Access to Essential Surgical Care in Chiapas, Mexico: A System-Wide Geospatial Analysis

2021 ◽  
Author(s):  
Fernando Carrillo-Villaseñor ◽  
Zachary Fowler ◽  
Ellie Moeller ◽  
Lina Roa ◽  
Valeria Macias ◽  
...  
Keyword(s):  
Surgical Care ◽  
Geospatial Analysis ◽  
Essential Surgical Care

scholarly journals The Correlation Between Poverty and Access to Essential Surgical Care in Ghana: A Geospatial Analysis

2016 ◽  
Vol 41 (3) ◽  
pp. 639-643 ◽  
Author(s):  
Gavin Tansley ◽  
Barclay T. Stewart ◽  
Adam Gyedu ◽  
Godfred Boakye ◽  
Daniel Lewis ◽  
...  
Keyword(s):  
Surgical Care ◽  
Geospatial Analysis ◽  
Essential Surgical Care

scholarly journals World Health Organization Global Initiative for Emergency and Essential Surgical Care: 2011 and Beyond

2012 ◽  
Vol 37 (7) ◽  
pp. 1462-1469 ◽  
Author(s):  
David A. Spiegel ◽  
Fizan Abdullah ◽  
Raymond R. Price ◽  
Richard A. Gosselin ◽  
Stephen W. Bickler
Keyword(s):  
World Health Organization ◽  
Surgical Care ◽  
World Health ◽  
Global Initiative ◽  
Health Organization ◽  
Essential Surgical Care

scholarly journals Delivering Essential Surgical Care for Lower-limb Musculoskeletal disorders in the Low-Resource Setting

2021 ◽  
Author(s):  
Deeptiman James ◽  
Faye M. Evans ◽  
Ekta Rai ◽  
Nobhojit Roy
Keyword(s):  
Musculoskeletal Disorders ◽  
Lower Limb ◽  
Surgical Care ◽  
Central India ◽  
Orthopedic Procedures ◽  
Nerve Blocks ◽  
Low Resource ◽  
Resource Setting ◽  
Retrospective Audit ◽  
Essential Surgical Care

Abstract Background Mismatched surgeon-anesthesiologist ratios often exist in low-resource settings making safe emergency essential surgical care challenging. This study is an audit of emergency essential procedures performed for lower-limb (LL) musculoskeletal disorders (MSD) when an anesthesiologist was unavailable. It aims to identify strategies for safe anesthesia. Methods A 5-year retrospective audit of emergency essential LL orthopedic procedures performed at remote mission hospital in Central India was performed. Out of necessity, a regional anesthesia (RA) protocol was developed in collaboration with anesthesiologists familiar with the setting. The incidence of intraoperative surgical and perioperative anesthesia complications when RA was administered by a surgeon was evaluated. Results During this period, 766 emergency essential LL MSDs procedures were performed. An anesthesiologist was available for only 6/766. RA was administered by a surgeon for 283/766. This included spinal anesthesia (SA) for 267/283 patients, peripheral nerve blocks for 16/283. Local infiltration and/or sedation was administered to 477/766. There were 17 intraoperative surgical complications. Anesthesia-related complications included 37/267 patients who required multiple attempts to localize subarachnoid space and SA failure in 9/267 patients all of whom had successful re-administration. Additional sedation and infiltration of local anesthetic was required in 5/267 patients. Conclusion Remote pre-anesthesia consultation for high-risk patients, local surgeon-anesthesiologist networking, protocol-guided management, and dedicated short duration of training in anesthesia may be considered as an alternative for delivering RA for emergency essential surgery for LL MSDs due to unavailability of anesthesiologists.

scholarly journals Access delays to essential surgical care using the Three Delays Framework and Bellwether procedures at Timor Leste’s national referral hospital

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029812 ◽  
Author(s):  
Dominic Bagguley ◽  
Andrew Fordyce ◽  
Jose Guterres ◽  
Alito Soares ◽  
Edgar Valadares ◽  
...  
Keyword(s):  
Surgical Care ◽  
Referral Hospital ◽  
Long Bone ◽  
Secondary Outcome ◽  
Patient Journey ◽  
Middle Income ◽  
Low Middle Income Countries ◽  
Three Delays ◽  
National Referral Hospital ◽  
Essential Surgical Care

