EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

THE CHALLENGES REGARDING ANESTHESIA IN RURAL INFANTS

Dr. Mohammad Makbul Hossain*, Dr. Md. Bahauddin Al Mamun and Dr. Sabarin Ahamed

ABSTRACT

Background: Bangladesh, being a developing country, is a big, populous country with wide disparities in health-care standards. While cities have state-of-the-art hospitals staffed by skilled doctors, rural regions, where the majority of the population resides, suffer from a serious lack of resources. Patients and family members were characterized as being irritated, anxious, frustrated, and angry when being treated for newborns. Also, anesthesiologists expressed discomfort, unease, dissatisfaction, and feeling challenged. Objective: To evaluate the challenges regarding anesthesia in rural infants. Method: This cross-sectional study place was carried out at Bangladesh Shishu Hospital & Institute, Bangladesh where data were collected from January 2017 to January 2018. A total of 100 pediatric patients who had mainly elective surgery were included in the study. Sample were collected through purposive sampling as per inclusion criteria. Results: In our study, most of the infants belong to the 2 month-12 months age group and majority were from rural area (60%). Of them, 60% underwent general surgery followed by 15% ENT surgery, 14% cardiac surgery and 11% other surgeries. Regarding intraoperative & postoperative complications where in intraoperative complications, 75% had bradycardia followed by 15% tachycardia, 4% hypotension and 3% dysrrhythmia. Where as in post-operative complications, 28% had prolonged unconsciousness, 18% had restlessness, 15% had pain and 11% had tachycardia. Conclusion: The cornerstones of safe pediatric anesthetic practice include: careful preoperative assessment and optimization of patients, strict adherence to the ideal requirements of pediatric anesthesia and the presence of an experienced senior and dedicated anesthetic team.

Keywords: anesthesia, general surgery, infants.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )