Pratique du bloc axillaire au CHU Sylvanus Olympio de Lomé (Togo)

Abstract

Objective: Practice of axillary block at Sylvanus Olympio Teaching Hospital Lome (Togo)
Material and Methods: Study carried out retro-prospective 1 November 2009 to October 31, 2010. After approval of the ethics committee of the hospital, medical and demographic data, type of surgery, the anesthetic protocol, incidents and accidents intraoperative and postoperative analgesia were identified.
Results: 75 patients undergoing axillary block were selected. The average age of patients was 43 ± 26 years. There was a male predominance in 70.67% of cases with a sex ratio of 2.41. In 90% of cases, this was a planned surgery. The orthopedic and trauma surgery was performed in 53.33% of cases. 54.67% of patients were classified ASAI, 34.66% ASAII and 10.67% ASAIII. Only 15 patients had pre induction of fentanyl and diazepam in 3 patients. The axillary block was performed successfully in 73.33% of cases. There were 3 cases of hypotension and bradycardia during surgery. Postoperative analgesia was performed by the Paracetamol, Nefopam associated with NSAID and sometimes Morphine titration.
Conclusion: The axillary block is a technique of regional anesthesia little used in our context despite its many advantages.

Key words : Regional local anaesthesia, axillary block, Togo.