T. Lokossou | Université d'Abomey_calavi (UAC) (original) (raw)
Papers by T. Lokossou
Le Mali medical, 2019
Introduction: the aim of this study was to evaluate Target the effect of the addition of clonidin... more Introduction: the aim of this study was to evaluate Target the effect of the addition of clonidine or magnesium sulfate of morphine, administered through IT on the duration of analgesia after spinal anesthesia for cesarean section. Patients and methods: 75 women in labor, ASA I or II, proposed programmed or semi-urgent caesarean section, were included in this study. They were randomized into three groups: Group morphine or witness (GM), Magnesium Group (GMg), clonidine group (CG). The primary endpoint was the time between the completion of spinal anesthesia and the first analgesic request. Results: The time to first analgesic request was superior, 286.76 (52.25) mn in the GC and 237.40 (73.67) mnin GMg against 209.68 (36.09)mn GM (p <0.001) in connection with the literature data. The EVA average scores at rest and during exercise in the first 24 postoperative hours were lower in groups and GC GMg compared to GM. Overall satisfaction was good in parturients with no significant difference in the groups. The duration of motor block was 193.68 (33.37) min in the GC against 141.76 (29.80) min in GM and 135.92 (23.14) min in the GMg (p <0.001). We noted a significant incidence of somnolence. Hemodynamic parameters were similar between the three groups. Conclusion: In parturients operated on by cesarean section under spinal anesthesia, the addition of 75 mg magnesium sulfate or 75µg clonidine 100 µg of morphine in IT prolongs significantly the duration of the first analgesic postoperatively demand and reduced scores pain 24 hours without increasing the incidence of adverse effects.
Objectif: Faire l'etat des lieux en matiere d'anesthesie realisee dans le cadre des urgen... more Objectif: Faire l'etat des lieux en matiere d'anesthesie realisee dans le cadre des urgences obstetricales et gynecologiques a la maternite de l'Hopital General de Reference Nationale (HGRN) de N'Djamena. Patientes et methode: Il s'agit d'une etude prospective et descriptive realisee pendant une periode de 5 mois allant du 1er septembre 2010 au 31 janvier 2011. Ont ete incluses dans l'etude, toutes les patientes en âge de procreer ou non, admises en urgence au bloc operatoire de la maternite pour une intervention chirurgicale obstetricale ou gynecologique. Resultats: L'etude a concerne 275 femmes anesthesiees en urgence pour une intervention chirurgicale obstetricale ou gynecologique, soit une moyenne de 0,72 patiente anesthesiee par jour. Les anesthesies realisees en urgence ont represente 79,20% des anesthesies durant cette periode. L'âge moyen des patientes a ete de 27 ans avec des extremes de 13 ans et 53 ans. Les tranches d'âge les plus c...
