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“This brilliantly assembled expert compendium provides a much-needed guide for the practical application of anesthesiology in medical practice in the most bereft underdeveloped and violence-afflicted regions of the globe.” —Seymour Topping, Professor Emeritus of International Journalism, Columbia University
This is a comprehensive guide to the role of anesthesiologists in medical missions. In their capacity as perioperative physicians, anesthesiologists improve the safety and efficacy of surgical interventions for underserved patients in low- and middle-income countries around the world. Contributions from international experts in global health provide essential historical context, practical medical and surgical considerations for planning missions, and scenarios of “on the ground” implementation of care. The final section considers anesthesiology education in the context of global health. This is an encompassing and eye-opening resource for trainees and physicians considering participating in a medical mission and students and faculty of global health.
Table of Contents
Part I Evolution and Development of Missions
1 Medical Missions: A Short History
from There to Here ...................................................................... 3
Elizabeth A.M. Frost
2 The Evolution of Surgical Humanitarian Missions .................. 19
Ofer Merin
3 The Global Burden of Surgical Need ......................................... 31
K. A. Kelly McQueen
4 Anesthesia Disparities Between High-Income Countries
and Low- and Middle-Income Countries: Providers,
Training, Equipment, and Techniques ....................................... 41
Steven Dale Boggs and Nicholas W. Chee
5 Planning a Mission, Fundraising, and Building a Team .......... 59
Medge Owen and Helen Akinc
6 Developing Anesthesia Equipment
for Low-Resource Environments ................................................ 85
Angela Enright
7 Materials Management and Pollution Prevention .................... 93
Jodi Sherman and Dorothy Gaal
8 What Do Patients and Communities
Expect of a Medical Mission? ..................................................... 105
V. Lekprasert , S. Pauswasdi , and B. M. Shrestha
9 Anesthesia in Resource-Poor Settings:
The Médecins Sans Frontières Experience ................................ 117
Miguel Trelles , Patricia Kahn , Jason Cone ,
and Carrie Teicher
10 Quality of Care: Maintaining Safety
Through Minimum Standards .................................................... 127
Kathryn Chu and Monique James
11 Legal and Ethical Issues in Global Health:
A Trip Through the Vagaries of Truth and Culture ................. 141
Jeffrey S. Freed
Part II Specifi c Case-Related Implementation
12 Strategies for Patient Assessment and Scheduling .................... 159
Laurent Jouffroy
13 Perioperative Follow-Up and Quality Maintenance ................. 179
Curtis L. Baysinger , Ivan Velickovic ,
and K. A. Kelly McQueen
14 Women’s Rights to Pain Relief After Surgery
and Labor Analgesia .................................................................... 193
Fiona Turpie and Ronald B. George
15 Saving Sight in Developing Countries ........................................ 203
Ebby Elahi and Natalie F. Holt
16 Cardiothoracic Anesthesia and Intensive Care:
What Is the Role of Missions? ..................................................... 217
Peter M. J. Rosseel and Carrie L. H. Atcheson
17 Anesthesia Considerations for Facial Deformity
Repair in Lesser Developed Countries ....................................... 243
Clifford Gevirtz
18 A Regional Anesthesia Service in a Resource-Limited
International Setting: Rwanda ................................................... 257
Alberto E. Ardon and Theogene Twagirumugabe
19 Management of Pain in Less Developed Countries ................... 265
Clifford Gevirtz
20 Living the Mission in Serbia
and Other Less Affluent Worlds ................................................. 273
Miodrag Milenovic
21 Anesthetic Management During the Lebanese Civil War ........ 281
Anis Baraka
22 Trauma, War, and Managing Vascular
and Orthopedic Injuries .............................................................. 295
John Benjamin and John Rotruck
23 Anesthesiologists’ Role in Disaster Management ...................... 305
Debbie Chandler , Yenabi Kefl emariam ,
Charles James Fox , and Alan David Kaye
Part III Education at Home and Abroad
24 Surgical Mission Trips as a Component of
Medical Education and Residency Training .............................. 325
Peter J. Taub and Lester Silver
25 Building a Global Health Education Program
in an Urban School of Medicine ................................................. 331
Natasha Anushri Anandaraja , Ram Roth ,
and Philip J. Landrigan
26 Closing the Gap in Europe Through Education:
A Reverse Mission ........................................................................ 345
Gabriel M. Gurman
27 The Role of the Visiting Anesthesiologist
in In-Country Education ............................................................. 359
Julia L. Weinkauf , Marcel E. Durieux , and Lena E. Dohlman
28 Letters from Around the World .................................................. 377
Ram Roth
29 The Future of Anesthesiology and Global Health
in a Connected World .................................................................. 403
Carrie L. H. Atcheson
Appendix ............................................................................................... 417
Index ...................................................................................................... 419
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