19 & 20 Nov 2013

19 & 20 Nov 2013 Chamonix Mont-Blanc / France 2

SESSION PARTAGE 3 Bloc opératoire et anesthésie-réanimation

SHARING SESSION 3 Surgery and anaesthesiantensive care

Modérateur / Moderator : Intervenants / Speakers :

Jean-louis SERGENT

Emmanuel KOUEMO TCHOKODJEU

Philip AMOKO ANYANGO

Jacqueline PAYRE Hugues GAERTNER

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Hugues GAERTNER

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« Appui à l'équipement de bloc opératoire dans un

contexte d'urgence et de post-urgence »

« Supporting habilitation of operating department in emergency and post-emergency situation »

•Intervenant // Speaker : Hugues GAERTNER

•Fonction // Position : MIO (Mobile Implementation Officer) Biomedical

•Organisme // Organisation : Médecins Sans Frontières

•Pays // Country : Belgique

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Blocs Opératoires supportés // Operating theaters supported

• Haïti, Port-au-Prince

• Burundi, Kabezi & Gitega

• DRC, Masisi

• Sierra Leone, Bo

• South Sudan, Gogrial

• Pakistan, Dargai & Timurgara

• Afghanistan, Kabul & Khost

& Kunduz & Lashkar-Gah.

• Syria: Jabal-Akkrad.

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Activités médicales // Medical activities

- In 2012, MSF supported 20 surgical projects trough 12 countries: Africa (7): Burundi, RD Congo, Libya, Niger, Sierra Leone, Somalia, South Sudan. Asia (4): Afghanistan, India, Pakistan, Syria. America (1): Haiti

28%

13%

15%10%

34%

C-section VisceralOrthopaedics Other gyn/obsMinor/wound

Main surgeries: •Urgent visceral surgery: Minor and wounds •Orthopedic surgery: Internal and external fixation •Gyneco-obstetrical surgery: C-section, Fistula

For a total of 19145 surgeries during the year 2012

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Equipements médicaux utilisés // Medical devices in use

•Monitoring: Pulse oximeter, Multiparameters monitor (ECG, SpO2, BR, Sphygmomanometer, CO2, Temperature)

•Anesthesia: Manual anesthesia ventillation, Anesthesia ventillator, electrical suction pump, Oxygen concentrator, Laryngoscope, Syringe pump

Surgery: Operating lamp on wheels, Surgical aspirator, Pneumatical operating table, Electro surgical unit, Electrical dermatome

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Les difficultés de mise en place // Difficulties of implementation

• Find devices of good quality in local/regional market (including installation, trainings, first year maintenance warranty,...)

• Assure a proper follow-up of technical devices: • Technical competences for maintenances in the country/region • Supply of spares parts and consummables

• Get a good designed room depending on hygiene and technical

requirements

• Delay of transports and custom clearance from Europe. • Problem of compatibility (electricity, humidity, temperature,...) Modern equipment not "repairable"

• Low budget and understanding for preventive maintenance

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Description du projet Tabarre // Description of the project Tabarre

• Genesis: After the earthquarke in january 2010, most of the medical structures were colapsed. MSF decided to open a medium term hospital (activities runing for 5

to 10 years).

• Particularity of this project: Fast respond for the needs with a medium term vision Rapid construction using containers that have a good condition life for about 10 years.

• Main identified needs / Medical activities: Traffic accident with mostly motorcycle victims Weapons injuries Gyneco-Obstetrical With the hospital of Tabarre, MSF focus on orthopedy surgery (with internal and external fixations' surgery) and visceral and traumatologic surgeries. The objective is to implement a patient referral system with the local MoH hospital (Ministery of Healthcare)

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Les clés de la réussite pour Tabarre // Keys of success for Tabarre

• Intensive and continue training of medical staff

• Implementation of the biomedical department during the realization of the building and the opening of the hospital

• Training of a local biomedical referent during one year before the opening

• Future key of the success: Assure local maintenance contract for the most technical devices.

19 & 20 Nov 2013

Merci pour votre attention // Thanks for listening

Any questions?

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