EAS Journal of Anaesthesiology and Critical Care最新文献

{"title":"Status of Handover Practice of Postoperative Patient from Operating Room to Postanaesthesia Care Unit in Muhimbili Orthopedic Institute Operating Theatre Recovery Room","authors":"DR.H. Mgaya, D. P. Mwasapi, Dr. H.J. Mathew, Dr. Edwin M Muhondezi, D. R. T. Mliwa, Dr. Abubakar R Hamis, Dr Peter Kibunto, D. E. Lugazia","doi":"10.36349/easjacc.2024.v06i04.003","DOIUrl":"https://doi.org/10.36349/easjacc.2024.v06i04.003","url":null,"abstract":"Background: Postoperative period is a time of significant physiological flux, patient recover from the acute derangements resulting from anaesthesia and surgery. On arrival at PACU, the patient is re-evaluated by the anaesthesia provider gives a handover to the responsible PAC provider. Incomplete handover increase risk of morbidity and mortality to patients. Objective: Study assessed the handover practice of postoperative patient from operating room to post-anaesthesia care unit in Muhimbili Orthopedic Institute operating theatre recovery room. Methodology: This was a hospital based cross-sectional observational study which was conducted at Muhimbili Orthopedic Institute Hospital located at Upanga. Handover conducted by Anaesthetic Provider to PACU nurse in the Recovery rooms were Observed and information communicated were marked using SBAR handover checklist. Then anaesthetic providers and PACU nurse were surveyed to know which item in the checklist was relevant to be communicated during handover. Data collected was analyzed using Statistical Package for Social Scientists (SPSS version 23). Results: 319 PACU handover were observed. 17.5% of the handover were completed and rated as Good, 50.8% were satisfactory and 31.7% poorly completed. Most communicated items were Vital Sign 90.6%, Operation Underwent 86.8% and Type of anaesthesia 85.9% and the least was ASA 24.5%. Items providers thought should be communicated were Name of the patient (0.954), Age and Gender (0.938), Type of Anaesthesia (0.925). Among the Anaesthetic Provider Cadre Physician Providers provided Good and Satisfactory handover compared to Nurse Provider. Conclusion: Majority of the handover were satisfactorily completed, with Vital Sign, type of anaesthesia and Operation underwent being the most communicated items in checklist.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"8 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141684045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Energy Consumption Patterns and Validation of Predictive Equations among ICU Patients at Muhimbili National Hospital in Dar es Salaam, Tanzania","authors":"D. P. Mwasapi, D. E. Lugazia, Dr. H.J. Mathew, DR.H. Mgaya, Dr Peter Kibunto, Dr. Abubakar R Hamis, Dr. Eric K Muhumba, D. R. T. Mliwa, Dr. Edwin M Muhondezi, Dr. Raymond P Makundi","doi":"10.36349/easjacc.2024.v06i04.002","DOIUrl":"https://doi.org/10.36349/easjacc.2024.v06i04.002","url":null,"abstract":"Background: Nutritional support in critically-ill patients is one of the most important parameters guarding the prognosis and influencing morbidity and mortality in these patients, owing to that fact, accurate measurement of the resting energy expenditure using Indirect calorimetry is recommended by guidelines as a gold standard. But due to lack of resources and other technicalities predictive equations are conveniently used as surrogates. Aims: This study was intended to examine the extent of malnutrition, poor nutrition support practices and to validate the common used predictive equations in critically-ill patients in our setting. Methodology: A hospital-based descriptive cross-sectional study was conducted on consecutively sampled 110 mechanically ventilated ICU patients at Muhimbili National Hospital Mloganzila. Anthropometric measurements, duration of stay in ICU, Temperature and Minute Volumes were recorded so as to estimate resting energy expenditure, REE from different predictive equations. Using Indirect Calorimetry Module patient’s REE was measured and recorded then a statistical data analyzed using SPSS software version 23. Results: The prevalence of poor nutritional support was 69%; underfeeding and overfeeding were observed in 41.8% and 27.3% of all participants respectively. Prevalence of malnutrition was 51.8%; underweight and overweight were found to be in 29.1% and 22.7% of all participants respectively. The accuracy of predictive equation in ±10% difference was 30%, 45.5%, 46.4% and 68.2% in HB, MSJ, ESPEN and PENN respectively. Conclusion and Recommendation: Malnutrition and Poor Nutritional support are common problems in ICU. Predictive equations have poor accuracy and validity in comparison to indirect calorimetry. Penn State Equation was the most accurate and with the highest agreement with IC.