Aga Khan University Hospital, Karachi, Pakistan.
Department of Anaesthesiology, King Hammad International Hospital, Al Sayh, Bahrain.
Can J Anaesth. 2023 Mar;70(3):335-342. doi: 10.1007/s12630-022-02381-3. Epub 2022 Dec 28.
There is a paucity of literature on anesthetic drug shortages and their impact on patient safety in lower-middle-income countries. We sought to determine the magnitude of the problem, the effect on patient care and safety, and the adverse patient outcomes witnessed by anesthesiologists in Pakistan METHODS: We conducted a nationwide, multicentre, cross-sectional survey of a representative sample of anesthesiologists in Pakistan (January 2021 to June 2021). The survey questionnaire was adapted from the American Society of Anesthesiologists (ASA) survey on drug shortages and was modified based on the national essential medication list 2018 of Pakistan. It was distributed through Google Forms to anesthesiologists practicing in both the private and government sector. The names of hospitals or the identity of anesthesiologists was not required. The questionnaire consisted of 20 items and focused on the anesthesiologists' experience of drug shortages, the availability of drugs, and the impact of drug shortages on their individual practice.
Two hundred and forty-six responses were received. Approximately 50% (122/246) of anesthesia practitioners in Pakistan reported anesthetic drug shortages. Fifty-seven percent of respondents mentioned using an inferior drug that may have significantly affected the delivery of anesthetic care. Four participants mentioned severe morbidity and another four mentioned observing a mortality associated with drug shortage.
Anesthetic drug shortages are common in anesthetic practice in Pakistan and they appear to affect patient care and outcomes.
关于中低收入国家麻醉药物短缺及其对患者安全的影响，文献报道较少。我们旨在确定该问题的严重程度、对患者治疗和安全的影响，以及巴基斯坦麻醉师观察到的不良患者结局。
我们对巴基斯坦有代表性的麻醉师样本进行了一项全国性、多中心、横断面调查（2021 年 1 月至 2021 年 6 月）。调查问卷改编自美国麻醉师协会（ASA）关于药物短缺的调查，并根据巴基斯坦 2018 年国家基本药物清单进行了修改。它通过 Google 表单分发给私营和政府部门的麻醉师。不需要提供医院或麻醉师的姓名。调查问卷由 20 个项目组成，重点关注麻醉师的药物短缺经验、药物的可获得性以及药物短缺对其个人实践的影响。
共收到 246 份回复。约 50%（122/246）的巴基斯坦麻醉师报告存在麻醉药物短缺。57%的受访者提到使用了可能严重影响麻醉治疗的劣质药物。有 4 名参与者提到严重的发病率，另有 4 名参与者提到观察到与药物短缺相关的死亡率。
麻醉药物短缺在巴基斯坦的麻醉实践中很常见，似乎会影响患者的治疗和结局。
