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Challenges with pediatric anesthesia and intraoperative ventilation of the child in the resource-constrained setting

Raymond Ndikontar Kwinji1,2, Faye Evans3, Rebecca M Gray4,5

  • 1Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon.

Paediatric Anaesthesia
|December 3, 2021
PubMed

Insights

Providing safe pediatric anesthesia and ventilation in resource-constrained settings presents significant challenges due to equipment, workforce, and care deficiencies. This review explores context-sensitive solutions for intraoperative ventilation in these environments.

Area of Science:

  • Anesthesiology
  • Pediatric Care
  • Global Health

Background:

  • Resource-constrained settings face systemic challenges in delivering safe pediatric anesthesia and ventilation.
  • Lack of appropriate equipment, inadequate workforce, and poor postoperative care complicate anesthesia provision for children.

Purpose of the Study:

  • To review the specific challenges of intraoperative ventilation for small children in resource-constrained environments.
  • To discuss context-sensitive solutions for improving pediatric anesthesia and ventilation in these settings.

Main Methods:

  • This is an educational review.
  • It synthesizes existing knowledge on pediatric intraoperative ventilation in low-resource settings.

Main Results:

  • Clinical decisions regarding pediatric ventilation are significantly influenced by resource limitations.
  • Patient management in these settings can differ substantially from high-resource environments.

Conclusions:

  • Addressing equipment, workforce, and postoperative care deficiencies is crucial for safe pediatric anesthesia.
  • Context-specific strategies are needed to optimize intraoperative ventilation for children in resource-limited areas.

Keywords:
anesthesiadeveloping countrylimited resourcespediatricventilation

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