Feasibility of a ketamine anesthesia package in support of obstetric and gynecologic procedures in Kenya when no anesthetist is available
African Journal of Reproductive Health
;
23(1): 37-45, 2019. ilus
Article
in English
| AIM
| ID: biblio-1258523
ABSTRACT
The objective was to assess the feasibility and safety of the _Every Second Matters for Emergency and Essential Surgery Ketamine' (ESM-Ketamine) package in support of obstetric and gynecologic emergency and essential surgery when no anesthetist is available. A consecutive case series was conducted in twelve hospitals across five severely resource-limited counties in Kenya. 530 women underwent obstetric or gynecological operative procedures supported by non-anesthetist clinicians using the ESM-Ketamine package between November 1, 2013 and September 30, 2017. Main outcomes included reasons for ESM-Ketamine activations and ketamine-related adverse events. There were two (0.4%) prolonged (>30 seconds) oxygen desaturations below 92%. Brief oxygen desaturations (<30 seconds) below 92% occurred in 15 (2.8%) cases and 113 (21.3%) were administered diazepam to treat hallucinations or agitation. There were no ketamine-related deaths or injuries. The ESM-Ketamine package appears feasible and safe for use in support of obstetric and gynecologic surgeries when no anesthetist is available
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Index:
AIM (Africa)
Main subject:
Obstetrics and Gynecology Department, Hospital
/
Gynecology
/
Anesthesia
/
Kenya
/
Ketamine
/
Obstetrics
Country/Region as subject:
Africa
Language:
English
Journal:
African Journal of Reproductive Health
Year:
2019
Type:
Article
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