Anaesthesia for repair of cleft lip, maxilla and palate in Nepal

Hoffmann, E.; Dück, M.; Oberthür, André; Paul, Matthias

doi:10.1097/00003643-200308000-00017

Cited by 4 publications

(3 citation statements)

References 4 publications

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Order By: Relevance

“…Delayed presentation occurs when the new parturient has to undertake long, sometimes arduous journeys to reach regional health centers (19). An initial misdiagnosis may lead to further delay in referral to a tertiary center (20), and referrals are usually only made when complications arise (9,14,(21)(22)(23)(24)(25)(26)(27). For example, vomiting and diarrhea are common problems in populations who do not have access to fresh running water.…”

Section: The Problemsmentioning

confidence: 99%

“…Drugs and equipment essential to provide safe anesthesia for children and particularly neonates are often lacking (14,23,26,36,48). The supply of anesthetic gases and drugs is erratic and unreliable (3,36).…”

Section: Drugs and Equipmentmentioning

confidence: 99%

“…Syringe pumps and other control devices are impractical where electricity supply is erratic. Closed or semiclosed anesthetic systems are considered dangerous in an environment where the oxygen supply is erratic and agent monitors are not available . The erratic supply of soda lime and compressed gas cylinders further limits it use.…”

Section: Drugs and Equipmentmentioning

confidence: 99%

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Neonatal anesthesia with limited resources

Bösenberg

2013

Pediatric Anesthesia

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Neonates are the most vulnerable age group in terms of anesthetic risk and perioperative mortality, especially in the developing world. Prematurity, malnutrition, delays in presentation, and sepsis contribute to this risk. Lack of healthcare workers, poorly maintained equipment, limited drug supplies, absence of postoperative intensive care, unreliable water supplies, or electricity are further contributory factors. Trained anesthesiologists with the skills required for pediatric and neonatal anesthesia as well as basic monitoring equipment such as pulse oximetry will go a long way to improve the unacceptably high anesthetic mortality.

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