Objectives: To determine the unmet anaesthesia need in a low resource region.
Introduction: Surgery and anæsthesia services in low- and middle-income countries (LMICs) are under-equipped, under-staffed, and unable to meet current surgical need. There is little objective measure as to the true extent and nature of unmet need. Without such an understanding it is impossible to formulate solutions. Therefore, we re-examined Surgeons OverSeas (SOSAS) unmet surgical need data to extrapolate unmet anaesthesia need.
Methods: For the untreated surgical conditions identified by SOSAS, we assigned anaesthetic technique required to carry out the procedure. The chosen anaesthetic was based on common practice in the region. Procedures were categorized into minimal anaesthesia, spinal anæsthesia, regional anaesthesia, ketamine/monitored anaesthesia care (MAC), and general endotracheal anæsthesia (GETA).
Discussions: Ninety-two per cent (687 of 745) of untreated surgical conditions in Sierra Leone would require some form of anaesthesia. Seventeen per cent (125 of 745) would require MAC, 22% (167 of 745) would require spinal anaesthesia, and 53% (395 of 745) would require GETA.
Conclusion: Analyses such as this can provide guidance as to the rational and efficient production and distribution of personnel, drugs and equipment.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765452 | PMC |
| http://dx.doi.org/10.4314/ahs.v15i3.43 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Acceptability and feasibility of minimally invasive restorative procedures for patients with disability. A cohort study.
Spec Care Dentist
December 2024
Faculty of Dentistry, University of Hong Kong SAR China, Hong Kong, China.
Background: Unmet caries treatment needs are prevalent among people with disability, partly due to difficulties of cooperation during conventional dental treatment. This cohort study compared atraumatic restorative treatment (ART), silver modified atraumatic restorative treatment (SMART), and conventional restorative treatment (CRT), in terms of feasibility and acceptability in patients referred for special care dentistry in a specialized university clinic.
Methods: Patients referred for dental restorative care were treated using either ART, SMART, or CRT approach.
Effect of the COVID-19 pandemic on unmet healthcare needs after hospital discharge in acute respiratory failure survivors: A multicenter prospective cohort study.
J Hosp Med
December 2024
Department of Hospital Medicine, Intermountain Medical Center, Murray, Utah, USA.
Survivors of acute respiratory failure (ARF) have complex healthcare needs postdischarge, frequently resulting in unmet needs. This prospective multicenter study explores the association between COVID-19 status and unmet healthcare needs in survivors of ARF following hospital discharge. We analyzed patient characteristics and unmet healthcare needs by COVID-19 status using a multivariable regression model with propensity weights.
View Article and Find Full Text PDFITP in pregnancy: diagnostics and therapeutics in 2024.
Hematology Am Soc Hematol Educ Program
December 2024
Division of Hematology, Massachusetts General Hospital, Boston, MA.
Thrombocytopenia will occur in 10% of pregnancies-ranging from the clinically benign to processes that can threaten both mother and fetus. Accurately identifying the specific etiology and appropriate clinical management is challenging due to the breadth of possible diagnoses and the potential of shared features among them. Further complicating diagnostic certainty is the lack of confirmatory testing for most possible pathophysiologies.
View Article and Find Full Text PDF[Left atrial appendage closure guided with intracardiac echocardiographic probe via transesophageal route].
G Ital Cardiol (Rome)
November 2024
Divisione di Cardiologia, Presidio Ospedaliero Umberto I, ASP 8 di Siracusa, Siracusa.
Article Synopsis
- * Left atrial appendage closure (LAAC) is a viable option for these patients, and transesophageal echocardiography (TEE) is the traditional imaging method to assist in this procedure, although it typically requires general anesthesia, which poses additional risks for older adults.
- * Intracardiac echocardiography (ICE) offers a "minimalist approach" that avoids anesthesia but has issues with image quality; recently, using ICE in conjunction with TEE (ICE-TEE) has
Post-esophagectomy patients presenting for general anesthesia induction: a survey of practice among US anesthesiologists (PESO-GAIN-S).
J Anesth
November 2024
Department of Anesthesia, Veterans Affairs Boston Healthcare System, Critical Care and Pain Medicine, and Tufts University School of Medicine, Boston, MA, 02111, USA.
Purpose: Following esophagectomy, annually several thousand patients in the United States (US) reach a stable post-esophagectomy status. Such patients may require general anesthesia (GA) for elective procedures, but no generally accepted guidelines exist for the induction of GA in post-esophagectomy patients.
Methods: A national survey describing a post-esophagectomy patient was emailed to 23,524 attending anesthesiologists who were members of the American Society of Anesthesiologists.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!