Anaesthesia services in developing countries: defining the problems.

Abstract:

:We describe the use of a questionnaire to define the difficulties in providing anaesthesia in Uganda. The results show that 23% of anaesthetists have the facilities to deliver safe anaesthesia to an adult, 13% to deliver safe anaesthesia to a child and 6% to deliver safe anaesthesia for a Caesarean section. The questionnaire identified shortages of personnel, drugs, equipment and training that have not been quantified or accurately described before. The method used provides an easy and effective way to gain essential data for any country or national anaesthesia society wishing to investigate anaesthesia services in its hospitals. Solutions require improvements in local management, finance and logistics, and action to ensure that the importance of anaesthesia within acute sector healthcare is fully recognised. Major investment in terms of personnel and equipment is required to modernise and improve the safety of anaesthesia for patients in Uganda.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Hodges SC,Mijumbi C,Okello M,McCormick BA,Walker IA,Wilson IH

doi

10.1111/j.1365-2044.2006.04907.x

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

4-11

issue

1

eissn

0003-2409

issn

1365-2044

pii

ANA4907

journal_volume

62

pub_type

杂志文章
  • Osmolar output in the peri-operative period.

    abstract::The hourly urine volume and urine concentration of seven patients undergoing major abdominal surgery were measured during the operative and postoperative periods. From these, the hourly osmolar output was calculated. The results show that the osmolar output, 700 mOsm/day, in the peri-operative period is less than that...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1978.tb08495.x

    authors: Zideman DA,Dudley HA,Bevan DR

    更新日期:1978-10-01 00:00:00

  • A randomised placebo-controlled trial of the effects of midazolam premedication on children's postoperative cognition.

    abstract::This randomised, placebo-controlled study assessed the effects of midazolam premedication on children's postoperative cognition and physical morbidity. In all, 179 children aged 5-10 years were randomly assigned to receive buccal midazolam (0.2 mg x kg(-1)) or placebo before sevoflurane-nitrous oxide anaesthesia for m...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05148.x

    authors: Millar K,Asbury AJ,Bowman AW,Hosey MT,Martin K,Musiello T,Welbury RR

    更新日期:2007-09-01 00:00:00

  • The absence of teratogenic effects of some analgesics used in anaesthesia. Additional evidence from a mouse model.

    abstract::The possibility exists that agents used in anaesthesia may have adverse teratogenic effects on staff, patients, and developing fetuses. It has been shown that a range of neurotropic drugs, when injected into pregnant mice on the 9th day of gestation, produce a characteristic group of central nervous system malformatio...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02267.x

    authors: Martin LV,Jurand A

    更新日期:1992-06-01 00:00:00

  • Association of Anaesthetists: anaesthesia and peri-operative care for Jehovah's Witnesses and patients who refuse blood.

    abstract::There are approximately 8.5 million Jehovah's Witnesses and around 150,000 live in Great Britain and Ireland. Based on their beliefs and core values, Jehovah's Witnesses refuse blood component transfusion (including red cells, plasma and platelets). They regard non-consensual transfusion as a physical violation. Conse...

    journal_title:Anaesthesia

    pub_type: 信件

    doi:10.1111/anae.14441

    authors: Klein AA,Bailey CR,Charlton A,Lawson C,Nimmo AF,Payne S,Ruck Keene A,Shortland R,Smith J,Torella F,Wade P

    更新日期:2019-01-01 00:00:00

  • Harold King. A notable contributor to anaesthesia.

    abstract::Harold King was an analytical chemist of distinction, who worked with Sir Henry Dale and his colleagues in the Medical Research Institute, later the Medical Research Council. He helped to quash the theory that the anaesthetic action of ether was attributable to its impurities. Interest in alkaloids led to the elucidat...

    journal_title:Anaesthesia

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1365-2044.1991.tb09723.x

    authors: Gray TC

    更新日期:1991-08-01 00:00:00

  • Influence of pre-anaesthetic medication on target propofol concentration using a 'Diprifusor' TCI system during ambulatory surgery.

