Accidents and Incidents in the Recovering Room of the Niamey National Hospital - Abstract
Objective: To describe accidents and incidents in the recovering room of the Niamey National Hospital. Patients and method: This was a prospective study, carried out in recovering room of the central block of the Niamey National Hospital in scheduled surgery from December 15, 2021 to January 15, 2022; or a duration of one month. Were included all patients admitted to the post- interventional monitoring room after general, local regional anesthesia. The variables studied were: age, sex, history, American Society of Anesthesiologist status, type of anesthesia, type of surgery, duration, intraoperative incidents and accidents, nature of post- operative incidents and accidents . The data was studied and analyzed with Word 2017 and Epi Info 7.2 software. Results: During the study period 248 patients were included . The mean age of our patients was 29.53 years with extremes of 2 months and 83 years. The male sex predominated at 59% with a sex ratio was 1.43. Of our patients 67.34% were ASA1 and 32.66% ASA2. Surgical activities were dominated by trauma surgery with 39.88% followed by visceral surgery with 29.83%, and neurological surgery with 11.29%. General anesthesia was performed in 62.5% followed by spinal anesthesia with 37.5%. In the cardiovascular recovery room events were the most frequent with 21.13% followed by thermoregulation (12.68%) and respiratory events (8.73%). The main cardiovascular event was tachycardia with 45.09% followed by hypertension with 37.26%. Respiratory complication was dominated by desaturation with 42.30%. Agitation was the most observed complication of neurological incidents with 42.85%. In our series 0.75% of our patients had postoperative nausea and vomiting.
Conclusion: In the postoperative period complications are very frequent; it is therefore imperative to maintain increased surveillance in order to better prevent them to avoid disaster consequences.