Department of Anaesthesia and Intensive care, College of Medicine, University of Malawi, Blantyre, Malawi.
Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.
BMC Health Serv Res. 2020 Mar 30;20(1):262. doi: 10.1186/s12913-020-05076-x.
Standard monitoring during anaesthesia is a core element of patient safety and practice of safe anesthesia has reduced morbidity and mortality worldwide. The main objective of this study was to assess the practice of standard monitoring during anaesthesia in the hospitals of North Kivu, so as to establish a baseline overview of the situation, and orientate plans towards safe anaesthesia in the region.
This study was a cross-sectional survey of health facilities of the Health Antenna of Butembo in Democratic Republic of Congo and was conducted from October to December 2018. Questionnaires were brought to anaesthesia providers in the health facilities. The study included 1 answer from the anaesthesia practitioners who accepted to participate. The practices of standard monitoring in the health facilities were compared to WHO-WSFA guidelines. Data was captured and analyzed with Epi Info 7.
Forty out of 90 health facilities (44.4%) of 10 health zones responded on the questionnaire. Twenty-three health facilities (57.5%) were from private sector and 17 (42.5%) from public sector. Sixteen health facilities (40.0%) were from the Butembo health zone. The median number of anaesthesia providers was 2 per health facility. Of all the anaesthesia providers, none were physicians, 47.5% were nurses practicing anaesthesia without any training in anaesthesia and 47.5% were nurse anaesthetists. All the health facilities were providing general anaesthesia whereas spinal anaesthesia was provided in 22 out of 40 centers (55%). Seventy percent (28/40) of the facilities were below standard according to WHO-WSFA guidelines. Only 40% (16/40) were using a pulse oximeter and 10% (4/40) declared that ECG was occasionally used.
The practice of standard monitoring is poor in health facilities of the Health Antenna of Butembo. Efforts should be made to improve monitoring which is a key element of safe anaesthesia.
麻醉期间的标准监测是患者安全的核心要素，安全麻醉实践已在全球范围内降低了发病率和死亡率。本研究的主要目的是评估北基伍省医院麻醉期间标准监测的实施情况，以便对该地区的安全麻醉建立一个基本情况概述，并制定计划。
这是对刚果民主共和国布滕博卫生天线下属卫生机构的横断面调查，于 2018 年 10 月至 12 月进行。问卷被带到卫生机构的麻醉提供者手中。该研究包括一名接受参与的麻醉医生的回答。卫生机构的标准监测实践与世界卫生组织-世界麻醉医师联合会（WHO-WSFA）指南进行了比较。数据使用 Epi Info 7 进行捕获和分析。
在 90 个卫生区的 40 个卫生设施（44.4%）回答了问卷。23 个卫生设施（57.5%）来自私营部门，17 个（42.5%）来自公共部门。16 个卫生设施（40.0%）来自布滕博卫生区。每个卫生设施的麻醉提供者中位数为 2 人。在所有麻醉提供者中，没有医生，47.5%是未经麻醉培训而从事麻醉的护士，47.5%是护士麻醉师。所有卫生设施都提供全身麻醉，而在 40 个中心中有 22 个（55%）提供脊髓麻醉。根据世界卫生组织-世界麻醉医师联合会（WHO-WSFA）指南，70%（28/40）的设施未达到标准。只有 40%（16/40）的设施使用脉搏血氧仪，10%（4/40）的设施偶尔使用心电图。
布滕博卫生天线下属卫生机构的标准监测实施情况较差。应努力改善监测，这是安全麻醉的关键要素。
