Experience of provision of anesthetic management for earthguake victims in Nepal

Abstract

The team of Russian doctors from Clinical and Research Institute of Emergency Pediatric Surgery and Trauma, Moscow, including 2 surgeons, 2 traumatologists, 1 neurosurgeon and 2 anesthesiologists, was providing the specialized medical aid for the earthquake victims in Nepal from 30.04.2015 to 18.05.2015. 235 anesthesia carried out for 59 patients (32 adults aging 36 ± 14, 27 infants aging 7.5 ± 4.0) with different surgical pathology. That includes 98 (41.4 %) for inhalation anesthesia, 44 (18.6 %) for intravenous anesthesia, 39 (16.5 %) for mixed anesthesia, 36 (15.2 %) for block anesthesia and 18 (12.6 %) for endotracheal anesthesia. Preparing for the plastic closure of a wound process in infants inhalation or intravenous anesthesia was performed and block anesthesia in adults. Plastic closing of soft-tissue defects was provided by combined endotracheal or mixed anesthesia. For the orthopedic trauma and repositions with osteosynthesis mixed anesthesia was used: intravenous/ inhalation with block anesthesia or endotracheal with epidural anesthesia. Infusions, antibacterial, hemostatic therapy and analgesia were provided through pre- and postoperative periods. Complications, relied to anesthesia, were: arterial hypotension - 12 patients (5.1 %), Sevofluranic agitation - 32 (13.6 %), long term postanesthesia breath failure - 2 (0.9 %). There were not lethal complications.