Anesthetic Management of Pediatric Surgical Emergencies at the Peace Hospital of Ziguinchor

Introduction: Pediatric anesthesia requires, however, both a material and human environment adapted to very varied situations. Objective: Evaluate the anesthetic management of pediatric surgical emergencies. Patients and Methods: This is a retrospective, descriptive and analytical study conducted from January 2022 to June 2024. We included patients aged from 0 to 15 years who were admitted for a surgical emergency. Results: We collected a sample of 154 operated patients, representing a prevalence of 6.7%. The sex ratio is 2.85. The age group of 10–15 years was the most represented in 37.7% of cases. The average age was 6.96 years with extremes of 4 days and 15 years. The main diagnoses were traumatic in 29.2% followed by skin infections in 18.2% and foreign bodies in 16.2%. The children were classified ASA 1U in 98.7%. General anesthesia was performed in 85.8%. Anesthetic induction was mostly performed by IV route in 98% of the patients and sevoflurane was the only halogen used. The administration of paracetamol alone was most used for post-operative analgesia in 76.7% of patients followed by the combination of paracetamol and tramadol in 18.9%. Laryngospasm was the only complication found intraoperatively in 0.64%. We deplored a peroperative death, which is a mortality rate of 0.64%. Conclusion: The practice of pediatric emergency anesthesia poses organizational difficulties in most of our hospitals.