Butler Marilyn, Drum Elizabeth, Evans Faye M, Fitzgerald Tamara, Fraser Jason, Holterman Ai-Xuan, Jen Howard, Kynes Matthew, Kreiss Jenny, McClain Craig D, Newton Mark, Nwomeh Benedict, O'Neill James, Ozgediz Doruk, Politis George, Rice Henry, Rothstein David, Sanchez Julie, Singleton Mark, Yudkowitz Francine S
Division of Pediatric Surgery, Department of Surgery, Oregon Health & Science University, Portland, OR, USA.
Department of Anesthesiology & Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA.
Paediatr Anaesth. 2018 May;28(5):392-410. doi: 10.1111/pan.13378.
Pediatric surgeons, anesthesia providers, and nurses from North America and other high-income countries are increasingly engaged in resource-limited areas, with short-term missions as the most common form of involvement. However, consensus recommendations currently do not exist for short-term missions in pediatric general surgery and associated perioperative care. The American Academy of Pediatrics (AAP) Delivery of Surgical Care Subcommittee and American Pediatric Surgical Association (APSA) Global Pediatric Surgery Committee, with the American Pediatric Surgical Nurses Association, Inc. (APSNA) Global Health Special Interest Group, and the Society for Pediatric Anesthesia (SPA) Committee on International Education and Service generated consensus recommendations for short-term missions based on extensive experience with short-term missions. Three distinct, but related areas were identified: (i) Broad goals of surgical partnerships between high-income countries and low- and middle-income countries. A previous set of guidelines published by the Global Paediatric Surgery Network Collaborative (GPSN) was endorsed by all groups; (ii) Guidelines for the conduct of short-term missions were developed, including planning, in-country perioperative patient care, post-trip follow-up, and sustainability; and (iii) travel and safety considerations critical to short-term mission success were enumerated. A diverse group of stakeholders developed these guidelines for short-term missions in low- and middle-income countries. These guidelines may be a useful tool to ensure safe, responsible, and ethical short-term missions given increasing engagement of high-income country providers in this work.
来自北美和其他高收入国家的小儿外科医生、麻醉医护人员和护士越来越多地参与到资源有限的地区，短期任务是最常见的参与形式。然而，目前小儿普通外科及相关围手术期护理的短期任务尚无共识性建议。美国儿科学会（AAP）外科护理提供小组委员会、美国小儿外科协会（APSA）全球小儿外科委员会、美国小儿外科护士协会（APSNA）全球健康特别兴趣小组以及小儿麻醉学会（SPA）国际教育与服务委员会，基于在短期任务方面的丰富经验，制定了短期任务的共识性建议。确定了三个不同但相关的领域：（i）高收入国家与低收入和中等收入国家之间外科合作的广泛目标。全球小儿外科网络协作组织（GPSN）此前发布的一套指南得到了所有团体的认可；（ii）制定了短期任务的实施指南，包括规划、国内围手术期患者护理、行程后随访以及可持续性；（iii）列举了对短期任务成功至关重要的旅行和安全考虑因素。由不同利益相关者群体制定了这些针对低收入和中等收入国家短期任务的指南。鉴于高收入国家的医护人员越来越多地参与此项工作，这些指南可能是确保短期任务安全、负责且符合道德规范的有用工具。
