Hendel Simon, Coonan Thomas, Thomas Sarah, McQueen Kelly
Center for International Health, The Burnet Institute for Medical Research, 85 Commercial Road, Melbourne, VIC, 3004, Australia,
World J Surg. 2015 Apr;39(4):833-41. doi: 10.1007/s00268-014-2775-9.
The importance of safe anesthesia for the best possible surgical outcomes in every patient is not disputed in high resource settings. Low-income countries lag far behind in the provision of, and training for, safe anesthesia practice. Too little is known about numbers and types of providers in a majority of low-income countries.
A review of the member societies of the World Federation of Societies of Anaesthesiologists was undertaken, and membership statistics of national societies were requested. Of the 126 members of the federation, only 14 represent low-income countries. Many non-federation-member countries are also low-income countries.
The anesthesia infrastructure and personnel challenges in low-income countries contribute to poor patient outcomes and limited access to emergency and essential surgery. The presence of a functional anesthesia society provides a measure of the numbers of providers and a snapshot of local professional activities.
The establishment and maintenance of an anesthesia society is an indicator of respect for the profession and commitment to standards of practice, quality initiatives, and continuing medical education within the country.
在资源丰富的环境中，安全麻醉对于每位患者实现最佳手术效果的重要性是毋庸置疑的。低收入国家在安全麻醉实践的提供和培训方面远远落后。在大多数低收入国家，人们对麻醉服务提供者的数量和类型了解甚少。
对世界麻醉医师协会联合会的成员协会进行了审查，并索取了各国协会的会员统计数据。该联合会的126个成员中，只有14个代表低收入国家。许多非联合会成员国家也是低收入国家。
低收入国家的麻醉基础设施和人员方面的挑战导致患者预后不良，以及获得急诊和基本外科手术的机会有限。一个运作良好的麻醉协会的存在可以衡量提供者的数量，并反映当地的专业活动情况。
麻醉协会的建立和维持表明该国对该专业的尊重以及对执业标准、质量改进举措和继续医学教育的承诺。
