Anaesthesia in underdeveloped world: Present scenario and future challenges
Sachidanand Jee Bharati1, Tumul Chowdhury2, Nishkarsh Gupta1
1Department of Anesthesia, Dr. B.R.A Institute-Rotary Cancer Hospital, All India Institute of Medical Science, New Delhi, India.
Summary
Anesthesia-related mortality in underdeveloped countries is a significant, preventable burden. Addressing resource, education, and utility challenges is crucial for improving patient outcomes and reducing deaths.
Area of Science:
- Global Health
- Medical Education
- Anesthesiology
Background:
- High mortality and morbidity persist in underdeveloped nations, with preventable risk factors posing a substantial burden.
- Anesthesia-related mortality is a significant, yet largely preventable, contributor to overall adverse health outcomes in low-income countries.
Purpose of the Study:
- To address key factors contributing to anesthesia-related mortality in low-income countries.
- To highlight areas for improvement in anesthesia resources, education, and utilities for safer patient care.
- To discuss future considerations for enhancing anesthesia services in resource-limited settings.
Main Methods:
- This article provides an educational overview of challenges in anesthesia care.
- It synthesizes information on human resources, technical resources, and educational systems.
- The focus is on identifying and evaluating methods for improvising anesthesia services.
Main Results:
- Preventable risk factors, particularly those related to anesthesia, are major contributors to mortality in underdeveloped countries.
- Deficiencies in human resources, technical resources, and education systems impede the provision of safe anesthesia.
- Improvements in understanding and implementing anesthesia resources are essential for better healthcare outcomes.
Conclusions:
- Improving anesthesia care in low-income countries requires a comprehensive approach addressing resource limitations and educational gaps.
- Strategic evaluation and enhancement of anesthesia resources can significantly reduce mortality and morbidity.
- Investing in safer anesthesia practices is vital for improving the overall healthcare system and patient survival rates.
More Related Videos
Related Concept Videos
General Anesthesia: Overview
1.1K
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
1.1K
Stages of General Anesthesia
2.5K
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
2.5K
Local Anesthetics: Clinical Application as Epidural Anesthesia
1.0K
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
1.0K
Inhalational Anesthetics: Overview
1.7K
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
1.7K
Parenteral Anesthetics: Overview
1.0K
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
1.0K
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
2.2K
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
2.2K