Annales Françaises d'Anesthésie et de Réanimation, 2014
Introduction En Afrique subsaharienne, l’anesthesie est encore pratiquee dans des conditions cons... more Introduction En Afrique subsaharienne, l’anesthesie est encore pratiquee dans des conditions considerees comme de moindre securite. L’etude des complications anesthesiques en general et en particulier celle de la mortalite en perioperatoire est un indicateur indispensable de bonnes pratiques anesthesiques. Notre objectif etait d’evaluer l’implication de l’anesthesie dans la mortalite perioperatoire. Patients et methodes Etude retrospective descriptive et analytique allant de janvier 2007 a decembre 2011. Nous avons inclus 142 cas de deces perioperatoires consecutifs au cours de 19 417 interventions chirurgicales. La periode perioperatoire a ete limitee a la periode peroperatoire et aux 48 heures postoperatoires. L’imputabilite de l’anesthesie a ete analysee par la classification d’Edwards [1] . L’analyse des donnees a ete realisees avec le logiciel SPSS 16. Une regression logistique multinomiale a ete faite afin de pouvoir identifier les facteurs de risque de deces perioperatoires. Un seuil de significativite a ete defini pour p Resultats Le taux de deces etait de 7,3 pour mille anesthesies. Nous avons 53 % de sexe feminin et 47 % de sexe masculin. L’âge moyen des patients decedes etait de 28 ans ± 19,91. Les patients ASA > 2 representaient 56 %. La majorite des interventions etaient realisees en urgence (82 %) L’anesthesie generale etait la technique la plus utilisee (97 %). Quarante-six deces etaient partiellement ou totalement lies a l’anesthesie, soit 32 % des deces. Les taux des deces partiellement et totalement lies a l’anesthesie representaient respectivement 1‚8 et 0‚5 pour 1000 anesthesies. Les causes de deces sont representees dans le Tableau 1 . Les facteurs de risque de deces perioperatoires retrouves a l’analyse multivariee etaient: la classe ASA (p = 0,008), la duree de l’intervention > 120 minutes (p = 0,014), l’anesthesie generale (p Discussion L’anesthesie est responsable du tiers des deces perioperatoires dans notre hopital. Le taux des deces lies partiellement ou entierement a l’anesthesie sont encore inacceptables. La reduction de la mortalite lie a l’anesthesie passera par une meilleure organisation de la prise en charge des patients operes en urgence.
Médecine tropicale : revue du Corps de santé colonial, 2011
The purpose of this study was to compare the effects of early resumption of solid versus liquid f... more The purpose of this study was to compare the effects of early resumption of solid versus liquid food intake after emergency cesarean section in black African women, in terms of gastrointestinal complications and maternal satisfaction. A total of 120 patients were randomly distributed into two groups of 60 each. In group L, liquid food intake in the form of sweetened citronella drink was allowed at will starting 6 six hours after the procedure but no solid food was allowed for 24 hours. In group S, normal solid food intake was resumed six hours after the procedure. The two study groups were not significantly different with regard to age, medical history, ASA class, obstetrical status, indications for cesarean section, anesthetic protocol, mean procedural duration, and postoperative analgesia. Study variables included tolerance of food intake, gastro-intestinal complications, time necessary to resume full activity and patient satisfaction. Overall, 6% of patients reported complication...
Médecine tropicale : revue du Corps de santé colonial, 2009
The purpose of this report was to describe early outcome of surgical management of digestive dise... more The purpose of this report was to describe early outcome of surgical management of digestive disease in a tropical setting. Study design. This retrospective, descriptive study was carried out in Benin over the three-year period from January 1, 2002 to December 31, 2004. A total of 613 patients admitted to the intensive care unit (ICU) following surgical treatment for digestive disease were studied. Data were collected on cards from ICU patient admission records, duty register, and patient charts. The data obtained by exact transcription from cards was entered into the Epidata 3.02 software package and analyzed using the Stata 8.0 software package. Patients undergoing surgery for digestive disease accounted for 32% of admissions to the ICU during the study period. Mean patient age was 30 years (range, 1 day to 85 years). Surgery was carried out under emergency conditions in 510 patients and elective conditions in 103. The most common surgical indications were peritonitis, acute bowel...
Acta anaesthesiologica Belgica, 2007
The situation of Anesthesiology in Sub-Saharan Africa is unique in that nowhere else in the world... more The situation of Anesthesiology in Sub-Saharan Africa is unique in that nowhere else in the world has the absolute numbers of anesthesiologists decreased during the nineties. Most anesthesia services to the populations of these 17 poor countries are provided by nurse-anesthetists, either certified or trained on the job. Their mean age often exceeds 40, which leads to expect an acute shortage within fifteen years. Experienced anesthesiologists are now so few that, in most countries, the critical mass of knowledgeable specialists no longer exists to train new anesthesia professionals. This summary of local surveys provides a brief overview of current workforce, institutions, drugs and material constituting the daily environment of our colleagues. Challenges are outlined, with special emphasis on brain drain. Solutions are proposed, underlining the promising role of a few anesthesia schools, the need for young anesthesiologists to enter teaching, and the expectations they are supposed ...
