Fitzgerald Brian M, Nagy Christopher J, Goosman Eric F, Gummerson Matthew C, Wilson John E
J Spec Oper Med. 2017 Winter;17(4):56-62. doi: 10.55460/4E3X-VT6H.
Many anesthesiologists and CRNAs are provided little training in preparing for a humanitarian surgical mission. Furthermore, there is very little published literature that outlines how to plan and prepare for anesthesia support of a humanitarian surgical mission. This article attempts to serve as an in-depth planning guide for anesthesia support of humanitarian surgical missions. Recommendations are provided on planning requirements that most anesthesiologists and CRNAs do not have to consider on routinely, such as key questions to be answered before agreeing to support a mission, ordering and shipping supplies and medications, travel and lodging arrangements, and coordinating translators in a host nation. Detailed considerations are included for all the phases of mission planning: advanced, mission-specific, final, mission-execution, and postmission follow-up planning, as well as a timeline in which to complete each phase. With the proper planning and execution, the anesthetic support of humanitarian surgical missions is a very manageable task that can result in an extremely satisfying sense of accomplishment and a rewarding experience. The authors suggest this article should be used as a reference document by any anesthesia professional tasked with planning and supporting a humanitarian surgical mission.
许多麻醉医生和注册麻醉护士在为开展人道主义外科手术任务做准备方面接受的培训很少。此外，几乎没有已发表的文献概述如何为支持人道主义外科手术任务的麻醉工作进行规划和准备。本文旨在为人道主义外科手术任务的麻醉支持提供一份深入的规划指南。针对大多数麻醉医生和注册麻醉护士日常无需考虑的规划要求给出了建议，比如在同意支持一项任务之前需要回答的关键问题、订购和运输物资及药品、旅行和住宿安排，以及在东道国协调翻译人员等。文中还针对任务规划的各个阶段进行了详细考量：前期规划、特定任务规划、最终规划、任务执行规划和任务后跟进规划，以及完成每个阶段的时间表。通过恰当的规划和执行，人道主义外科手术任务的麻醉支持是一项完全可以掌控的任务，能够带来极大的成就感和有意义的体验。作者建议，任何负责规划和支持人道主义外科手术任务的麻醉专业人员都应将本文用作参考文件。
