Lee Seung, Onye Azuka, Latif Asad
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, 1800 Orleans Street, 6222 Charlotte R. Bloomberg, Baltimore, MD 21287, USA.
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, 1800 Orleans Street, 9137 Sheikh Zayed Building, Baltimore, MD 21287, USA.
Anesthesiol Clin. 2020 Mar;38(1):213-230. doi: 10.1016/j.anclin.2019.10.011.
Anesthesia providers play a critical role in the gap between unmet surgical need and access to safe surgical care. Providers from high-income countries can help fill this gap, particularly during crises, but it is critical to provide care responsibly and ethically. Most unmet surgical need is in low-income and middle-income countries where limited infrastructural, human, and material resources pose significant challenges. Anesthesia providers must recognize these difficulties as they apply to the local context and plan accordingly. This article outlines some of the unique issues and provides a framework of considerations for safe and responsible anesthesia delivery in resource-limited areas.
麻醉医护人员在未满足的手术需求与获得安全手术治疗之间的差距中发挥着关键作用。高收入国家的医护人员可以帮助填补这一差距，尤其是在危机期间，但负责任且合乎道德地提供治疗至关重要。大多数未满足的手术需求存在于低收入和中等收入国家，这些国家有限的基础设施、人力和物力资源带来了重大挑战。麻醉医护人员必须认识到这些困难并结合当地情况加以考虑并做出相应规划。本文概述了一些独特问题，并提供了一个在资源有限地区安全、负责地实施麻醉的考虑框架。
