The DOI matches its Crossref record; 59 of the 59 references it cites were found in a registry or an index.
The Rate‐Limiting Step: The Provision of Safe Anesthesia in Low‐Income Countries
Abstract
Background: The importance of safe anesthesia for the best possible surgical outcomes in every patient is not disputed in high resource settings. Low‐income countries lag far behind in the provision of, and training for, safe anesthesia practice. Too little is known about numbers and types of providers in a majority of low‐income countries. Methods: A review of the member societies of the World Federation of Societies of Anaesthesiologists was undertaken, and membership statistics of national societies were requested. Of the 126 members of the federation, only 14 represent low‐income countries. Many non‐federation‐member countries are also low‐income countries. Results: The anesthesia infrastructure and personnel challenges in low‐income countries contribute to poor patient outcomes and limited access to emergency and essential surgery. The presence of a functional anesthesia society provides a measure of the numbers of providers and a snapshot of local professional activities. Conclusion: The establishment and maintenance of an anesthesia society is an indicator of respect for the profession and commitment to standards of practice, quality initiatives, and continuing medical education within the country.
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“It is important to notice that the health care systems of low- and middle-income countries are confronted with a lack of health care resources and infrastructure, which challenges the provision of safe anesthesia.”
From A call for immediate climate action in anesthesiology: routine use of minimal or metabolic fresh gas flow reduces our ecological footprint (2023) · cites this paper as [77]
Citations
Cites
The burden of non-communicable diseases in South Africa
Mayosi, B. M., Flisher, A. J., Lalloo, U. G., Sitas, F., Tollman, S. M., & Bradshaw, D. (2009) · The Lancet · doi:10.1016/s0140-6736(09)61087-4 · Cited by 1,012
Bainbridge, D., Martin, J., Arango, M., & Cheng, D. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60990-8 · Cited by 600
The Helsinki Declaration on Patient Safety in Anaesthesiology
Mellin‐Olsen, J., Staender, S. E. A., Whitaker, D., & Smith, A. F. (2010) · European Journal of Anaesthesiology · doi:10.1097/eja.0b013e32833b1adf · Cited by 389
Anaesthesia services in developing countries: defining the problems
Hodges, S. C., Mijumbi, C., Okello, M., McCormick, B. A., Walker, I. A., & Wilson, I. H. (2007) · Anaesthesia · doi:10.1111/j.1365-2044.2006.04907.x · Cited by 337
GBD 2010: understanding disease, injury, and risk
Horton, R. (2012) · The Lancet · doi:10.1016/s0140-6736(12)62133-3 · Cited by 266
International Standards for a Safe Practice of Anesthesia 2010
Merry, A., Cooper, J. B., Soyannwo, O., Wilson, I. H., & Eichhorn, J. H. (2010) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-010-9381-6 · Cited by 227
Addressing the Millennium Development Goals From a Surgical Perspective
Kushner, A. L. (2010) · Archives of Surgery · doi:10.1001/archsurg.2009.263 · Cited by 215
Quantifying Surgical Capacity in Sierra Leone
Kingham, T. P. (2009) · Archives of Surgery · doi:10.1001/archsurg.2008.540 · Cited by 210
Surgical services for children in developing countries.
Bickler, S. W., & Rode, H. (2002) · Europe PMC (PubMed Central) · Cited by 209
Linden, A. F., Sekidde, S., Galukande, M., Knowlton, L. M., Chackungal, S., & McQueen, K. (2012) · World Journal of Surgery · doi:10.1007/s00268-012-1482-7 · Cited by 189
Self-citation
Research works printed but not linked: 1
- Bianchi S, 2011, Lack of trained anesthesia workforce in low and middle income countries
Cited by
Benefits and Barriers to Increasing Regional Anesthesia in Resource-Limited Settings
Dohlman, L. E., Kwikiriza, A., & Ehie, O. A. (2020) · Local and Regional Anesthesia · doi:10.2147/lra.s236550 · Cited by 99
Gajewski, J., Pittalis, C., Lavy, C., Borgstein, E. S., Bijlmakers, L. A., Mwapasa, G., Cheelo, M., Le, G., Juma, A., Kachimba, J. S., et al. (2019) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000004363 · Cited by 50
Rübsam, M.-L., Kruse, P., Dietzler, Y., Kropf, M., Bette, B., Zarbock, A., Kim, S.-C., & Hönemann, C. (2023) · Canadian Journal of Anesthesia/Journal canadien d'anesthésie · doi:10.1007/s12630-022-02393-z · Cited by 39
“This lack of resources and infrastructure includes qualified anesthesiologic staff, equipment, and medication as well as basic needs such as continuous medical oxygen, power supply, and clean water.(77) Moreover, donated equipment cannot be readily maintained and used as expertise and material are missing.”
BackgroundProviding anesthesia in resource-limited settings
Dohlman, L. E. (2017) · Current Opinion in Anaesthesiology · doi:10.1097/aco.0000000000000477 · Cited by 37
Baxter, L. S., Ravelojaona, V., Rakotoarison, H. N., Herbert, A., Bruno, E., Close, K. L., Andean, V., Andriamanjato, H. H., Shrime, M. G., & White, M. C. (2017) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000002049 · Cited by 31
Metadata
- Authors
- Hendel, S., Coonan, T., Thomas, S., & McQueen, K.
- Affiliations
- Burnet Institute (AU)
- Dalhousie University (CA)
- University of Tennessee at Knoxville (US)
- Vanderbilt University Medical Center (US)
- Corresponding author
- McQueen, Kelly
- Venue
- World Journal of Surgery
- Publisher
- Wiley
- Published
- 2014-09-09
- Volume
- 39
- Issue
- 4
- Pages
- 833-841
- ISSN
- 0364-2313 (ISSN-L)
- 1432-2323
- OpenAlex
- W2045420793
- Cited by
- 37
- References
- 59
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 1 · 2021: 5 · 2020: 6 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 3 · 2015: 2
- FWCI
- 2.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- onlinelibrary.wiley.com/termsAndConditions#vor (vor)
- www.springer.com/tdm (tdm)
- Locations
- World Journal of Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health Workforce Issues
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advances in Oncology and Radiotherapy
- Keywords
- low-income countries, anesthesia providers, World Federation of Societies of Anaesthesiologists, membership statistics, continuing medical education
- MeSH terms
- Workforce, Anesthesia, Anesthesiology, Developing Countries, Health Services, Health Services Needs and Demand, Humans, Societies, Medical, Surgical Procedures, Operative
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- The paper
- Hendel, S., Coonan, T., Thomas, S., & McQueen, K. (2015). The Rate‐Limiting Step: The Provision of Safe Anesthesia in Low‐Income Countries. World Journal of Surgery. https://doi.org/10.1007/s00268-014-2775-9
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
