Anesthesia Care Capacity at Health Facilities in 22 Low- and Middle-Income Countries

World Journal of Surgery
Rachel A HadlerAdam L Kushner

Abstract

Globally, an estimated 2 billion people lack access to surgical and anesthesia care. We sought to pool results of anesthesia care capacity assessments in low- and middle-income countries (LMICs) to identify patterns of deficits and provide useful targets for advocacy and intervention. A systematic review of PubMed, Cochrane Database of Systematic Reviews, and Google Scholar identified reports that documented anesthesia care capacity from LMICs. When multiple assessments from one country were identified, only the study with the most facilities assessed was included. Patterns of availability or deficit were described. We identified 22 LMICs (15 low- and 8 middle-income countries) with anesthesia care capacity assessments (614 facilities assessed). Anesthesia care resources were often unavailable, including relatively low-cost ones (e.g., oxygen and airway supplies). Capacity varied markedly between and within countries, regardless of the national income. The availability of fundamental resources for safe anesthesia, such as airway supplies and functional pulse oximeters, was often not reported (72 and 36 % of hospitals assessed, respectively). Anesthesia machines and the capability to perform general anesthesia were unavailable i...Continue Reading

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Citations

Oct 24, 2015·World Journal of Surgery·Kelly McQueen
Apr 21, 2017·Current Opinion in Anaesthesiology·Lena E Dohlman
Sep 19, 2017·Anesthesia and Analgesia·Mark A BrouilletteAlec R Hermanson
Jul 14, 2018·Current Opinion in Anaesthesiology·Amit Pawa, Kariem El-Boghdadly
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Oct 31, 2020·Local and Regional Anesthesia·Lena Ebba DohlmanOdinakachukwu Ehie

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