Total intravenous anaesthesia in rural sub-Saharan Africa: report of 25 cases.

Total intravenous anesthesia (TIVA) is a potential solution for safe and effective anesthesia administration in rural regions of sub-Saharan Africa, where access to inhalational anesthesia may be limited. However, challenges such as equipment and medication availability, as well as a shortage of trained anesthesiologists, can limit the use of TIVA. In this study, the safety and efficacy of TIVA were evaluated in a case series of 25 female patients undergoing thyroid surgery in a rural area of sub-Saharan Africa.

[Hepatic retransplant and acute Budd Chiari syndrome. Case report].

Hepatic retransplant constitutes 10-20% of all orthotopic hepatic transplants. The piggy-back technique was used in hepatectomy with conservation of the retrohepatic vena cava. A side-to-side cavo-cavostomy technique is described in the case of hepatic congestion or acute Budd Chiari syndrome post-transplant.

[Experiences with the en bloc multiorgan procurement technique].

Introduction: The pressing need to obtain organs for transplantation demands an optimal usage of donors. Surgical techniques based on rapid multiorganic retrieval gain vital importance especially when hemodynamically unstable donors are involved.

Objective: To highlight the advantages of this technique and evaluate our experience after 2 years of implementation.

[Patient satisfaction with surgery in a municipal major out-patient surgery program].

Objective: Our objective was to know rate of general and specific satisfaction of patients going through major out-patient surgery (MOPS), to determine the relationship between satisfaction and sociodemographic variables, and to ascertain the influence that MOPS can exert on certain facets of the care relationship, user valoration of health services, and out-patient method characteristics. SITE: Primary-care polyclinic and secondary-care municipal hospital.

Design: We conducted a descriptive, qualitative transversal study by means of anonymous questionnaires answered by out-patients at home.