Annales françaises d'anesthèsie et de rèanimation, 2006
Toxic epidermal necrolysis (TEN) is usually a drug-induced disease, involving vital or functional... more Toxic epidermal necrolysis (TEN) is usually a drug-induced disease, involving vital or functional prognosis with 20 to 30% mortality rates. The aim was to collect cases of TEN in an intensive care unit in Cotonou National University and Teaching Hospital, and describe epidemiologic, clinical, therapeutic and evolutive patterns. Retrospective and descriptive study over five years. The medical report-forms of patients admitted between January 1998 and December 2002, for toxic dermatitis with total skin injury area more than 10% were reviewed. Fourteen patients with TEN were identified. The average incidence was three cases per year, accounting for 0.25% of the admissions in the unit. Sulphonamides (n=4), antituberculous drugs (n=2), penicillin (n=3) were the main cause of TEN. In five patients, the cause was not found. Self-medication was found in 7 patients. Total skin injury area reached from 26 to 87%. Mucosal and viscera injury occurred in respectively 11 and 9 patients. The treat...
Bulletin de la Société de pathologie exotique (1990), 2002
Envenomations following snakebite are common in Benin where they constitute, particularly in cert... more Envenomations following snakebite are common in Benin where they constitute, particularly in certain areas, a significant problem for the local populations and health workers. The present epidemiological study describes the snakebite envenomations which occurred in 18 medical centres of the country (6 departmental hospitals and 12 provincial hospitals). The studied variables were: prevalence, length of hospitalisation, major complications, quality of therapeutic management and development of the disease according to area. The study covered a period from April 2000 to March 2001. 486 cases of snakebite necessitating hospitalisation were notified including 413 (85%) in the two northern departments: Atacora and Borgou. Males were largely predominant (90%) and patients under 40 years were the most numerous (82%). The dry season seemed a period of higher risk (75% of the cases). The delay between the bite and admission to hospital, studied for 120 patients in the area of Atacora (North-W...
Douleur et Analgésie, 2007
Résumé Objectifs Évaluer la pratique de l’analgésie postopératoire et le niveau de connaissance ... more Résumé Objectifs Évaluer la pratique de l’analgésie postopératoire et le niveau de connaissance des praticiens sur la douleur et sa prise en charge. Matériels et méthodes Le cadre de notre étude est les services d’anesthésie-réanimation chirurgicale des centres hospitaliers départementaux et de l’hôpital de la mère et de l’enfant (HOMEL) du Bénin. Il s’agit d’une étude prospective et descriptive sur une période
Annales Françaises d'Anesthésie et de Réanimation, 2013
Annales Françaises d'Anesthésie et de Réanimation, 2006
a Service polyvalent d'anesthésie-réanimation, centre national hospitalier et universitaire Huber... more a Service polyvalent d'anesthésie-réanimation, centre national hospitalier et universitaire Hubert-K.-Maga, 01 BP 386 RP, Cotonou, Bénin b Service de médecine interne, centre national hospitalier et universitaire Hubert-K.-Maga, 01 BP 386 RP, Cotonou, Bénin c Clinique universitaire de traumatologie, d'orthopédie et de rééducation fonctionnelle (CUTOR), centre national hospitalier et universitaire Hubert-K.-Maga, 01 BP 386 RP, Cotonou, Bénin Reçu le 25 mai 2005 ; accepté le 6 janvier 2006 Disponible sur internet le 20 mars 2006
Annales Françaises d'Anesthésie et de Réanimation, 2013
Objective: To evaluate the management of acute metabolic complications of diabetes mellitus in th... more Objective: To evaluate the management of acute metabolic complications of diabetes mellitus in the intensive care unit of the university hospital of Parakou. Patients and methods: This was a descriptive and analytical cross-sectional study with a prospective data collection conducted over 10 months (December 1 st , 2011 to September 30 th , 2012). It involved 43 patients. Results: The admission of the acute complications of diabetes metabolic rate was 7.8%. The mean age of patients was 57.7 ± 13 years with a female predominance (55.8%). The main reasons for admission were: coma (69.8%), intense asthenia (18.6%) and trauma 7.0%. Poor adherence to treatment was observed in 60.6% of known diabetic patients. Acute metabolic complications were objectified: the Hyperosmolar hyperglycemia syndrome (41.9%), hypoglycemia (30.2%) and ketoacidosis (27.9%). The occurrence of complications was associated with advanced age (p = 0.01), low socioeconomic status (p = 0.00), the late consultation period (p = 0.00) and high plasma osmolality (p = 0.00). Lethality 14%, was related to advanced age (p = 0.02), long consultation period (p = 0, 02) and signs of severity (Fisher exact = 0.03). Conclusion: This study on the acute complications of diabetes mellitus in Parakou shows that this clinical 209 situation is a real concern. Awareness and education of diabetes to better manage and improve the means of support in the intensive care unit help reducing death rates and the deleterious effects of acute metabolic complications of diabetes mellitus.
