[Anesthesia in a children's hospital in Nepal]

The author experienced ten cases of anesthesia in a children's hospital in Nepal. Eight cases were pediatric surgeries and two cases were gynecological procedures. Halothane or intravenous ketamine anesthesia was performed in pediatric cases. Regional block or intravenous ketamine anesthesia was performed in gynecological cases. Oxygen supply stopped during anesthesia in one case, and patient was resuscitated by ambu-bag with room air. Electricity was interrupted in one case, and operation was continued with only one battery light. There is no mechanical ventilator nor nitrous oxygen in the hospital. Air conditioning was not in the operating room although the hospital was situated in the subtropical area and room temperature reached up to 40 degrees. Electrocardiogram and suction machines were present, but they were out of order. The anesthetic technique required in the developing countries is not so simple. Especially for young doctors trained among so many sophisticated monitors, anesthesia in the developing countries is not only an experience of volunteer, but provides effective training of pediatric anesthesia for strengthening their sense and skills.