Emergency Anesthesia in Resource-Limited Areas

Lee, Seung; Onye, Azuka; Latif, Asad

doi:10.1016/j.aan.2020.09.005

Cited by 3 publications

(3 citation statements)

References 47 publications

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“…However, Papua New Guinea, which has only 0.25 physician-anaesthetists per 100,000 populations, trained non-physician anaesthetists to meet 90% of total anaesthesia demand [ 23 ]. Meara and others thus recommend task sharing with non-physician anaesthetists, who are cheaper and quicker to train to fill the gaps in LMICs until minimum essential standards have been attained [ 2 , 24 , 25 ].…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, Contini et al found paediatric intubation sets were not available in half of health facilities examined in Afghanistan [ 18 ]. Availability of blood banks and invasive monitoring was restricted to tertiary care facilities in Pakistan and other resource-constrained countries [ 24 , 26 ]. Face masks, bags, ECG monitoring, and medication were reported as absent in most health facilities studied in Bangladesh [ 22 ].…”

Section: Resultsmentioning

confidence: 99%

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Anaesthesia delivery systems in low and lower-middle-income Asian countries: A scoping review of capacity and effectiveness

Shahbaz,

Howard

2024

PLOS Glob Public Health

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Literature on anaesthesia systems in low and lower middle-income countries is limited, focused on the Africa region, and provides minimal data on anaesthesia or associated disciplines within intensive care, pain management and emergency medicine. We thus conducted a scoping review of primary and secondary research literature on capacity and effectiveness of anaesthesia delivery in low and lower middle-income countries in the Asia region from 2000–2021, to clarify existing knowledge, important gaps, and possible subsequent steps. We applied Arksey and O’Malley’s scoping literature review method to search five databases (i.e. EMBASE, CINAHL, Medline, Scopus, Web of Science), screen, extract, and synthesise data under three themes: (i) availability and type of anaesthesia workforce; (ii) anaesthesia system infrastructure, equipment, and supplies; and (iii) effectiveness of anaesthesia provision. We included 25 eligible sources of 603 identified. Only ten (40%) were published in the last 5 years and Asian lower-income countries were primarily represented in 15 multi-country sources. Fifteen (60%) sources used quantitative methods and provided limited information on data collection, e.g. sampling criteria or geographic areas included. No sources included countrywide data, despite anaesthesia delivery and resources differing significantly sub-nationally (e.g. central versus rural/remote, or insecure areas). Data on anaesthesiology delivery were limited, with findings including insufficiencies in workforce, supplies, training, and skills-building of anaesthesia personnel, along with the lack of consistent strategies for overcoming maldistribution of resources and improving anaesthesia delivery systems in the region. This review, a first attempt to synthesise existing data on anaesthesia delivery systems in low and lower-middle-income Asian countries, shows the anaesthesia literature is still limited. Findings highlight the urgent need for additional research and collaboration nationally and regionally to strengthen anaesthesia delivery and surgical facilities in resource-constrained settings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Anaesthesia delivery systems in low and lower-middle-income Asian countries: A scoping review of capacity and effectiveness

Shahbaz,

Howard

2024

PLOS Glob Public Health

View full text Add to dashboard Cite

show abstract

“…which has only 0.25 physician-anaesthetists per 100,000 populations, trained non-physician anaesthetists to meet 90% of total anaesthesia demand [23]. Meara and others thus recommend task sharing with non-physician anaesthetists, who are cheaper and quicker to train to fill the gaps in LMICs until minimum essential standards have been attained [2,24,25].…”

Section: Plos Global Public Healthmentioning

confidence: 99%

Anaesthesia delivery systems in low and lower-middle-income Asian countries: a scoping review of capacity and effectiveness

Shahbaz

Howard

2023

Preprint

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Background Literature on anaesthesia systems in low and lower middle-income countries is limited, focused on the Africa region, and provides minimal data on anaesthesia or associated disciplines within intensive care, pain management and emergency medicine. We thus conducted a review of primary and secondary research literature on low and lower middle-income countries in the Asia region from 2000-2021, to clarify existing knowledge, important gaps, and possible subsequent steps. Methods We applied Arksey and O’Malley’s scoping literature review method to search, screen, extract, and synthesise data under three themes: (i) availability and type of anaesthesia workforce; (ii) anaesthesia system infrastructure, equipment, and supplies; and (iii) effectiveness of anaesthesia provision. Results We included 25 eligible sources of 603 identified. Only ten (40%) were published in the last 5 years and Asian lower-income countries were primarily represented in 15 multi-country sources. Fifteen (60%) sources used quantitative methods and provided limited information on data collection, e.g. sampling criteria or geographic areas included. No sources included countrywide data, despite anaesthesia delivery and resources differing significantly sub-nationally (e.g., central versus rural/remote, or insecure areas). Data on anaesthesiology delivery were limited, with findings including insufficiencies in workforce, supplies, training and skills-building of anaesthesia personnel, along with the lack of consistent strategies for overcoming maldistribution of resources and improving anaesthesia delivery systems in the region. Conclusions This review, a first attempt to synthesise existing data on anaesthesia delivery systems in low and lower-middle-income Asian countries, shows the anaesthesia literature is still limited. Findings highlight the urgent need for additional research and collaboration nationally and regionally to strengthen anaesthesia delivery and surgical facilities in resource-constrained settings.

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Conceptualising wellbeing among health-care workers during the Covid-19 pandemic

McHugh,

Trotman,

Nicholson

et al. 2024

Health (London)

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Since 2020 health workers everywhere have been challenged by the ongoing ramifications of the Covid-19 pandemic. This virus impacted all aspects of life but health-related workplaces particularly, were transformed virtually overnight. Demands were heightened and customary supports came under pressure presenting a huge crisis for health systems. The goal of this study was to explore how this catastrophic pandemic event impacted the wellbeing of healthcare professionals (HCPs) working through this time. Interviews with 57 HCPs from multiple countries and specialty areas were explored utilising inductive content analysis (ICA). Resulting data were then categorised into themes and deductively analysed utilising a method informed by Capability Theory. These were secondary data as the interviews were part of a larger set collected primarily for the purpose of a documentary being made about this experience. This study found that illbeing experiences were prevalent among HCPs. However, significant sources of wellbeing were also evident, and were instrumental in maintaining HCP resilience. Wellbeing was enhanced when HCPs experienced a small number of key capabilities that enabled a broad range of functionings. The capabilities were for (a) participation in positive relationships, (b) a sense of identity, purpose, meaning and value in relation to one’s work and (c) ability to provide an appropriate level of medical treatment, care and other role related support. These c apabilities were central to HCP wellbeing irrespective of the individual’s location and specialty area, however the ability to realise these capabilities in desired functionings was differentially impacted by each individual’s unique circumstances.

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Emergency Anesthesia in Resource-Limited Areas

Cited by 3 publications

References 47 publications

Anaesthesia delivery systems in low and lower-middle-income Asian countries: A scoping review of capacity and effectiveness

Anaesthesia delivery systems in low and lower-middle-income Asian countries: A scoping review of capacity and effectiveness

Anaesthesia delivery systems in low and lower-middle-income Asian countries: a scoping review of capacity and effectiveness

Conceptualising wellbeing among health-care workers during the Covid-19 pandemic

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