Acta anaesthesiologica Belgica, 2013
Belgium has been collaborating with the French-speaking University of Abomey-Calavi in Cotonou (R... more Belgium has been collaborating with the French-speaking University of Abomey-Calavi in Cotonou (Republic of Benin) for 15 years to train anesthesiologists for Sub-Saharan French-speaking African countries. At the end of the nineties, Sub-Saharan Africa was the only part of the world with a decreasing number of anesthesiologists. Thanks to various financial supports coming mainly from Belgian governmental cooperation funds, the program has been successful in reversing the demographic trend and even started a multiplying effect through the creation of schools for nurse-anesthetists, and through the creation of new training centers for physician anesthesiologists. Sixty-nine anesthesiologists from 13 countries graduated from Cotonou, 59 (85.5%) of whom actually choose to work in Africa. At least 40 of them teach anesthesia, playing a key role in the creation of new schools and training centers.
Le Mali medical, 2019
Introduction: the aim of this study was to evaluate Target the effect of the addition of clonidin... more Introduction: the aim of this study was to evaluate Target the effect of the addition of clonidine or magnesium sulfate of morphine, administered through IT on the duration of analgesia after spinal anesthesia for cesarean section. Patients and methods: 75 women in labor, ASA I or II, proposed programmed or semi-urgent caesarean section, were included in this study. They were randomized into three groups: Group morphine or witness (GM), Magnesium Group (GMg), clonidine group (CG). The primary endpoint was the time between the completion of spinal anesthesia and the first analgesic request. Results: The time to first analgesic request was superior, 286.76 (52.25) mn in the GC and 237.40 (73.67) mnin GMg against 209.68 (36.09)mn GM (p <0.001) in connection with the literature data. The EVA average scores at rest and during exercise in the first 24 postoperative hours were lower in groups and GC GMg compared to GM. Overall satisfaction was good in parturients with no significant difference in the groups. The duration of motor block was 193.68 (33.37) min in the GC against 141.76 (29.80) min in GM and 135.92 (23.14) min in the GMg (p <0.001). We noted a significant incidence of somnolence. Hemodynamic parameters were similar between the three groups. Conclusion: In parturients operated on by cesarean section under spinal anesthesia, the addition of 75 mg magnesium sulfate or 75µg clonidine 100 µg of morphine in IT prolongs significantly the duration of the first analgesic postoperatively demand and reduced scores pain 24 hours without increasing the incidence of adverse effects.
