PAS VERS UNE PRATIQUE DE L’ANESTHESIE DURABLE (ANESTHESIE VERTE) DANS LES PAYS A FAIBLES REVENUS : EXPERIENCE DU CENTRE MEDICAL DIAMANT DE LUBUMBASHI EN RD CONGO.
Keywords:
Anesthesia, Sustainable, Diamond Medical Center, DR Congo.Abstract
Objective: this work aims to deliver the experience of a private structure in the practice of sustainable anesthesia while drawing inspiration from the European model.
Methodology: This is a descriptive pilot study in the form of a three-day survey (from November 23 to 25, 2022) comparing our practice to the standards and recommendations set by the European consensus on the sustainable practice of anesthesia. The independent variables recognized as parameters of long-lasting anesthesia were: the average volume of anesthetic gas used per patient, the Benchmark of anesthetic gases per surgery, the types of anesthetic gases, the type of circuit-machine, the other alternatives to the general anesthesia, air cleaning after gas use, gas analyzer as well as carbon monitoring in the operating room with a carbon neutralization system. A simple questionnaire developed on the basis of recommendations from the European campaign for the practice of sustainable anesthesia as well as eco-design in anesthesia.
Data processing and analysis: for this simple descriptive study, the Excel software allowed us to process and identify the means and standard deviations.
Results: loco regional anesthesia is the most practiced at the CMDL, the minimum alveolar concentrations are used according to the standards isoflurane and sevoflurane are the gases used without association of nitrous oxide the closed circuit is used with a cleaning system of air and a gas analyzer. On the other hand, the system for measuring carbon as well as the techniques for its neutralization are not yet
Conclusion: The practice of sustainable anesthesia even in countries with limited resources is possible without many constraints. This work shows that with a little will we can reduce the effects of anesthetic gas pollution and sustainably join the fight against global warming.
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