ANESTHESIA FOR GASTROSCHISIS/OMPHALOCELE: CHALLENGES AND COMPLICATIONS AT TAMALE TEACHING HOSPITAL, GHANA

America Sociaty for Pediatric Anesthesiologists

Tamale Teaching Hospital (TTH) is the regional referral center for much of the remote northern region of Ghana, an area populated by several million people •Despite offering basic pediatric surgical services, the hospital lacks physician anesthesiologists and relies upon nurse anesthetists •Administering anesthesia to neonates in TTH presents many challenges to the anesthesia provider. •Most neonates with gastroschisis/omphalocele (G&O) go undiagnosed prenatally •Co-morbidities at presentation include systemic infection and dehydration. •The hospital currently lacks resources to effectively treat such neonates without high risk of further complications. •Morbidity and mortality resulting G&O are frequently increased by delay in presentation to hospital caused by inappropriate local beliefs and superstitions
October 2012
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