Objectif: Faire l'etat des lieux en matiere d'anesthesie realisee dans le cadre des urgen... more Objectif: Faire l'etat des lieux en matiere d'anesthesie realisee dans le cadre des urgences obstetricales et gynecologiques a la maternite de l'Hopital General de Reference Nationale (HGRN) de N'Djamena. Patientes et methode: Il s'agit d'une etude prospective et descriptive realisee pendant une periode de 5 mois allant du 1er septembre 2010 au 31 janvier 2011. Ont ete incluses dans l'etude, toutes les patientes en âge de procreer ou non, admises en urgence au bloc operatoire de la maternite pour une intervention chirurgicale obstetricale ou gynecologique. Resultats: L'etude a concerne 275 femmes anesthesiees en urgence pour une intervention chirurgicale obstetricale ou gynecologique, soit une moyenne de 0,72 patiente anesthesiee par jour. Les anesthesies realisees en urgence ont represente 79,20% des anesthesies durant cette periode. L'âge moyen des patientes a ete de 27 ans avec des extremes de 13 ans et 53 ans. Les tranches d'âge les plus c...
Annales Françaises d'Anesthésie et de Réanimation, 2014
Introduction En Afrique subsaharienne, l’anesthesie est encore pratiquee dans des conditions cons... more Introduction En Afrique subsaharienne, l’anesthesie est encore pratiquee dans des conditions considerees comme de moindre securite. L’etude des complications anesthesiques en general et en particulier celle de la mortalite en perioperatoire est un indicateur indispensable de bonnes pratiques anesthesiques. Notre objectif etait d’evaluer l’implication de l’anesthesie dans la mortalite perioperatoire. Patients et methodes Etude retrospective descriptive et analytique allant de janvier 2007 a decembre 2011. Nous avons inclus 142 cas de deces perioperatoires consecutifs au cours de 19 417 interventions chirurgicales. La periode perioperatoire a ete limitee a la periode peroperatoire et aux 48 heures postoperatoires. L’imputabilite de l’anesthesie a ete analysee par la classification d’Edwards [1] . L’analyse des donnees a ete realisees avec le logiciel SPSS 16. Une regression logistique multinomiale a ete faite afin de pouvoir identifier les facteurs de risque de deces perioperatoires. Un seuil de significativite a ete defini pour p Resultats Le taux de deces etait de 7,3 pour mille anesthesies. Nous avons 53 % de sexe feminin et 47 % de sexe masculin. L’âge moyen des patients decedes etait de 28 ans ± 19,91. Les patients ASA > 2 representaient 56 %. La majorite des interventions etaient realisees en urgence (82 %) L’anesthesie generale etait la technique la plus utilisee (97 %). Quarante-six deces etaient partiellement ou totalement lies a l’anesthesie, soit 32 % des deces. Les taux des deces partiellement et totalement lies a l’anesthesie representaient respectivement 1‚8 et 0‚5 pour 1000 anesthesies. Les causes de deces sont representees dans le Tableau 1 . Les facteurs de risque de deces perioperatoires retrouves a l’analyse multivariee etaient: la classe ASA (p = 0,008), la duree de l’intervention > 120 minutes (p = 0,014), l’anesthesie generale (p Discussion L’anesthesie est responsable du tiers des deces perioperatoires dans notre hopital. Le taux des deces lies partiellement ou entierement a l’anesthesie sont encore inacceptables. La reduction de la mortalite lie a l’anesthesie passera par une meilleure organisation de la prise en charge des patients operes en urgence.
Médecine tropicale : revue du Corps de santé colonial, 2011
The purpose of this study was to compare the effects of early resumption of solid versus liquid f... more The purpose of this study was to compare the effects of early resumption of solid versus liquid food intake after emergency cesarean section in black African women, in terms of gastrointestinal complications and maternal satisfaction. A total of 120 patients were randomly distributed into two groups of 60 each. In group L, liquid food intake in the form of sweetened citronella drink was allowed at will starting 6 six hours after the procedure but no solid food was allowed for 24 hours. In group S, normal solid food intake was resumed six hours after the procedure. The two study groups were not significantly different with regard to age, medical history, ASA class, obstetrical status, indications for cesarean section, anesthetic protocol, mean procedural duration, and postoperative analgesia. Study variables included tolerance of food intake, gastro-intestinal complications, time necessary to resume full activity and patient satisfaction. Overall, 6% of patients reported complication...
