Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2009
CommentCon: anesthesia for children in the developing world should be delivered by medical anesthetists.
Surgical care for pediatric patients in poor countries is severely limited by the availability of surgeons, healthcare resources and investment in anesthesia services. Where a surgical service exists, a shortage of trained medical anesthetists limits the care that can be delivered. ⋯ These providers should be integrated with, and supported by, their medical colleagues to ensure safe practice. Action at governmental level is required to resolve the difficult issues described in this paper.
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Paediatric anaesthesia · Jan 2009
ReviewPlastic and reconstructive surgery in Uganda--10 years experience.
We describe our experience of working in plastic and reconstructive surgery in Uganda over the last 10 years. There is a high burden of disease, a health system that is under resourced, and few qualified physicians to provide healthcare for a principally rural population. Training the physicians of the future is essential. ⋯ Subsidized up-country visits by trained specialists with the appropriate equipment are required to provide a service for the rural poor. There appears to be a high mortality rate in babies with unrepaired cleft palate, probably due to feeding difficulties in an environment where intercurrent illness is common. We now offer nutritional support with early combined cleft lip and palate repair in these babies, a practice that has a high success rate and may be suited to other specialist units in the developing world.
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Paediatric anaesthesia · Jan 2009
ReviewThe World Federation of Societies of Anaesthesiologists and Pediatric Anesthesia.
The World Federation of Societies of Anaesthesiologists (WFSA) is an organization whose principal goal is to improve the standard of anesthesia worldwide. The education and pediatric committees focus on the needs of pediatric patients in developing countries. Subspecialty training in pediatric anesthesia is supported in several regions. The publications committee supports the distribution of textbooks in pediatric anesthesia.