    abstract::The effects of pre-anaesthetic medication on target propofol concentration, induction dose, time to induction, and discomfort on infusion were studied in 45 female patients undergoing ambulatory gynaecological procedures using 'Diprifusor' target controlled infusion of propofol. The patients were randomly allocated to...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1998.53s101.x

    authors: Struys M,Versichelen L,Rolly G

    更新日期:1998-04-01 00:00:00

  • Effectiveness of bupropion as an aid to stopping smoking before elective surgery: a randomised controlled trial.

    abstract::Smoking is a risk factor for complications during and after surgery, but most smokers are unable to quit before elective surgery. We tested the efficacy of bupropion in improving smoking cessation rates in this setting by enrolling 47 patients from the elective surgery waiting list in a double-blind randomised control...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1365-2044.2004.03943.x

    authors: Myles PS,Leslie K,Angliss M,Mezzavia P,Lee L

    更新日期:2004-11-01 00:00:00

  • Time course of action of combinations of vecuronium and pancuronium.

    abstract::Vecuronium 0.1 mg/kg, pancuronium 0.1 mg/kg, vecuronium 0.075 mg/kg + pancuronium 0.025 mg/kg, vecuronium + pancuronium 0.05 mg/kg each and vecuronium 0.025 mg/kg + pancuronium 0.075 mg/kg were compared with respect to time taken to onset of effect, duration of clinical relaxation and intubation conditions in five gro...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb13170.x

    authors: Pandit SK,Ferres CJ,Gibson FM,Mirakhur RK

    更新日期:1986-02-01 00:00:00

  • The incidence of transient neurological symptoms after spinal anaesthesia with lidocaine compared to prilocaine.

    abstract::The purpose of this double-blind study was to investigate the incidence of transient neurological symptoms after the use of isobaric lidocaine and isobaric prilocaine for spinal anaesthesia. Seventy patients (ASA 1-2, age between 18 and 70 years) were randomly assigned to two groups of 35 patients each, to receive eit...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2000.01618-4.x

    authors: de Weert K,Traksel M,Gielen M,Slappendel R,Weber E,Dirksen R

    更新日期:2000-10-01 00:00:00

  • Respiratory tract infection and anaesthesia. Haemophilus influenzae pneumonia that developed under anaesthesia.

    abstract::A 2-year-old boy with symptoms of a minor upper respiratory tract infection developed Haemophilus influenzae pneumonia that presented as hypoxaemia under anaesthesia for minor emergency surgery. The patient required 72 hours of mechanical ventilation in an intensive care unit after the anaesthetic and thereafter made ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14831.x

    authors: Campbell NN

    更新日期:1990-07-01 00:00:00

  • Nikolay Ivanovich Pirogov: a surgeon's contribution to military and civilian anaesthesia.

    abstract::A key figure in the development of anaesthesia in Russia was the surgeon Nikolay Ivanovich Pirogov (1810-1881). He experimented with ether and chloroform and organised the general introduction of anaesthesia in Russia for patients undergoing surgery. He was the first to perform systematic research into anaesthesia-rel...

    journal_title:Anaesthesia

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/anae.12916

    authors: Hendriks IF,Bovill JG,Boer F,Houwaart ES,Hogendoorn PC

    更新日期:2015-02-01 00:00:00

  • Addressing priorities for surgical research in Africa: implementation of a multicentre cloud-based peri-operative registry in Ethiopia.

    abstract::In resource-constrained settings, where inequalities in access to and quality of surgical care results in excess mortality, peri-operative care registries are uncommon. A south-south collaboration supported the implementation of a context specific, clinician-led, multicentre real-time peri-operative registry in Ethiop...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.15394

    authors: Network for Peri-operative Critical care (N4PCc)*.

    更新日期:2021-01-25 00:00:00

  • A safety block for scavenging systems.

    abstract::A safety block is described which protects the patient from expiratory obstruction when using scavenging systems, and provides the anaesthetist with a visual and auditory check on the functioning of the system. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1976.tb11981.x

    authors: Bethune DW,Collis JM,Latimer RD

    更新日期:1976-11-01 00:00:00

  • Comparative study of limited intentional normovolaemic haemodilution in patients with left main coronary artery stenosis.

    abstract::Intentional normovolaemic haemodilution is a blood saving technique which can be performed when major blood loss is expected. Severe coronary artery disease and particularly left main stenosis are considered a contraindication for intentional normovolaemic haemodilution. The effects and complications of limited intent...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1995.tb05926.x

    authors: Herregods L,Foubert L,Moerman A,François K,Rolly G

    更新日期:1995-11-01 00:00:00

  • The use of procaine hydrochloride as a continuous lumbar epidural technique in labour.

    abstract::A continuous technique for lumbar epidural during labour is described, using procaine hydrochloride without adrenaline. An investigation was undertaken to determine the action of procaine in labour, to determine whether this drug could facilitate a normal delivery and to study maternal and fetal blood procaine levels....

