MS Kamissoko¹*, K Soumano¹, A Traore¹, D Traore¹, M Shabani², S Kone¹, S Bah¹, S Beye³, H Dicko³, C Sylla⁴, M Coulibaly⁵ and A Dembele⁵

¹Sominé DOLO Hospital of Mopti (H.S.D. OF MOPTI), Mali
²ICRC Anaesthetist, Mali
³Point G University Hospital Centre N, Mali
⁴Gabriel TOURE University Hospital, Mali
⁵Koutiala Reference Health Centre, Mali

*Corresponding Author: MS Kamissoko, Sominé DOLO Hospital of Mopti (H.S.D. OF MOPTI), Mali.

Received: September 27, 2023; Published: October 23, 2023

Abstract

Objective: To evaluate the practice of peri-nervous block ultrasounds by paramedical staff at the Sominé Dolo hospital in Mopti.

Materials and Methods: Descriptive study, a cross-sectional prospective survey from March 2023 to June 2023 (04 months), concerning all patients who have benefited from an ultrasound-guided nerve block performed by a paramedic at H.S.D. of MOPTI. Our data was collected on individual survey sheets and analyzed with the Epi info 7.2.5.0. lnk.

Results: Out of 756 patients, 210 patients benefited from ultrasound-guided BPN, a frequency of 27.77%. With a mean age of 30 years +/-15, the male sex was predominant at 77.51% (n = 162) for a sex ratio of 3:1. ASA was rated at 68.42% (n = 143) with a Glasgow score of 15/15 in 100% of patients. The majority of patients had no medical-surgical history, a frequency of 80%. Firearm injuries to the limbs were the most common indication of ultrasound-guided BNP with 60.28% (n = 126). The upper limbs were the most affected by BPN with 63% (n = 132), and axillary block was the most practiced BNP with a frequency of 46% (n = 61). No neurological or toxic complications have been reported. 09 cases of puncture pain were reported, Fentanyl and midazolam were the most used products for sedation, The average performance time was 05 minutes with a 95% success rate, 10 cases of partial blocks, and 3 failures for an average surgical hard of 92 min.

Conclusion: Training of anesthetists-resuscitators is essential, especially in Africa, particularly in Mali, which is facing a shortage of specialized medical staff.

Keywords: Ultrasound-Guided Peri Nervous Blocks; Sominé Dolo Hospital in Mopti; Paramedics

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Citation

Citation: MS Kamissoko., et al. “Evaluation Of the Practice of Perinervous Blocks (B.P.N.) Echoguide by Paramedical Staff at the Somine Dolo Hospital in Mopti".Acta Scientific Pharmaceutical Sciences 7.11 (2023): 48-52.

Copyright

Copyright: © 2023 MS Kamissoko., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.