Hazards of the Anesthesia Delivery System

Eisenkraft, James B.; Jaffe, Michael B.

doi:10.1016/b978-0-323-67279-5.00023-6

Cited by 3 publications

(3 citation statements)

References 155 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We used Tranquilli and Thurmon’s 2013 anaesthesia definition, as it broadly defines the term and, although anaesthesia is no longer limited to surgical procedures, it is still largely limited to intraoperative procedures in LMICs. Similarly, our chosen definition for anaesthesia delivery system refers to its intraoperative use [ 12 ]. We chose the standard WHO health system definition for its familiarity.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

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

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.

show abstract

Section: Methodsmentioning

confidence: 99%

“…The anaesthesia delivery system comprises the anaesthesia provider, anaesthesia machine, anaesthesia vaporizers, ventilator, breathing circuit, and waste gas scavenging system [12].…”

Section: Anaesthesia Delivery Systemmentioning

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

“…Causes of air pollution in operating rooms with anesthetic gasses include leakage of gas from anesthesia machines through the vaporizer, lack of a purge system, some common anesthetic methods, pouring of anesthetics, patient exhalation, inefficiency and closure of the system's gas inlet valves, and use of chip tubes without a cuff (13). The balance between the supply of oxygen to the liver via blood circulation and the liver tissue supplying oxygen to the hepatocytes is an important factor in liver metabolism (14).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Milk Thistle, Green Tea, and Cinnamon Beverages on Liver Enzymes of Operating Room Anesthesia Personnel

Kheirandish,

Mard-Soltani,

Mojab

et al. 2023

Trends Med Sci

View full text Add to dashboard Cite

Background: Millions of health workers in operating rooms worldwide are exposed to inhaled anesthetics. However, the effects of continuous exposure to inhalational anesthetics are still controversial in many studies. Objectives: The present study investigated the effects of milk thistle, green tea, and cinnamon consumption on liver enzymes in operating room personnel. Methods: In this study, we investigated the effects of milk thistle tea, green tea, and cinnamon tea on liver enzymes in operating room staff in a controlled, double-blind study from 2019 to 2020. In two parallel groups, 62 subjects were randomly assigned to ingest the beverages the teas. Milk thistle, green tea, and cinnamon were taken daily for four weeks. During the intervention, all participants were educated about the importance of a balanced diet and physical activity. Results: The milk thistle, green tea, and cinnamon groups showed a significant statistical difference in reduced levels of AST, ALT, ALP, ALB, GGT, bilirubin, and ESR after four weeks (P value < 0.001). Conclusions: The results of this study demonstrated that ingesting green tea and cinnamon reduced liver enzymes in surgical personnel. Among the extracts, milk thistle had a greater effect on liver enzymes than the other two extracts. It can be concluded that the prescribed milk thistle extract can be considered a potential intervention to improve liver enzyme levels in surgical personnel to reduce the adverse effects of anesthetics.

show abstract

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

Shahbaz

Howard

2023

Preprint

View full text Add to dashboard Cite

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.

show abstract

Hazards of the Anesthesia Delivery System

Cited by 3 publications

References 155 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

The Effect of Milk Thistle, Green Tea, and Cinnamon Beverages on Liver Enzymes of Operating Room Anesthesia Personnel

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

Contact Info

Product

Resources

About