internal Medicine, Kampala International University, Republic of Uganda, Africa
8Department of Surgery, Kampala International University, Catholic University of Graben, Republic of Uganda, Butembo, Democratic Republic of the Congo
9Safe Anesthesia Worldwide SAWW, United Kingdom
*Corresponding Author : Dr. Joel Kambale Ketha, Department of Anesthesia and Critical Care Medicine, College of Medicine, University of Rwanda, Democratic Republic of the Congo, Email: [email protected]

Received Date: May 24, 2019 / Accepted Date: Jun 12, 2019 / Published Date: Jun 19, 2019

Abstract

Introduction: Ketamine is the most commonly used agent for general anesthesia in rural hospitals in the DRC, for victims of armed conflict, in locations with few resources, equipment, medicines, and in opportunities to transfer patients who are very ill. The object of this study was to evaluate the use of general anesthesia with ketamine in the working conditions of the East of the Democratic Republic of the Congo.

Methodology: This was a retrospective and descriptive study conducted at the Referral Health Center Eringeti, in the east of the DRC from 1st January to 31st December 2017.

Results: 771 patients underwent general anesthesia with ketamine. Females were more represented (85.86%). The average age of the operated was 30 ± 5 years. 97.4% of the operated patients were classified as ASA II and the intermediate surgical risk was more represented in 82.9%. Caesareans section represented 80.5% of cases. The operating room staff had no doctor or nurse anesthetist. The adverse effects of ketamine recorded were arterial hypertension, salivary hyper secretion and respiratory distress respectively in 10.2%, 5.5% and 4.8% of cases. 30.8% of the patients were agitated on awakening and 22.6% had hallucinations. No deaths were recorded.

Conclusion: Ketamine remains the most used anesthetic in rural areas with a shortage of qualified personnel and insufficient equipment.

Keywords: Ketamine; Rural areas; Eastern; DRC

Citation: Ketha JK, Ilumbulumbu MK, Valimungighe MM, Nzanzu BPF, Bekaert P, et al. (2019) Use of Ketamine in Rural Area at the East of the Democratic Republic of the Congo (DRC). J Anesth Clin Res 10: 895.

Copyright: © 2019 Ketha JK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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