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"108 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141683673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practice of Low Flow Anaesthesia and Volatile Agents Choices among Anaesthesia Providers at Muhimbili National Hospital and Muhimbili Orthopaedic Institute","authors":"Dr. H.J. Mathew, D. P. Mwasapi, DR.H. Mgaya, D. E. Lugazia, Dr. Eric K Muhumba, Dr. Edwin M Muhondezi, D. R. T. Mliwa, Dr. Abubakar R Hamis, Dr. Goodluck S Lema, Dr. Magdalena T Mbeyale, Dr Peter Kibunto, Dr. Shilekirwa M Makira","doi":"10.36349/easjacc.2024.v06i04.001","DOIUrl":"https://doi.org/10.36349/easjacc.2024.v06i04.001","url":null,"abstract":"With the availability of modern workstations and heightened awareness of the Health services cost and environmental effects of waste anaesthesia gases, anaesthesia providers worldwide are practicing low flow anaesthesia. In most developing countries Low Flow Anaesthesia is still underutilized due to lack of monitoring equipments and sufficient knowledge. Tanzania appears to have a paucity of studies on the prevailing practice pattern of fresh gas flow. Objective; The study aimed at assessing the practice of low flow anaesthesia and volatile agents choices among anaesthesia providers at Muhimbili national hospital and Muhimbili orthopaedic institute. Methods: A descriptive cross-sectional study was carried out for a period of 8 months involving 158 anaesthesia providers. A Structured questionnaire was used to collect data which included demographic, practice setting of Low Flow Anaesthesia, Workstations, scavenging, monitoring equipments, Volatile agents routinely used and preferred Agent. Data were analysed using the IBM Statistical package for social science’s version 23.0. Result: Prevalence of Low flow anaesthesia was 27.2%, however, only 6% used the fresh gas flow of 1l/min – 500mls/min. All anaesthesia providers had workstations and only 2.3% displayed Minimum Alveolar concentration (MAC), 79.1% worked in theatre with functioning scavenging systems, 55.8% used capnography, 6.9% monitored inspiratory Oxygen and none of anaesthesia providers used Bispectral and Agent Analyzers. Isoflurane was the most routinely used inhalational agents (100%) followed by Sevoflurane (69%), then Halothane (32%). Desflurane still not available in these hospitals. Conclusion: Low flow anaesthesia is seldom practiced in our locality despite having strong evidence of attractive advantages in medical practice and ergonomics.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"81 S15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141682161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intrathecal Fentanyl Versus Intravenous Ondansetron for Shivering Prevention in Cesarean Section: A Comparative Study","authors":"R. T. P. Raman, J. Radha, M.N. Ramesh","doi":"10.36349/easjacc.2024.v06i01.002","DOIUrl":"https://doi.org/10.36349/easjacc.2024.v06i01.002","url":null,"abstract":"Background: The incidence of postoperative shivering (PS) following intrathecal anesthesia is a common complication in Cesarean section with potential negative impacts on patient outcomes. The present study aims to evaluate the effectiveness of intrathecal fentanyl versus intravenous ondansetron in preventing post-spinal anesthesia shivering in cesarean section patients. Materials and Methods: A randomized controlled trial was conducted from Feb 2023 to August 2023, involving pregnant women scheduled for cesarean section under intrathecal anesthesia. The study subjects were divided into three groups: group F received intrathecal fentanyl (15 μg) with spinal anesthesia, while group O received intravenous ondansetron (8 mg) added to the usual saline solution. The control group (group C) received only IV fluid before spinal anesthesia and intrathecal bupivacaine without fentanyl. Shivering occurrences were observed and recorded during procedure in the study. Results: The incidence of shivering was significantly lower in the Intrathecal fentanyl and IV ondansetron groups compared to the control group (p=0.0123). Both intrathecal fentanyl and IV ondansetron administration showed effectiveness in reducing shivering during spinal anesthesia. Conclusion: The administration of intrathecal fentanyl and intravenous ondansetron significantly reduced the occurrence of shivering during spinal anesthesia in C-section patients. The present study contributes to advancing knowledge in the field by providing evidence of the preventative effects of these medications on post-spinal anesthesia shivering.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139536290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Creutzfeldt Jakob Disease: An Incurable Malady","authors":"Bhavana Koppolu, Ganesh, K. M, Padmakumar V Arayamparambil, P. P. Sarada, Garud Suresh Chandan","doi":"10.36349/easjacc.2024.v06i01.001","DOIUrl":"https://doi.org/10.36349/easjacc.2024.v06i01.001","url":null,"abstract":"Creutzfeldt Jakob Disease is a rare and fatal neurodegenerative disorder characterized by rapidly worsening dementia, myoclonic jerks and akinetic mutism. It accounts for more than 90% of all human prion diseases. Over 90% of patients progress from normal function to death in under a year. There is no definitive treatment and it must be distinguished from other causes of rapidly progressive dementia such as viral encephalitis, autoimmune and paraneoplastic encephalitis which will respond to appropriate therapy. In the following 2 cases, we describe patients with presentation of rapidly progressive dementia which was finally diagnosed as Probable sporadic CJD. It is essential to make early diagnosis as it will allow patient and family to understand the course of disease and prognosis","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"34 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139389732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Igg4 Related Granulomatous Spinal Pachymeningitis with Cord Compression – A