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1979.tb06309.x

    authors: Hunton J

    更新日期:1979-03-01 00:00:00

  • Pain during awake nasal intubation after topical cocaine or phenylephrine/lidocaine spray.

    abstract::Although several local anaesthetic techniques are described for nasal analgesia during awake intubation, there has been little attempt to evaluate their effectiveness. We examined pain scores associated with nasal intubation in a randomised cross-over study of 25 volunteers. Local anaesthesia consisted of topical aero...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2003.03264.x

    authors: Cara DM,Norris AM,Neale LJ

    更新日期:2003-08-01 00:00:00

  • Evaluation of the Lamtec anaesthetic agent monitor.

    abstract::The Lamtec agent monitor is a compact anaesthetic analyser designed to measure halothane, isoflurane and enflurane. It shows good linearity and stability. The faster model can be used for end-tidal measurements up to 25 breaths per minute. Calibration using a standard of the gas to be measured is recommended. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb11690.x

    authors: Humphrey SJ,Luff NP,White DC

    更新日期:1991-06-01 00:00:00

  • Clinical evaluation of doxacurium chloride.

    abstract::Doxacurium was administered to 50 adult patients for determination of potency (n = 10), onset and duration of clinical relaxation (n = 40). Cumulative dose-response showed the ED95 to be 33.24 micrograms.kg-1 (95% confidence limits 27.4-39.3). Doxacurium 33 micrograms.kg-1 was then administered to four groups of 10 pa...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02322.x

    authors: Maddineni VR,Cooper R,Stanley JC,Mirakhur RK,Clarke RS

    更新日期:1992-07-01 00:00:00

  • The effect of anaesthesia and aortic clamping on cardiac output measurement using arterial pulse power analysis during aortic aneurysm repair.

    abstract::The LiDCO plus monitor (LiDCO Ltd, Cambridge, UK) uses pulse contour analysis of the arterial pressure waveform to indicate changes in stroke volume and cardiac output. Calibration against a lithium indicator dilution method is required to permit display of absolute values in addition to trends. The effect of haemodyn...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.2010.06558.x

    authors: Beattie C,Moores C,Thomson AJ,Nimmo AF

    更新日期:2010-12-01 00:00:00

  • Effect site concentration during propofol TCI sedation: a comparison of sedation score with two pharmacokinetic models.

    abstract::Target controlled infusion (TCI) pumps function using a programme based on a pharmacokinetic/pharmacodynamic model. We compared the Marsh and Schnider models to find out which better correlates with the clinically observed effect of propofol as assessed by the Observer Assessment of Alertness/Sedation (OAAS) score and...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05059.x

    authors: Barakat AR,Sutcliffe N,Schwab M

    更新日期:2007-07-01 00:00:00

  • Hypotensive anaesthesia for microsurgery of the middle ear. A comparison between enflurane and halothane.

    abstract::One hundred patients undergoing microsurgery of the ear were anaesthetised using thiopentone, nitrous oxide, oxygen and either halothane or enflurane with spontaneous respiration. Blood pressure was reduced to approximately 70 mmHg by the use of hypotensive agents. The efficacy of halothane and enflurane in producing ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1982.tb01718.x

    authors: Eltringham RJ,Young PN,Fairbairn ML,Robinson JM

    更新日期:1982-10-01 00:00:00

  • Caudal analgesia for perianal surgery. A comparison between bupivacaine and diamorphine.

    abstract::Seventy-three patients undergoing elective perianal surgery were randomly divided into a control group, a group who received a caudal injection of 20 ml bupivacaine 0.5% plain and a group who received diamorphine 2.5 mg in 10 ml normal saline by caudal injection; a comparison was then made of postoperative analgesia r...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1986.tb13274.x

    authors: Bailey PM,Sangwan S

    更新日期:1986-05-01 00:00:00

  • Pretreatment with ketorolac and venous occlusion to reduce pain on injection of propofol.

