The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety

被引：27

作者：

McQueen, Kelly ^{[1
]}

Coonan, Tom ^{[2
]}

Ottaway, Andrew ^{[3
,4
]}

Hendel, Simon ^{[5
]}

Bagutifils, Paulin R. ^{[6
,7
,8
]}

Froese, Alison ^{[9
,10
,11
]}

Neighbor, Robert ^{[12
]}

Perndt, Haydn ^{[13
]}

机构：

[1] Vanderbilt Univ, Nashville, TN 37235 USA

[2] Dalhousie Univ, Halifax, NS, Canada

[3] Hobart Anaesthet Grp, Hobart, Tas, Australia

[4] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA

[5] Ctr Int Hlth, Burnet Inst, Melbourne, Australia

[6] King Faisal Hosp, Peri Operat Care Serv, Kigali, Rwanda

[7] Univ Rwanda, Dept Anesthesia, Butare, Rwanda

[8] Univ Rwanda, ICM, Sch Med, Coll Med & Hlth Sci, Butare, Rwanda

[9] Queens Univ, Dept Anesthesiol, Kingston, ON, Canada

[10] Queens Univ, Dept Perioperat Med, Kingston, ON, Canada

[11] Queens Univ, Dept Physiol, Kingston, ON K7L 3N6, Canada

[12] Diamed UK Ltd, Barnstaple, North Devon, England

[13] Univ Tasmania, Sch Med, Hobart, Australia

来源：

WORLD JOURNAL OF SURGERY | 2015年 / 39卷 / 09期

关键词：

DEVELOPING-COUNTRIES; DEVELOPING-WORLD; CHECKLIST; MORTALITY; SURGERY; INFRASTRUCTURE; COMPLICATIONS; UGANDA;

D O I：

10.1007/s00268-015-3101-x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Current guidelines for the provision of safe anaesthesia from the World Health Organization and the World Federation of Societies of Anaesthesiologists (WFSA) are unachievable in a majority of low and middle-income countries (LMICs) worldwide. Current guidelines for anaesthesia and patient safety provisions from the WHO and WFSA are compared with local ability to achieve these recommendations in LMICs. Influential international organizations have historically published anaesthesia guidelines, but for the most part, without impacting substantial documentable changes or outcomes in low-income environments. This analysis, and subsequent recommendations, reviews the effectiveness of existing strategies for international guidelines, and proposes practical, step-wise implementation of patient safety approaches for LMICs.

引用

页码：2153 / 2160

页数：8

共 50 条

[1]

[Anonymous], 2009, SURG SAF CHECKL

[2] Perioperative and anaesthetic-related mortality in developed and developing countries: a systematic review and meta-analysis [J].