Multisystem Disorder Presenting as Tumor Mimic","authors":"Srinivasa Chennareddy, Garud Suresh Chandan, Hari Haran Gnaneswaran","doi":"10.36349/easjacc.2023.v05i06.005","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i06.005","url":null,"abstract":"IgG4 Related Disease (IgG4 RD) is a comparatively new multisystem disorder associated with elevated levels of IgG4. It includes a number of disorders which were previously thought to be idiopathic or autoimmune. This is a rare condition and can affect any organ system in the body with IgG4 Related pachymeningitis having even lesser incidence. In this case report we present a patient who had chronic low back ache, who on evaluation was found to have a mass compressing on the spinal cord at the thoracic level, requiring surgical decompression. Biopsy and immunological testing were suggestive of IgG4 related pachymeningitis. We describe the diagnosis, medical management, and follow up of this patient, with discussion on how timely diagnosis and management will help in preventing further episodes and help in recovery. This case reiterates about medical conditions presenting as tumor mimics.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139212372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Bilateral Tap-Block Ultrasound-Guided in Laparoscopic Abdominal Surgery: Evaluation of a Curare-Free Anaesthetic Protocol","authors":"M. Diedhiou, N. Sarr, A. Ndong, F. G. Niang, E. B. Ba, D. Barboza, J. Tendeng, M. L. Diao, I. Konaté, M. M. Traoré, M. Fall","doi":"10.36349/easjacc.2023.v05i06.004","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i06.004","url":null,"abstract":"Introduction: The transverse abdominal plane block or TAP block consists of injecting a local anaesthetic between the internal oblique and transverse muscles. Its contribution to muscle relaxation during laparoscopic surgery has been little studied. Material and Method: We carried out a 2-years prospective, descriptive and analytical randomised study blinded to the surgeon conducted in the operating theatre of the Saint Louis Regional Hospital Centre. Patients were randomised into two groups: those who received vecuronium after rapid sequence induction (group V) and those who received bilateral TAP block without curares (group T). Anamnestic, clinical, anaesthetic, surgical and evolutionary aspects were collected and analysed. The main evaluation criteria were: pneumoperitoneum pressure, exhaled CO2, respiratory motor pressure and surgeon satisfaction scale. Results: We collected 61 patients admitted for laparoscopic abdominal surgery. The mean age was 32.9 years with a standard deviation of 14.5. Appendicitis was the indication in 55% of cases. The Propofol-celocurine-TAP-block anaesthetic protocol was used in 25 patients, i.e. in 41% of cases, and 59% of patients had undergone a conventional induction using vecuronium. The mean pressure of the pneumoperitoneum was 11.3 mmHg for the conventional induction group and 12.6 mmHg for the TAP-block group. The mean respiratory motor pressures were 12 cmH2O for the conventional induction group and 13.7 cmH2O for the TAP-block group. The mean value of exhaled CO2 was 37.5 mmHg. Fentanyl reinjections were more frequent in the conventional induction group in 55.6% of cases. The mean VAS at 6 hours post-op was 4.5 for the conventional induction group and 3 for the TAP-block group. Discussion/Conclusion: The ultrasound-guided trans-abdominal-pelvic block remains an effective, durable and reproducible technique. Its advantages in terms of postoperative analgesia are well known. In addition, its selective effects on muscle ......","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"179 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139256224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Attitudes of Anesthesia Staff on Pain in the Hospitals of Niamey","authors":"Nanzir Sanoussi M, G. M, Nzouamin C, D. H, C. S","doi":"10.36349/easjacc.2023.v05i06.002","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i06.002","url":null,"abstract":"Aim of the study: To assess the knowledge and attitudes of anesthesia staff on the management of pain in the hospitals of Niamey. Patients an method: This was a multicenter descriptive cross-sectional study carried out in five hospitals in Niamey (Republic of Niger) from July 3rd to December 3rd, 2021. Were been included in the study, all the anesthesia staff who agreed to answer the questionnaire. The variables studied were: age, gender, seniority, sector of activity and qualification, definition of pain, different types of pain, the impact of pain on the body, tools used for assessment of pain, difference between acute and chronic pain, knowledge about analgesics, the practical attitudes of pain management. The data were intered and processed with Epi info 7.2 software and the Microsoft Office 2019 pack. Results: Our study concerned 106 agents from the anesthesia and resuscitation department of the hospitals that served as our study framework. There is a female predominance of 55.42% with a sex ratio of 0.80. The 45-54 age group was the most represented with 40.07% of cases. The average age of respondents was 44.95 ± 8.9 years. Anesthesia nurses were the most represented with 90.36%. The operating theatre unit was the most represented sector of activity with 85.54%. All the respondents knew the definition of pain. The different types of pains were known by 45.78% of respondents. The most used pain scales were visual analog scale (VAS) and verbal descriptor scale (VDS) respectively in 53.01 % and 12.05 % of cases. Tramadol and paracetamol were the mostly used analgesics respectively in 98.80 % and 97.59%. Intravenous morphine titration was known to 67.47% of the respondents. Only 18.07% of the respondents benefited from a training on the management of pain. Conclusion: The knowledge and attitudes of anesthetists on pain deserve to be updated through theorical and practical training to improve the management of pain in our hospitals.