Médecine tropicale : revue du Corps de santé colonial, 2009
The purpose of this report was to describe early outcome of surgical management of digestive dise... more The purpose of this report was to describe early outcome of surgical management of digestive disease in a tropical setting. Study design. This retrospective, descriptive study was carried out in Benin over the three-year period from January 1, 2002 to December 31, 2004. A total of 613 patients admitted to the intensive care unit (ICU) following surgical treatment for digestive disease were studied. Data were collected on cards from ICU patient admission records, duty register, and patient charts. The data obtained by exact transcription from cards was entered into the Epidata 3.02 software package and analyzed using the Stata 8.0 software package. Patients undergoing surgery for digestive disease accounted for 32% of admissions to the ICU during the study period. Mean patient age was 30 years (range, 1 day to 85 years). Surgery was carried out under emergency conditions in 510 patients and elective conditions in 103. The most common surgical indications were peritonitis, acute bowel...
Acta anaesthesiologica Belgica, 2007
The situation of Anesthesiology in Sub-Saharan Africa is unique in that nowhere else in the world... more The situation of Anesthesiology in Sub-Saharan Africa is unique in that nowhere else in the world has the absolute numbers of anesthesiologists decreased during the nineties. Most anesthesia services to the populations of these 17 poor countries are provided by nurse-anesthetists, either certified or trained on the job. Their mean age often exceeds 40, which leads to expect an acute shortage within fifteen years. Experienced anesthesiologists are now so few that, in most countries, the critical mass of knowledgeable specialists no longer exists to train new anesthesia professionals. This summary of local surveys provides a brief overview of current workforce, institutions, drugs and material constituting the daily environment of our colleagues. Challenges are outlined, with special emphasis on brain drain. Solutions are proposed, underlining the promising role of a few anesthesia schools, the need for young anesthesiologists to enter teaching, and the expectations they are supposed ...
Annales françaises d'anesthèsie et de rèanimation, 2006
Toxic epidermal necrolysis (TEN) is usually a drug-induced disease, involving vital or functional... more Toxic epidermal necrolysis (TEN) is usually a drug-induced disease, involving vital or functional prognosis with 20 to 30% mortality rates. The aim was to collect cases of TEN in an intensive care unit in Cotonou National University and Teaching Hospital, and describe epidemiologic, clinical, therapeutic and evolutive patterns. Retrospective and descriptive study over five years. The medical report-forms of patients admitted between January 1998 and December 2002, for toxic dermatitis with total skin injury area more than 10% were reviewed. Fourteen patients with TEN were identified. The average incidence was three cases per year, accounting for 0.25% of the admissions in the unit. Sulphonamides (n=4), antituberculous drugs (n=2), penicillin (n=3) were the main cause of TEN. In five patients, the cause was not found. Self-medication was found in 7 patients. Total skin injury area reached from 26 to 87%. Mucosal and viscera injury occurred in respectively 11 and 9 patients. The treat...
Bulletin de la Société de pathologie exotique (1990), 2002
Envenomations following snakebite are common in Benin where they constitute, particularly in cert... more Envenomations following snakebite are common in Benin where they constitute, particularly in certain areas, a significant problem for the local populations and health workers. The present epidemiological study describes the snakebite envenomations which occurred in 18 medical centres of the country (6 departmental hospitals and 12 provincial hospitals). The studied variables were: prevalence, length of hospitalisation, major complications, quality of therapeutic management and development of the disease according to area. The study covered a period from April 2000 to March 2001. 486 cases of snakebite necessitating hospitalisation were notified including 413 (85%) in the two northern departments: Atacora and Borgou. Males were largely predominant (90%) and patients under 40 years were the most numerous (82%). The dry season seemed a period of higher risk (75% of the cases). The delay between the bite and admission to hospital, studied for 120 patients in the area of Atacora (North-W...
