Use of spinal anaesthesia in neonates and infants in Antananarivo, Madagascar: a retrospective descriptive study.

Objective: The aim of this study was to present the first cases of spinal anesthesia, in newborns and infants, preterm/ex-prematures, in order to determine its feasibility and its potential harmlessness, in Antananarivo-Madagascar. Indeed, spinal anesthesia is a low cost technique and can limit respiratory complications, postoperative apnea a contrario with pediatric general anesthesia which can lead to perioperative risks.

Results: In a retrospective, descriptive, 7-year (2013 to 2019) period study, conducted in the University Hospital Joseph Ravoahangy Andrianavalona, 69 patients' data files planned to have spinal anesthesia were recorded.

Contribution of Ultrasonography in the Diagnosis of Periportal Fibrosis Caused by Schistosomiasis.

Background: Periportal fibrosis is one of the major complications of schistosomiasis infection. Specific images of this infection revealed by ultrasonography allow the assessment of the different stages. Our purpose is to describe the ultrasonographic appearances of periportal fibrosis due to schistosomiasis infection.

[Burnout syndrome and associated factors among physicians in two University Hospitals in Antananarivo].

Medical profession is stressful and can cause professional exhaustion syndrome or Burnout syndrome (BOS). This study aims to determine Burnout syndrome levels (low, medium, high) by its dimensions and by causing factors related to physicians' professional activity. We conducted a cross-sectional study based on self-administered questionnaire to practicing physicians in Soavinandriana Hospital Center and Joseph Ravoahangy Andrianavalona University Hospital in 2012.

[Intraoperative management of esophageal atresia: small steps that cannot be ignored in Madagascar].

The management of esophageal atresia is still limited due to the precariousness of technical equipments in Madagascar. Our case study aims to highlight possible therapeutic options and to describe the progresses to be made so as to optimize treatment of this congenital pathology. We collected the medical records of all patients hospitalized for esophageal atresia in the Department of Surgical Reanimation at the University Hospital-JRA Antananarivo.