Providing Anesthesia Care in Resource-limited Settings: A 6-year Analysis of Anesthesia Services Provided at Médecins Sans Frontières Facilities

Anesthesiology
Promise AriyoAsad Latif

Abstract

Anesthesia is integral to improving surgical care in low-resource settings. Anesthesia providers who work in these areas should be familiar with the particularities associated with providing care in these settings, including the types and outcomes of commonly performed anesthetic procedures. The authors conducted a retrospective analysis of anesthetic procedures performed at Médecins Sans Frontières facilities from July 2008 to June 2014. The authors collected data on patient demographics, procedural characteristics, and patient outcome. The factors associated with perioperative mortality were analyzed. Over the 6-yr period, 75,536 anesthetics were provided to adult patients. The most common anesthesia techniques were spinal anesthesia (45.56%) and general anesthesia without intubation (33.85%). Overall perioperative mortality was 0.25%. Emergent procedures (0.41%; adjusted odds ratio [AOR], 15.86; 95% CI, 2.14 to 115.58), specialized surgeries (2.74%; AOR, 3.82; 95% CI, 1.27 to 11.47), and surgical duration more than 6 h (9.76%; AOR, 4.02; 95% CI, 1.09 to 14.88) were associated with higher odds of mortality than elective surgeries, minor surgeries, and surgical duration less than 1 h, respectively. Compared with general anesth...Continue Reading

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Citations

Feb 18, 2016·Anesthesiology·Kelly McQueen
Sep 21, 2016·Anesthesiology·Pierre PasquierSylvain Ausset
Sep 21, 2016·Anesthesiology·Promise AriyoAsad Latif
Apr 21, 2017·Current Opinion in Anaesthesiology·Lena E Dohlman
Mar 10, 2018·International Anesthesiology Clinics·Marten van Wijhe
Oct 31, 2017·BMJ Global Health·Vikas O'Reilly-ShahScott Gillespie
Aug 14, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Luc Malemo KalisyaSarah B Cairo
Mar 18, 2017·Current Anesthesiology Reports·Miguel Trelles CenturionHenry Gray
Jun 12, 2018·Current Trauma Reports·Miguel Trelles CenturionGuido Benedetti
Dec 28, 2019·Indian Journal of Anaesthesia·Mukul Chandra Kapoor
Nov 11, 2020·Acta Anaesthesiologica Scandinavica·Herman A LonnéeAlex J van Duinen
Mar 2, 2021·Current Anesthesiology Reports·Laurence RingCarlos Delgado
Oct 31, 2020·Local and Regional Anesthesia·Lena Ebba DohlmanOdinakachukwu Ehie

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