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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]
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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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