Knoxville, Tenn.; Charlottesville, Va.; Cleveland, Ohio; Minneapolis, Rochester, and Edina, Minn.; Austin, Texas; Spokane, Wash.; and Mountain View and Los Angeles, Calif. From Fort Sanders Regional Medical Center; the Department of Anesthesiology, University of Virginia Health System; the Department of Plastic Surgery, Case Western Reserve University; Abbott Northeastern Hospital; the Division of Plastic Surgery, University of Texas Medical Branch at Austin; Providence Sacred Heart Medical Center and Children's Hospital; Interplast; the Division of Plastic Surgery, University of Southern California; the Department of Anesthesiology, Mayo Clinic College of Medicine; and the Division of Plastic Surgery, University of Minnesota.
Plast Reconstr Surg. 2011 Jun;127(6):2477-2486. doi: 10.1097/PRS.0b013e3182131d2a.
A significant need is met by volunteer groups who provide free reconstructive plastic surgery for underserved children in developing countries. However, at present there are no consistent guidelines for volunteer groups in plastic surgery seeking to provide high-quality and safe care.
With these quality and safety standards in mind, in 2006, the Volunteers in Plastic Surgery Committee of the American Society of Plastic Surgeons/Plastic Surgery Educational Foundation undertook a project to develop a detailed set of guidelines for volunteer groups from developed countries seeking to provide plastic surgery services to children in developing countries. To make the guidelines include both surgical and anesthetic needs, they were developed in conjunction with the Society for Pediatric Anesthesia.
Guidelines for the delivery of plastic surgery care by volunteer groups to developing countries have been reviewed and approved by the boards of both organizations (the American Society of Plastic Surgeons/Plastic Surgery Educational Foundation and the Society for Pediatric Anesthesia). These include guidelines for the initial site visit, site and patient selection, staff and equipment that should be available, and procedures that can be safely performed based on the site and available facilities. Guidelines for assessment of outcomes, dealing with adverse outcomes, and quality improvement are also provided.
Any plastic surgery group undertaking an international mission trip should be able to go to one source to find a detailed discussion of the perceived needs in providing high-quality, safe care for children. The present document was created to satisfy this need.
志愿组织为发展中国家服务不足的儿童提供免费的重建整形外科手术，满足了重大需求。然而，目前对于寻求提供高质量和安全护理的整形外科志愿组织尚无统一的准则。
考虑到这些质量和安全标准，2006 年，美国整形外科学会/整形外科学教育基金会整形外科志愿组织委员会着手制定了一套详细的准则，供来自发达国家的志愿组织使用，旨在为发展中国家的儿童提供整形外科服务。为了使准则既包括手术需求又包括麻醉需求，它们是与儿科麻醉学会联合制定的。
志愿组织向发展中国家提供整形外科护理的准则已经过这两个组织（美国整形外科学会/整形外科学教育基金会和儿科麻醉学会）的董事会审查和批准。这些准则包括初步现场访问、现场和患者选择、应具备的人员和设备以及根据现场和可用设施可以安全进行的程序。还提供了评估结果、处理不良结果和质量改进的准则。
任何进行国际使命之旅的整形外科组织都应该能够从一个来源找到提供高质量、安全儿童护理的具体需求讨论。本文件的创建是为了满足这一需求。
