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Category: Global Health

Worldwide, more than 1.1 billion people smoke tobacco and at least 367 million people use smokeless tobacco. Tobacco smoking is known to cause adverse health effects, including cancer, cardiovascular and respiratory diseases, and was responsible for approximately 11.5% of total deaths in 2015.

Cesarean delivery is the most common surgical procedure in low- and middle-income countries, so provision of anesthesia services can be measured in relation to it. This study aimed to assess the type of anesthesia used for cesarean delivery, the level of training of anesthesia providers, and to document the availability of essential anesthetic drugs and equipment in provincial, district, and mission hospitals in Zimbabwe.

A pilot study on the World Health Organization (WHO) Surgical Safety Checklist (SSC) showed a reduction in both major complications and mortality of surgical patients. Compliance with this checklist varies around the world. We aimed to determine the extent of compliance with the WHO SSC and its association with surgical outcomes in 5 of Uganda’s referral hospitals.

In the opinion of the World Federation of Societies of Anaesthesiologists (WFSA), the most important issue facing the global anesthesia community is the critical shortage of trained anesthesia providers in low- and middle-income countries (LMICs). This contributes to a global crisis where 5 of 7 billion people do not have access to safe surgical and anesthesia care when needed.1 Relatively few resources have been allocated to address the global anesthesia workforce crisis, and anesthesiologists must urgently innovate and lead on appropriate solutions.

Access to safe surgery and anesthesia care is grossly inadequate in low- and middle-income countries, with a shortage of anesthesia providers contributing to this crisis. In Namibia, medical officers typically receive no >3 months of informal training in anesthesia. This study sought to determine the prevalence, currently unknown, of intraoperative adverse anesthetic events in this setting. Further, we assessed surgical volume, complications, and mortality outcomes at the district hospital level.

Respiratory distress syndrome remains a leading cause of neonatal mortality worldwide. This retrospective study describes practice patterns for respiratory distress syndrome in a resource-limited setting and seeks to identify both risk factors for mortality and beneficial treatment modalities. Health, demographic, and treatment data were collected. Potential associations were analyzed using univariable and multivariable logistic regression. Of 104 children included for analysis, 38 died. Although most children were initially treated with noninvasive respiratory support, 59 progressed to invasive ventilation. Requirement for invasive ventilation was associated with death. A clear trend toward improved survival in mechanically ventilated patients was seen with surfactant administration.

Safe anesthesia and surgical care are not available when needed for 5 billion of the world’s 7 billion people. There are major deficiencies in the specialist surgical workforce in many parts of the world, and specific data on the anesthesia workforce are lacking.

Evaluation and treatment of chronic pain worldwide are limited by the lack of standardized assessment tools incorporating consistent definitions of pain chronicity and specific queries of known social and psychological risk factors for chronic pain. The Vanderbilt Global Pain Survey (VGPS) was developed as a tool to address these concerns, specifically in the low- and middle-income countries where global burden is highest.

Posted in: UIA > Global Health 2017 Language: english

In May 2017 the General Assembly of the WFSA approved the WFSA Position Statement on Anaesthesiology and Universal Health Coverage by unanimous resolution. Eighty-five Member Societies, representing 80% of total delegate numbers, took part in the vote.

Posted in: UIA > Global Health 2017 Language: english

The 70th World Health Assembly (WHA), held in Geneva in May 2017, was an opportune occasion to discuss the role of anaesthesia and surgery within the global health agenda with stakeholders and decision-makers from around the world.

Posted in: Video > Global Health 2016 Language: english

The WFSA partnered with the international film and broadcasting company, WebsEdge to bring "WCA TV" to the 16th World Congress of Anaesthesiologists in Hong Kong. WCA TV highlighted the WFSA, anaesthesia and global health in a series of short videos. This video discusses the latest threat to medical access to ketamine around the world and the negative impact this could have in low and middle income hospital settings.

Posted in: Video > Global Health 2016 Language: english

The WFSA partnered with the international film and broadcasting company, WebsEdge to bring "WCA TV" to the 16th World Congress of Anaesthesiologists in Hong Kong. WCA TV highlighted the WFSA, anaesthesia and global health in a series of short videos. This video highlights the SAFE-T Safe Anaesthesia For Everybody – Today "SAFE-T" campaign launched by the WFSA to unite individuals, organisations and industry committed to advancing the International Standards For A Practice of Safe Anaesthesia.

Posted in: Video > Global Health 2016 Language: english

The WFSA partnered with the international film and broadcasting company, WebsEdge to bring "WCA TV" to the 16th World Congress of Anaesthesiologists in Hong Kong. WCA TV highlighted the WFSA, anaesthesia and global health in a series of short videos. This video explores the importance of anaesthesia training and how the WFSA are delivering training programmes to young anaesthesiologists.

Posted in: Video > Global Health 2016 Language: english

The WFSA partnered with the international film and broadcasting company, WebsEdge to bring "WCA TV" to the 16th World Congress of Anaesthesiologists in Hong Kong. WCA TV highlighted the WFSA, anaesthesia and global health in a series of short videos. This video explores the importance of building stronger health systems in countries around the world.

Posted in: Video > Global Health 2016 Language: english

The WFSA partnered with the international film and broadcasting company, WebsEdge to bring "WCA TV" to the 16th World Congress of Anaesthesiologists in Hong Kong. WCA TV highlighted the WFSA, anaesthesia and global health in a series of short videos. This video explores the current state of anaesthesia in a global context.

About the Library

WFSA's virtual library is a resource hub made up of our own publications and other open source material that we recommend for anaesthesia providers around the world. It contains a variety of media and can be searched according to keyword, publication and specialist category ensuring that the user finds the most relevant resource for their needs.

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The WFSA Virtual Library is for use by qualified anaesthesia providers and those pursuing a qualification in anaesthesia. Its content is supplementary to more formal education and is offered for informational purposes only. Whilst the WFSA has taken every care to ensure that content is accurate we can not be held responsible for any loss, damage or inconvenience caused as a result of any error or inaccuracy within the library.

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