Hodges Sarah C
Department of Anaesthesia, CoRSU Rehabilitation Hospital, Kisubi, Kampala, Uganda.
Curr Opin Anaesthesiol. 2016 Jun;29(3):367-71. doi: 10.1097/ACO.0000000000000319.
As the United Nations moves from Millennium Development Goals to Sustainable Development Goals, we find ourselves with the opportunity to influence the priority of global health initiatives. Previously, the global health community has failed to recognise the importance of access to safe, affordable surgery and developing the necessary specialities that support it as most of the funding focus had been on primary healthcare and infectious diseases.
Now the WHO is publishing guidelines to safe surgery and the Lancet Commission on Global Surgery has been launched. However, this is only the start; anaesthesia remains a forgotten speciality within the world of public and global health and there are still challenges in escalating surgery in low and middle-income countries to an acceptable level that is affordable and timely.
Although there is increased world interest in safe surgery and anaesthesia this has not yet been translated into a mandate that will compel countries to invest in improving levels of infrastructure, accessibility, manpower, and safety. A general anaesthetic remains a dangerous event in a child's life in resource-limited countries.
综述目的：随着联合国从千年发展目标转向可持续发展目标，我们有机会影响全球卫生倡议的优先事项。此前，全球卫生界未能认识到获得安全、可负担手术以及发展支持手术所需专业学科的重要性，因为大部分资金都集中在初级卫生保健和传染病方面。
近期发现：如今，世界卫生组织正在发布安全手术指南，全球外科柳叶刀委员会也已启动。然而，这仅仅是个开始；麻醉在公共卫生和全球卫生领域仍是一个被忽视的专业学科，并且在将低收入和中等收入国家的手术水平提升到可接受、可负担且及时的程度方面仍存在挑战。
总结：尽管全球对安全手术和麻醉的关注度有所提高，但这尚未转化为一项强制各国投资改善基础设施水平、可及性、人力和安全性的指令。在资源有限的国家，全身麻醉在儿童生命中仍然是一个危险事件。