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"14 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139276705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative Hypothermia in Pediatric Surgery","authors":"Nanzir Sanoussi M, G. M, D. H, C. S","doi":"10.36349/easjacc.2023.v05i06.003","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i06.003","url":null,"abstract":"Aim of the study: To study the risk factors and the clinical consequences of perioperative hypothermia in pediatric surgery. Patients and Method: It was an observational and descriptive prospective study conducted over a period of two (2) months from December 10th, 2021 to February 10th, 2022. Were inclueded in the study children from 0 to 15 years old who were done general anesthesia with tracheal intubation in a elective surgery that lasted 30mn at least. The variables studied were: age, gender, American Society of Anesthesiologists (ASA) status, type of surgery, the means used for prevention, perioperative incidents, intraoperative transfusion, patient’s temperature before induction and during surgery until extubation, duration of the surgery, duration of anesthesia. Results: During the period of our study, 89 patients were collected. The average age was 4,79 ± 3,53 years with extremes of 14 days and 15 years. The most represented age group was that of 1 month to 5 years with 61% of cases. Male gender represented 66.29% of cases, a sex ratio of 1.96. Perioperative hypothermia was noted in 64.04% of the patients, it was moderate in 95% of cases and severe in 3% of cases; all the age groups were concerned but newborns were the most susceptible. The room temperature fluctuated around an average of 27 ± 2,7°C with extremes of 24.6°C and 30°C. Digestive surgery predominated with a frequency of 57.30%. ASA I was the most represented class in 65% of cases. Risk factors were age, the type of surgery, a high ASA level, duration of the surgery and blood transfusion. All the patients who received transfusion presented hypothermia. The most common consequences of perioperative hypothermia were wake-up delay in 35% and bradycardia. Conclusion: Perioperative hypothermia is very common in pediatric surgery. Then, it should be prevented effectively to avoid its complications.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139276179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary Embolism in Senegal: Epidemiology, Diagnosis and Management Challenges","authors":"Barboza D, Sow A, Kane Mm, Sambou P, Ba Eb, G. I, Diédhiou M, Traoré M. M, Diouf E","doi":"10.36349/easjacc.2023.v05i06.001","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i06.001","url":null,"abstract":"Introduction: Pulmonary embolism (PE) is a life-threatening condition that represents a major challenge in the management of patients in intensive care. Despite recent advances in prophylactic, diagnostic and therapeutic modalities, PE remains an important cause of morbidity and mortality. Hence the interest of this retrospective study on the management of pulmonary embolism of patients hospitalized in the resuscitation unit of the Peace Hospital of Ziguinchor. Methodology: We conducted a retrospective, descriptive and analytical study covering a period of 32 months from September 2020 to May 2023. The data included variables such as age, gender, clinical symptoms, results of paraclinical tests and treatments administered. Results: The sex ratio was 1.72 with a majority age group of 40-59 years. The average age was 58.93 years for a median age at 58 years. Prolonged immobilization greater than 3 days was the risk factor most found in our patients 33.3% followed by hypertension in 13.3%. Respiratory distress is the main reason for hospitalization in 66.7%. The intermediate clinical probability was most found in our population with 90%. In 53.3% of our patients, the lung damage was unilateral against bilateral for 23.3% at CT-scan. Admission shock was found in 6.7%. In 43.3%, amines were used including noradrenaline at 26.7% and dobutamine at 20%. LMWH were the anticoagulants used in all patients followed by VKA (Acenocoumarol) with 40%. Only 6.7% of our patients were thrombolysed. Mortality was 63.3%. The prognosis according to the PESI score is 53.3% for class 5 and the progressive modalities were poor in 70% of cases. Conclusion: The factors of poor prognosis found are disorders of consciousness, respiratory failure and PESI class 5. This study highlights the urgency of strengthening initiatives for the prevention, diagnosis and treatment of PE. It is vital to work to improve access to thrombolysis in order to reduce mortality and improve quality of life for ......","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139279909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}