Douleur et Analgésie, 2007
Résumé Objectifs Évaluer la pratique de l’analgésie postopératoire et le niveau de connaissance ... more Résumé Objectifs Évaluer la pratique de l’analgésie postopératoire et le niveau de connaissance des praticiens sur la douleur et sa prise en charge. Matériels et méthodes Le cadre de notre étude est les services d’anesthésie-réanimation chirurgicale des centres hospitaliers départementaux et de l’hôpital de la mère et de l’enfant (HOMEL) du Bénin. Il s’agit d’une étude prospective et descriptive sur une période
Annales Françaises d'Anesthésie et de Réanimation, 2013
Annales Françaises d'Anesthésie et de Réanimation, 2006
a Service polyvalent d'anesthésie-réanimation, centre national hospitalier et universitaire Huber... more a Service polyvalent d'anesthésie-réanimation, centre national hospitalier et universitaire Hubert-K.-Maga, 01 BP 386 RP, Cotonou, Bénin b Service de médecine interne, centre national hospitalier et universitaire Hubert-K.-Maga, 01 BP 386 RP, Cotonou, Bénin c Clinique universitaire de traumatologie, d'orthopédie et de rééducation fonctionnelle (CUTOR), centre national hospitalier et universitaire Hubert-K.-Maga, 01 BP 386 RP, Cotonou, Bénin Reçu le 25 mai 2005 ; accepté le 6 janvier 2006 Disponible sur internet le 20 mars 2006
Annales Françaises d'Anesthésie et de Réanimation, 2013
Objective: To evaluate the management of acute metabolic complications of diabetes mellitus in th... more Objective: To evaluate the management of acute metabolic complications of diabetes mellitus in the intensive care unit of the university hospital of Parakou. Patients and methods: This was a descriptive and analytical cross-sectional study with a prospective data collection conducted over 10 months (December 1 st , 2011 to September 30 th , 2012). It involved 43 patients. Results: The admission of the acute complications of diabetes metabolic rate was 7.8%. The mean age of patients was 57.7 ± 13 years with a female predominance (55.8%). The main reasons for admission were: coma (69.8%), intense asthenia (18.6%) and trauma 7.0%. Poor adherence to treatment was observed in 60.6% of known diabetic patients. Acute metabolic complications were objectified: the Hyperosmolar hyperglycemia syndrome (41.9%), hypoglycemia (30.2%) and ketoacidosis (27.9%). The occurrence of complications was associated with advanced age (p = 0.01), low socioeconomic status (p = 0.00), the late consultation period (p = 0.00) and high plasma osmolality (p = 0.00). Lethality 14%, was related to advanced age (p = 0.02), long consultation period (p = 0, 02) and signs of severity (Fisher exact = 0.03). Conclusion: This study on the acute complications of diabetes mellitus in Parakou shows that this clinical 209 situation is a real concern. Awareness and education of diabetes to better manage and improve the means of support in the intensive care unit help reducing death rates and the deleterious effects of acute metabolic complications of diabetes mellitus.
Acta anaesthesiologica Belgica, 2013
Belgium has been collaborating with the French-speaking University of Abomey-Calavi in Cotonou (R... more Belgium has been collaborating with the French-speaking University of Abomey-Calavi in Cotonou (Republic of Benin) for 15 years to train anesthesiologists for Sub-Saharan French-speaking African countries. At the end of the nineties, Sub-Saharan Africa was the only part of the world with a decreasing number of anesthesiologists. Thanks to various financial supports coming mainly from Belgian governmental cooperation funds, the program has been successful in reversing the demographic trend and even started a multiplying effect through the creation of schools for nurse-anesthetists, and through the creation of new training centers for physician anesthesiologists. Sixty-nine anesthesiologists from 13 countries graduated from Cotonou, 59 (85.5%) of whom actually choose to work in Africa. At least 40 of them teach anesthesia, playing a key role in the creation of new schools and training centers.