ObjectivesOur objectives were to characterise the nature and extent of delay times to essential surgical care in a developing nation by measuring the actual stages of delay for patients receiving Bellwether procedures.SettingThe study was conducted at Timor Leste’s national referral hospital in Dili, the country’s capital.ParticipantsAll patients requiring a Bellwether procedure over a 2-month period were included in the study. Participants whose procedure was undertaken more than 24 hours from initial hospital presentation were excluded.Primary and secondary outcome measuresData pertaining to the patient journey from onset of symptoms to emergency procedure was collected by interview of patients, their treating surgeons or anaesthetists and the medical records. Timelines were then calculated against the Three Delays Framework.ResultsFifty-six patients were entered into the study. Their mean delay from symptom onset to entering the anaesthesia bay for a procedure was 32.3 hours (+/-11.6). The second delay (4.1+/-2.5 hours) was significantly less than the first (20.9+/-11.5 hours; p<0.005) and third delays (7.2+/-1.2 hours; p<0.05). Additionally, patients with acute abdominal pain (of which 18/20 ultimately had open appendicectomy and two emergency laparotomies) had a delay time of 53.3 hours (+/-21.3), significantly more than that for emergency caesarean (22.9+/-18.6 hours; p<0.05) or management of an open long-bone fracture (15.5+/-5.56 hours; p<0.05).ConclusionsSubstantial delays were observed for all three stages and each Bellwether procedure. This study methodology could be used to measure access and the three delays to emergency surgical care in low/middle-income countries, although the actual reasons for delay may vary between regions and countries and would require a qualitative study.

Capacity for Essential Surgical Care in Rural Hospitals of Pakistan: Mixed Methods Study

2019 ◽  
Vol 229 (4) ◽  
pp. e132-e133
Author(s):  
Sameen Siddiqi ◽  
Muhammad Sohaib Khan ◽  
Narjis Rizvi ◽  
Imran Naeem ◽  
Sadaf Khan
Keyword(s):  
Mixed Methods ◽  
Surgical Care ◽  
Rural Hospitals ◽  
Mixed Methods Study ◽  
Essential Surgical Care

Barriers to Essential Surgical Care in Low- and Middle-Income Countries: A Pilot Study of a Comprehensive Assessment Tool in Ghana

2015 ◽  
Vol 39 (11) ◽  
pp. 2613-2621 ◽  
Author(s):  
Barclay T. Stewart ◽  
Adam Gyedu ◽  
Francis Abantanga ◽  
Abdul Rashid Abdulai ◽  
Godfred Boakye ◽  
...  
Keyword(s):  
Pilot Study ◽  
Assessment Tool ◽  
Surgical Care ◽  
Comprehensive Assessment ◽  
Middle Income ◽  
Middle Income Countries ◽  
Essential Surgical Care ◽  
Low And Middle Income

Typhoid Perforations in Children in Abuja, Nigeria: Improved Access to Essential Surgical Care Can Save Lives

2018 ◽  
Vol 227 (4) ◽  
pp. S134
Author(s):  
Jamie E. Anderson ◽  
Oghenekaro A. Enivwenae ◽  
Matthias I. Igoche ◽  
Paschal A. Anyanwu ◽  
Emmanuel A. Ameh
Keyword(s):  
Surgical Care ◽  
Essential Surgical Care

Geospatial Analysis of Trauma Burden and Surgical Care Capacity in Teso Sub-region of Eastern Uganda

2019 ◽  
Vol 43 (11) ◽  
pp. 2666-2673
Author(s):  
Nicole Lin ◽  
Obieze Nwanna-Nzewunwa ◽  
Melissa Carvalho ◽  
Aaron Wange ◽  
Mary M. Ajiko ◽  
...  
Keyword(s):  
Surgical Care ◽  
Geospatial Analysis ◽  
Care Capacity ◽  
Eastern Uganda

scholarly journals Summary of the Eighth World Health Organization Global Initiative for Emergency and Essential Surgical Care Biennial Meeting

Proceedings ◽  
2020 ◽  
Vol 43 (1) ◽  
pp. 5
Author(s):  
Christopher Strader ◽  
Abhishek Swarup ◽  
Megan Thuy Vu ◽  
Rachel Koch ◽  
Haitham Shoman ◽  
...  
Keyword(s):  
World Health Organization ◽  
Surgical Care ◽  
Annual Scientific ◽  
World Health ◽  
Royal Australian College ◽  
Scientific Congress ◽  
Global Initiative ◽  
Health Organization ◽  
Essential Surgical Care ◽  
Eighth World

A summary of the eighth World Health Organization (WHO) Global Initiative for Emergency and Essential Surgical Care (GIEESC) Biennial Meeting, which was held in conjunction with the Royal Australian College of Surgeons (RACS) eighty-eighth Annual Scientific Congress in Bangkok, Thailand.

scholarly journals The Amsterdam Declaration on Essential Surgical Care

2015 ◽  
Vol 39 (6) ◽  
pp. 1335-1340 ◽  
Author(s):  
Matthijs Botman ◽  
Rinse J. Meester ◽  
Roeland Voorhoeve ◽  
Henning Mothes ◽  
Jaymie A. Henry ◽  
...  
Keyword(s):  
Surgical Care ◽  
Essential Surgical Care
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