    abstract::We performed a randomised, double-blind, prospective trial to discover whether intravenous ketorolac 10 mg made up to 2 ml with saline, with or without venous occlusion for 2 min, reduces the pain on injection of propofol. In 90 patients, pain scores were obtained during injection of propofol following pretreatment of...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2000.01320.x

    authors: Yull DN,Barkshire KF,Dexter T

    更新日期:2000-03-01 00:00:00

  • The interaction of halothane and pancuronium bromide. A study in dogs.

    abstract::The interaction of halothane and pancuronium is demonstrated in the dog tibialis anterior-sciatic nerve preparation. The results show a dose related effect of halothane on the recovery index and the 50% recovery times. These results are compared to other reports and possible mechanisms are discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1978.tb08341.x

    authors: Knight CL,Barnes PK,Feldman SA

    更新日期:1978-02-01 00:00:00

  • Administration of drugs during cardiopulmonary bypass. An analysis of the fate of a bolus injected through different routes using radio-active technetium.

    abstract::This study was conducted to determine the efficiency of delivery of drugs injected as boluses by the common routes available during cardiopulmonary bypass. Radioactive technetium (99mTc) was injected in a 50 microCi bolus into the central venous line or into the arterial or venous lines of the oxygenator and its passa...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1980.tb03952.x

    authors: Kamath BS,Thomson DM,Johnston B

    更新日期:1980-09-01 00:00:00

  • Epidural analgesia for elective Caesarean section. Technique and its assessment.

    abstract::A technique is described of epidural anaesthesia for electric Caesarean section which has a 98% success rate, and an acceptably low incidence of intra-operative pain. The essentials of the technique are to produce and maintain complete sensory block from S5 to T6, employing a two-stage injection of bupivacaine 0.5% (m...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1980.tb03711.x

    authors: Thorburn J,Moir DD

    更新日期:1980-01-01 00:00:00

  • Sedation for oocyte retrieval using target controlled infusion of propofol and incremental alfentanil delivered by non-anaesthetists.

    abstract::Oocyte retrieval is a procedure where sedation is recommended. This paper presents the process of setting up a new, non-anaesthetist delivered service in our institution, the development of safety systems and the audit data we have used to assure quality, effectiveness and safety. Logbook data were collected for 4342 ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2010.06264.x

    authors: Edwards JA,Kinsella J,Shaw A,Evans S,Anderson KJ

    更新日期:2010-05-01 00:00:00

  • An evaluation of the Universal PAC and Oxford Miniature Vaporizers for paediatric field anaesthesia.

    abstract::A laboratory study has demonstrated that the Universal PAC and Oxford Miniature Vaporizers can be used for paediatric anaesthesia in drawover mode at varying ambient temperatures. Changes in tidal volume have minimal effect on the delivered concentration of halothane from either vaporizer but varying ambient temperatu...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb06142.x

    authors: Craig GR,Berry CB,Yeats MJ

    更新日期:1995-09-01 00:00:00

  • Assessment of the Ventrix parenchymal intracranial pressure monitoring probe (NL950-P) and Monitor (NL950-100) in a 3 Tesla magnetic resonance scanner.

    abstract::Magnetic resonance (MR) imaging and spectroscopy provide important information in patients with acute head injury. However, optimal patient management requires intracranial pressure (ICP) monitoring. There are few reports on the use of ICP sensors in an MR environment. We tested the Ventrix parenchymal intracranial pr...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2003.02966.x

    authors: Coles JP,Steiner LA,Martin J,Donovan T,Hutchinson PJ,Carpenter TA,Menon DK

    更新日期:2003-02-01 00:00:00

  • Choice of anaesthesia for category-1 caesarean section in women with anticipated difficult tracheal intubation: the use of decision analysis.

    abstract::A predicted difficult airway is sometimes considered a contra-indication to rapid sequence induction of general anaesthesia, even in an urgent case such as a category-1 caesarean section for fetal distress. However, formally assessing the risk is difficult because of the rarity and urgency of such cases. We have used ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13729

    authors: Krom AJ,Cohen Y,Miller JP,Ezri T,Halpern SH,Ginosar Y

    更新日期:2017-02-01 00:00:00