Ketamine anaesthesia in Papua New Guinea

Roberts, P. W.; Dent, Andrew W

doi:10.1111/j.1442-2026.1996.tb00594.x

Cited by 6 publications

(4 citation statements)

References 30 publications

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“…14,15 Certainly, the reports of ketamine's use as a sole general anaesthetic in adults in the Third World document an emergence reactions occurring in patients as they recover from sedation. 16,17 There is conflicting evidence regarding whether these emergence reactions occur as frequently in children as in adults, whether these reactions occur with the doses of ketamine commonly used for procedural sedation and whether these emergence reactions are a negative experience that requires nursing, medical or pharmacological intervention. [1][2][3][4][5]9,[14][15][16][17][18][19] Unfortunately, the literature is not clear on the subject.…”

Section: Introductionmentioning

confidence: 99%

What is the nature of the emergence phenomenon when using intravenous or intramuscular ketamine for paediatric procedural sedation?

Treston

Bell

Cardwell

et al. 2009

Emerg Medicine Australasia

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The belief that ketamine, in the doses used for ED PPS, causes frequent emergence delirium is flawed. A pleasant emergence phenomenon is common, but is not distressing for the child, and has no long-term (up to 30 days) negative sequelae. Rarely, there is anxiety or distress on awakening from ketamine sedation, which settles spontaneously. This should not deter emergency physicians from using ketamine for PPS.

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Section: Introductionmentioning

confidence: 99%

What is the nature of the emergence phenomenon when using intravenous or intramuscular ketamine for paediatric procedural sedation?

Treston

Bell

Cardwell

et al. 2009

Emerg Medicine Australasia

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“…Most patients (182 of 243) were anaesthetized using ketamine. Ketamine is an ideal agent for facilities with limited medical staff as it can safely be given by suitably trained nurse practitioners 3 . Thirty‐three procedures were performed under local anaesthesia.…”

Section: Hospital Generalist Dutiesmentioning

confidence: 99%

“…Ketamine is an ideal agent for facilities with limited medical staff as it can safely be given by suitably trained nurse practitioners. 3 Thirty-three procedures were performed under local anaesthesia. Spinal and epidural anaesthesia were used for most Caesarean sections and for laparotomy in some haemodynamically stable patients.…”

Section: Emergency Anaesthesiamentioning

confidence: 99%

Rural hospital generalist and emergency medicine training in Papua New Guinea

Symmons

Curry

2007

Emerg Medicine Australasia

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The present paper describes the role of the hospital generalist in rural Papua New Guinea (PNG) and the contribution of emergency medicine training to that practice. Generalist practice in Tinsley District Hospital in Western Highlands Province is described, with emphasis on emergency surgery and anaesthesia. The potential of the PNG emergency medicine training programme for preparing generalists is discussed. Tinsley Hospital served a population of 40,000 people, with 4000 admissions and 300-400 operations performed annually. Two doctors and 50 nurses and community health workers provided care with minimal resources. The doctors provided supervision and teaching for nurses, community health workers, hospital administrators and primary health carers, including on long range medical patrols. Over 16 months, doctors performed 243 emergency surgical procedures including orthopaedics, general surgery, obstetrics and gynaecology. The generalist in rural hospitals is required to perform a wide variety of medical tasks in isolated settings yet there is no active postgraduate training programme. The Master of Medicine, Emergency Medicine programme includes rotations through the major disciplines of surgery, anaesthesia, internal medicine, paediatrics, obstetrics and gynaecology. It has the potential to train doctors in PNG for a generalist role as graduates will learn the foundations of the required skills.

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“…RS-X chart was developed by [2]. It is also well known as a zone chart, where the control chart is segregated into many regions according to the preference of the practitioners.…”

Section: Introductionmentioning

confidence: 99%

Variable sampling interval run sum X‾ chart with estimated process parameters

Saha

Khoo

et al. 2018

MATEC Web Conf.

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Abstract. The X type control chart is often evaluated by assuming the process parameters are known. However, the exact values of process parameters are hardly known and thus Phase-I dataset is needed to estimate them. In this paper, the performance of the variable sampling interval run sum X chart with estimated process parameters is evaluated by using the performance measure of the average of the average time to signal (AATS) and the optimal design of the proposed chart in minimizing the out-of-control AATS is developed. The performance measure of the standard deviation of the average time to signal (SDATS) is then used to identify the number of Phase-I samples (w) needed to have an in-control AATS performance close to its known process parameter case. Results show that large w is needed to minimize the performance gap between known and unknown process parameters cases of the VSI RS X chart.

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Ketamine anaesthesia in Papua New Guinea

Cited by 6 publications

References 30 publications

What is the nature of the emergence phenomenon when using intravenous or intramuscular ketamine for paediatric procedural sedation?

What is the nature of the emergence phenomenon when using intravenous or intramuscular ketamine for paediatric procedural sedation?

Rural hospital generalist and emergency medicine training in Papua New Guinea

Variable sampling interval run sum X‾ chart with estimated process parameters

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