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Anaesthesia in The Gambia

O A Soyannwo1, M O George

  • 1Ministry of Health, The Gambia.

West African Journal of Medicine
|July 1, 1995
PubMed
Summary

Nurse anesthetists effectively managed anesthesia for most Obstetrics & Gynecology procedures in The Gambia. Physician anesthetists were needed for complex general surgical and dental cases, highlighting service delivery challenges.

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Area of Science:

  • Medical Sciences
  • Public Health
  • Anesthesiology

Background:

  • The development of anesthesia services in The Gambia between 1977 and 1992 is examined.
  • The crucial role of nurse anesthetists in delivering anesthesia care is highlighted.

Purpose of the Study:

  • To review the evolution of anesthesia services in The Gambia during a specific period.
  • To assess the contribution and limitations of nurse anesthetists in anesthesia provision.
  • To identify challenges and propose future directions for anesthesiology in The Gambia.

Main Methods:

  • A retrospective review of anesthesia services provided at the Royal Victoria Hospital, Banjul.
  • Analysis of anesthesia case distribution across different surgical specialties.
  • Evaluation of the types of procedures managed by nurse anesthetists versus physician anesthetists.

Main Results:

  • Obstetrics and Gynecology (O & G) procedures constituted 58.3% of anesthesia services.
  • General surgical and dental procedures accounted for 38.06%, with Ophthalmology at 3.164%.
  • Nurse anesthetists administered anesthesia for 94.4% of O & G procedures with minimal complications, while physician anesthetists were required for 65.6% of general surgical/dental cases.

Conclusions:

  • Nurse anesthetists played a vital role, particularly in O & G anesthesia.
  • The need for physician anesthetist expertise in more complex surgical and dental procedures was evident.
  • Key challenges in anesthetic service delivery were identified, with recommendations for future development.

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