Perioperative medicine & outcomes
Intraoperative Anesthesia-Related Critical Events in Low-Resource Hospitals During Short-Term Surgical Missions in Tanzania and Democratic Republic of the Congo: An Observational Study
Authors' conclusion
The occurrence of critical events related to anesthesia appears to be high in this study.
Study context
- Population
- All scheduled surgery patients (American Society of Anesthesiologists (ASA) I or II) during 6 surgical missions of the NGO 2nd Chance in 3 hospitals in the Democratic Republic of the Congo (DRC) and 1 in Tanzania; anesthesia by local non-physician anesthesia providers under anesthesiologist supervision192 evaluated
- Participants
- 201 participants
- Outcome
- Anesthesia-related critical events (incl. bradycardia, hypoxemia, airway management failure, equipment problems) from induction to discharge from the recovery room
Methodological detailsmulticentre, short-term surgical missions
- Multicentre
- Short-term surgical missions
Main finding
As reported in the abstract
Anesthesia-related critical events
- ≥1 critical event
- 104 (54%)
- Total critical events
- 202
- Hypoxemia (≥1 episode)
- 29% (n = 55)
- Equipment problems (oxygen supply and/or anesthesia machine failure)
- 24% (n = 46)
- Airway management issues
- 23% (n = 44)
- Bradycardia
- 6% (n = 12)
- Events requiring intervention by the anesthesiologist
- over 60%
Observational data: associations, not effects.
Original publication
Intraoperative Anesthesia-Related Critical Events in Low-Resource Hospitals During Short-Term Surgical Missions in Tanzania and Democratic Republic of the Congo: An Observational Study. Anesth Analg. Published 28 October 2024. doi:10.
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