Pre-Anesthetic Consultation at the University Clinics of Kinshasa: Patient Profile, Type of Surgery, Anesthetic Protocol

Abstract

<i>Introduction</i>: PAC is an element of anesthetic safety that makes it possible to collect information about the patient (history, physical examination), to assess the operative risk, to choose the technique of anesthesia and perioperative care best suited to the clinical condition of the patient. General objective was to describe the practice of PAC at the University Clinics of Kinshasa. <i>Methods</i>: This is a cross-sectional descriptive study carried out in Kinshasa from 1 January to 31 December 2021 (12 months), at the Department of Anesthesia and Resuscitation (ARD) of the University Clinics of Kinshasa. It involved all patients who had been consulted as part of a scheduled surgery, i.e. 443 patients. <i>Results</i>: The average age was 36.6 years with extremes of 7 days and 91 years. The female sex was predominant with 55.3%. Hypertension was the most found medical history in 13.5%. Gyneco-obstetric surgery (22.3%), otolaryngological surgery (13.8%) and neurosurgery (10.2%) were the most common of the surgical types. ASA I and ASA II patients were the most common (85.3%). General anesthesia accounted for 59% with Sevoflurane offered in 91% of general anesthesia. Spinal anesthesia accounted for 35.7%. <i>Conclusion</i>: The PAC is regularly performed in our environment in case of scheduled surgery and concerns all available surgical specialties.