儿童麻醉和外科手术期间护理的挑战,以及创新
Z Gathuya1, M T Nabukenya2, O Aaron3
1Department of Anesthesia, The Nairobi Hospital, Nairobi, Kenya.
Seminars in pediatric surgery
|December 3, 2023
概括
全球17亿儿童的安全麻醉和手术接入是有限的,特别是在低收入和中等收入国家 (LMICs). 解决这些差距对于全球健康平等和减少可预防的死亡至关重要.
科学领域:
- 全球健康 全球健康
- 手术护理 手术护理
- 麻醉 麻醉是一种麻醉.
背景情况:
- 可持续发展目标强调为所有人提供健康,但数百万人仍然无法获得安全的手术和麻醉护理.
- 在低收入和中等收入国家 (LMICs) 中,每10个人中就有1个人无法获得安全的手术护理,儿童受到的影响不成比例.
- 在LMIC和高收入国家 (HIC) 之间,在外科手术期间的发病率和死亡率上存在显著差异.
研究的目的:
- 为了强调全球平等获得安全的外科手术和麻醉治疗的必要性.
- 突出儿科外科手术期间护理的挑战和差异,特别是在LMICs.
- 倡导公共卫生倡议,改善外科手术和麻醉的结果,减少全球疾病负担.
主要方法:
- 审查现有的文学和数据,全球获取手术和麻醉护理的数据.
- 分析LMIC与HIC的发病率和死亡率.
- 识别阻碍在资源有限的环境中提供安全的术后护理的多因素挑战.
主要成果:
- 估计有17亿儿童无法获得必要的手术和麻醉服务.
- 术后心脏骤停的发生率在LMIC中比HIC高3-10倍.
- 在LMICs中,儿科外科手术期间的发病率和死亡率显著更高,特别是在新生儿和患有先天异常的儿童中.
结论:
- 公平获得安全的外科手术和麻醉治疗是全球健康的必要条件.
- 解决劳动力短缺,基础设施短缺和供应链问题对于改善LMICs的结果至关重要.
- 需要进一步的研究和政策制定,以弥合外科手术期间护理的差距,并实现可持续发展目标.
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