Epidemio-clinical profile of patients seen in preanesthesia consultation at the CHU-IOTA
Authors: Sogodogo C ,   University Hospital Center of the Institute of Tropical Ophthalmology of Africa, Boulevard du Peuple, Bamako Mali, Coulibaly M , Tall A , Ba K , Touré O , Dembelé E , Kokodjou B , Toure AI , Coulibaly B , Tembiné K , Ouattara K , Kaloga MA , Diallo S , Saye G , Ameimoune AH , Mangané M , Dembélé AS ,   University Hospital Center of the Institute of Tropical Ophthalmology of Africa, Boulevard du Peuple, Bamako Mali,   University Hospital Center of the Institute of Tropical Ophthalmology of Africa, Boulevard du Peuple, Bamako Mali,   University Hospital Center of the Institute of Tropical Ophthalmology of Africa, Boulevard du Peuple, Bamako Mali,   University Hospital Center of the Institute of Tropical Ophthalmology of Africa, Boulevard du Peuple, Bamako Mali,   University Hospital Center of the Institute of Tropical Ophthalmology of Africa, Boulevard du Peuple, Bamako Mali,   University Hospital Center of the Institute of Tropical Ophthalmology of Africa, Boulevard du Peuple, Bamako Mali,   University Hospital Center of the Institute of Tropical Ophthalmology of Africa, Boulevard du Peuple, Bamako Mali,   University Hospital Center of the Institute of Tropical Ophthalmology of Africa, Boulevard du Peuple, Bamako Mali,   Anaesthesia and Resuscitation Department, Mali Hospital University Hospital,   Reference health centre of commune II,   San Reference Health Centre, Mali,   University Hospital Center of the Institute of Tropical Ophthalmology of Africa, Boulevard du Peuple, Bamako Mali,   University Hospital Center of the Institute of Tropical Ophthalmology of Africa, Boulevard du Peuple, Bamako Mali,   Department of Anaesthesia, Resuscitation and Emergencies Gabriel Touré University Hospital,   Department of Anaesthesia, Resuscitation and Emergencies Gabriel Touré University Hospital,   University Hospital Center of the Institute of Tropical Ophthalmology of Africa, Boulevard du Peuple, Bamako Mali
Published: August 2024

The first descriptions of the anaesthesia consultation date back nearly 50 years in Anglo-Saxon countries. These consultations were limited to certain high-risk patients or sensitive procedures. The important element in the risk assessment is that it goes far beyond the simple pre-anesthetic visit. Anaesthesia for ophthalmological surgery is scheduled, sometimes semi-urgent, which facilitates remote anaesthesia consultation This was a retrospective and descriptive study over a year: from January 2019 to December 2019 on all patients seen in anaesthesia consultation. The variables measured were sociodemographic data and anesthetic evaluation data. During the study period, 2092 patients were consulted in anesthesia for ophthalmological surgery. The mean age was 50.27 with extremes of 1 and 104 years. The male sex predominated with 51% and a sex ratio of 1.04. In the adult series, the age group from 61 to 75 years old was the most represented with 42% in the children's group, 0 to 2 years old predominated with 34.6%. The household profession was in the majority with 36.3%; Cataract surgery was the surgical indication in 78.3% of patients. Hypertension was the most common medical history with 23.30%, followed by diabetes with 1.70%. Blood glucose, prothrombin level and activated cephalin time were performed in 94.7% of patients. This assessment was not necessary for 5.3%. Patients were classified ASA1: 60% of cases; ASA2: 30%. The anaesthesia technique proposed was peribulbar in 84.2%; general anaesthesia in 15.8% of cases. A specialized consultation in pediatrics was requested in 2% of patients, 1.30% in diabetology and 1.20% in cardiology. In many cases, the anaesthesia consultation has enabled us to suspect diabetes or hypertension in patients and to refer them for treatment. Keywords: Preanesthetic, Ophthalmology, ASA, Mali.