Anesthesia during deployment of a military forward surgical unit in low income countries: A register study of 1547 anesthesia cases.
<h4>Background</h4>Military anesthesia meets unique logistical, technical, tactical, and human constraints, but to date limited data have been published on anesthesia management during military operations.<h4>Objective</h4>This study aimed to describe and analyze French anest...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Public Library of Science (PLoS)
2019-01-01
|
Series: | PLoS ONE |
Online Access: | https://doi.org/10.1371/journal.pone.0223497 |
id |
doaj-46319a675dcd4d28aff637408aa84b8a |
---|---|
record_format |
Article |
spelling |
doaj-46319a675dcd4d28aff637408aa84b8a2021-03-04T10:24:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-011410e022349710.1371/journal.pone.0223497Anesthesia during deployment of a military forward surgical unit in low income countries: A register study of 1547 anesthesia cases.Quentin MathaisAmbroise MontcriolJean CotteCéline GilClaire ContargyrisGuillaume LacroixBertrand PrunetJulien BordesEric Meaudre<h4>Background</h4>Military anesthesia meets unique logistical, technical, tactical, and human constraints, but to date limited data have been published on anesthesia management during military operations.<h4>Objective</h4>This study aimed to describe and analyze French anesthetic activity in a deployed military setting.<h4>Methods</h4>Between October 2015 and February 2018, all patients managed by Sainte-Anne Military Hospital anesthesiologists deployed in mission were included. Anesthesia management was described and compared with the same surgical procedures in France performed by the same anesthesia team (hernia repair, lower and upper limb surgeries). Demographics, type of surgical procedure, and surgical activity were also described. The primary endpoint was to describe anesthesia management during the deployment of forward surgical teams (FST). The secondary endpoint was to compare anesthesia modalities during FST deployment with those usually used in a military teaching hospital.<h4>Results</h4>During the study period, 1547 instances of anesthesia were performed by 11 anesthesiologists during 20 missions, totaling 1237 days of deployment in nine different theaters. The majority consisted of regional anesthesia, alone (43.5%) or associated with general anesthesia (21%). Compared with France, there was a statistically significant increase in the use of regional anesthesia in hernia repair, lower and upper limb surgeries during deployment. The majority of patients were civilians as part of medical support to populations.<h4>Conclusion</h4>In the context of an austere environment, the use of regional anesthesia techniques predominated when possible. These results show that the training of military anesthetists must be complete, including anesthesia, intensive care, pediatrics, and regional anesthesia.https://doi.org/10.1371/journal.pone.0223497 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Quentin Mathais Ambroise Montcriol Jean Cotte Céline Gil Claire Contargyris Guillaume Lacroix Bertrand Prunet Julien Bordes Eric Meaudre |
spellingShingle |
Quentin Mathais Ambroise Montcriol Jean Cotte Céline Gil Claire Contargyris Guillaume Lacroix Bertrand Prunet Julien Bordes Eric Meaudre Anesthesia during deployment of a military forward surgical unit in low income countries: A register study of 1547 anesthesia cases. PLoS ONE |
author_facet |
Quentin Mathais Ambroise Montcriol Jean Cotte Céline Gil Claire Contargyris Guillaume Lacroix Bertrand Prunet Julien Bordes Eric Meaudre |
author_sort |
Quentin Mathais |
title |
Anesthesia during deployment of a military forward surgical unit in low income countries: A register study of 1547 anesthesia cases. |
title_short |
Anesthesia during deployment of a military forward surgical unit in low income countries: A register study of 1547 anesthesia cases. |
title_full |
Anesthesia during deployment of a military forward surgical unit in low income countries: A register study of 1547 anesthesia cases. |
title_fullStr |
Anesthesia during deployment of a military forward surgical unit in low income countries: A register study of 1547 anesthesia cases. |
title_full_unstemmed |
Anesthesia during deployment of a military forward surgical unit in low income countries: A register study of 1547 anesthesia cases. |
title_sort |
anesthesia during deployment of a military forward surgical unit in low income countries: a register study of 1547 anesthesia cases. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2019-01-01 |
description |
<h4>Background</h4>Military anesthesia meets unique logistical, technical, tactical, and human constraints, but to date limited data have been published on anesthesia management during military operations.<h4>Objective</h4>This study aimed to describe and analyze French anesthetic activity in a deployed military setting.<h4>Methods</h4>Between October 2015 and February 2018, all patients managed by Sainte-Anne Military Hospital anesthesiologists deployed in mission were included. Anesthesia management was described and compared with the same surgical procedures in France performed by the same anesthesia team (hernia repair, lower and upper limb surgeries). Demographics, type of surgical procedure, and surgical activity were also described. The primary endpoint was to describe anesthesia management during the deployment of forward surgical teams (FST). The secondary endpoint was to compare anesthesia modalities during FST deployment with those usually used in a military teaching hospital.<h4>Results</h4>During the study period, 1547 instances of anesthesia were performed by 11 anesthesiologists during 20 missions, totaling 1237 days of deployment in nine different theaters. The majority consisted of regional anesthesia, alone (43.5%) or associated with general anesthesia (21%). Compared with France, there was a statistically significant increase in the use of regional anesthesia in hernia repair, lower and upper limb surgeries during deployment. The majority of patients were civilians as part of medical support to populations.<h4>Conclusion</h4>In the context of an austere environment, the use of regional anesthesia techniques predominated when possible. These results show that the training of military anesthetists must be complete, including anesthesia, intensive care, pediatrics, and regional anesthesia. |
url |
https://doi.org/10.1371/journal.pone.0223497 |
work_keys_str_mv |
AT quentinmathais anesthesiaduringdeploymentofamilitaryforwardsurgicalunitinlowincomecountriesaregisterstudyof1547anesthesiacases AT ambroisemontcriol anesthesiaduringdeploymentofamilitaryforwardsurgicalunitinlowincomecountriesaregisterstudyof1547anesthesiacases AT jeancotte anesthesiaduringdeploymentofamilitaryforwardsurgicalunitinlowincomecountriesaregisterstudyof1547anesthesiacases AT celinegil anesthesiaduringdeploymentofamilitaryforwardsurgicalunitinlowincomecountriesaregisterstudyof1547anesthesiacases AT clairecontargyris anesthesiaduringdeploymentofamilitaryforwardsurgicalunitinlowincomecountriesaregisterstudyof1547anesthesiacases AT guillaumelacroix anesthesiaduringdeploymentofamilitaryforwardsurgicalunitinlowincomecountriesaregisterstudyof1547anesthesiacases AT bertrandprunet anesthesiaduringdeploymentofamilitaryforwardsurgicalunitinlowincomecountriesaregisterstudyof1547anesthesiacases AT julienbordes anesthesiaduringdeploymentofamilitaryforwardsurgicalunitinlowincomecountriesaregisterstudyof1547anesthesiacases AT ericmeaudre anesthesiaduringdeploymentofamilitaryforwardsurgicalunitinlowincomecountriesaregisterstudyof1547anesthesiacases |
_version_ |
1714806179083845632 |