Peroperatory Function of Anesthesist A Nurse in Vascular Filling in Benin and Togo - Abstract
Objectives: The problem is: what is the role of the nurse anesthetist in decision making in the management of optimization of vascular filling, in ASA patients 2 to 4 benefiting from moderate to heavy surgery? The main research hypothesis is that nurse anesthetists do not participate very much. The objective is to make an inventory of the decision making in the framework of the optimization of the filling.
Materials and methods: A sample of 71 participants was surveyed, using a questionnaire composed of 22 questions, in paper format, distributed in public, private and religious institutions in Benin and Togo.
Results: 63% of the sample has more than 7 years of seniority in the profession, practices a moderate filling at 85% influenced mainly by the recommendations and they estimate at 93% their filling strategy. This strategy aims to prevent hemodynamic instability to 93%. In addition, they are 81% to be autonomous on filling and to participate in decision making.
Conclusion: It is clear from our sample that most nurse anesthetists participate in decision-making. However, the knowledge of the fields within their competences and knowledge related to optimization of filling, necessary for decision-making seem inconstant.