3rd Annual Scientific Conference

Improving Maternal and Child Health the role of the Anesthetist VENUE: IMPERIAL ROYALE HOTEL, UGA

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Welcome to the Association of Anaesthesiologists of Uganda (AAU). The aim of `the Association is to provide a platform for members to associate and advance the interests of the Association and its members. We shall achieve this by advocating for improved patient care and safety, facilitating the process of knowledge acquisition of our members, encouraging regional and international collaborations and always advance and support any other interests of our members. I therefore encourage you to become an active member of the AAU. Help us shape our Association by providing us with your comments and Ideas.

Dear colleagues,

It gives me immense pleasure to welcome you to the 3rd AAU/ICSU annual scientific conference due on 9th-11th, November 2017 at Imperial Royale Hotel Kampala, Uganda to be part of this major event. The theme this year is; “Improving Outcomes in Maternal and Child Health: The Role of the Anaesthetist”.

According to the Uganda Demographic and Health Survey (UDHS) 2016, the maternal mortality rate is currently estimated to be at 336 deaths per 100,000 live births, Infant Mortality rate at 43 deaths per 1000 live births while Child mortality is indicated to be 22 deaths per 1000 live births. Although there is a downward trend in these statistics over the years, these rates are still high not only in Uganda, but Africa at large. More efforts geared towards limiting these preventable deaths are needed from different fronts in order to consolidate the framework in place. With the new developments, broadened perspectives, ever changing guidelines and insurmountable new literature on anaesthesia/critical care management in the area of maternal and child health, we need to delineate the role of the anaesthesiologist.

The organising committee is earnestly working hard to present the important and interesting anaesthesia and critical care updates on maternal and child health care in form of scientific sessions, symposia, pro/con debates and panel discussions. This conference also seeks to enrich us in financial management, investment and personal development so as to make the anaesthesiologist a complete person.

 Kindly join us at the 3RD AAU/ICSU annual scientific conference 2017 as we discuss and propagate salutary efforts towards reducing the maternal and child deaths. This will count for a memorable experience.

Chairman Organising Committee

3RD AAU/ICSU Annual Scientific Conference 2017


Presenter:  Anthony M. Roche                             

                     Associate professor of Anesthesiology and global health

                     University of Washington, Seattle USA

Venue:  Arcadia Suites

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As a general rule, you should not eat or drink anything after midnight before your surgery. Under some circumstances, you may be given permission by your anesthesiologist to drink clear liquids up to a few hours before your anesthesia.

All operations and all anesthesia have some risks, and they are dependent upon many factors including the type of surgery and the medical condition of the patient. Fortunately, adverse events are very rare. Your anesthesiologist takes precautions to prevent an accident from occurring just as you do when driving a car or crossing the street.

The specific risks of anesthesia vary with the particular procedure and the condition of the patient. You should ask your anesthesiologist about any risks that may be associated with your anesthesia.

Obesity is defined as body mass index (BMI) greater than 30kg/m2 and poses a number of problems for anaesthesia.
Firstly, obesity is associated with high blood pressure and heart disease. Heart disease may be secondary to coronary artery disease or due to enlarged heart with reduced function.
Secondly, oxygen delivery to tissues is decreased in obese patients, which makes obese people more prone to oxygen lack if there are additional difficulties in delivering oxygen to them.
Thirdly, obesity may be associated with hiatus hernia of the stomach and there is a higher risk of regurgitation and aspiration.
Obtaining intravenous access and performing regional anaesthesia may be difficult.
For these and other reasons, it is advisable for patients who are overweight or obese to lose weight prior to elective surgery.
If significant weight loss is not possible, even small weight loss is beneficial. Where patients are able to do so, light exercise, such as a 30 minute walk each day before surgery, will be helpful and make postoperative recovery easier for the patient. You can start with walking 10 minutes each day and increase to 20 minutes per day and then achieve 30 minutes per day.

This experience, known as “awareness”, is one of the biggest concerns for patients about to undergo surgery. Though it may worry patients, this condition can be almost entirely eliminated by the anaesthetist, with fewer than 1 in a 1000 patients remembering any part of their operation and most of these not recalling any pain.
Conscious awareness without recall of pain is more common; it has been estimated at 0.1 to 0.7 per cent of cases (1 in 142 to 1 in 1000).
Some operations are associated with a higher risk of awareness than others. They include cardiac surgery, emergency surgery, surgery associated with significant blood loss and caesarean section.
Specialised monitoring equipment is available to assist anaesthetists to assess the depth of anaesthesia. Such equipment includes processed electro-encephalography such as Bispectral Index Scale (BIS) and Entropy, which record electrical wave patterns in the brain and assign a score which reflects the depth of unconsciousness. These monitors have been shown to reduce the incidence of awareness, particularly in high-risk cases.