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Ten Years of Experience Training Non-Physician Anesthesia Providers in Haiti.

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dc.contributor Médecins Sans Frontières, rue Dupré 94, 1090, Brussels, Belgium.
dc.creator Rosseel, P
dc.creator Trelles, M
dc.creator Guilavogui, S
dc.creator Ford, N
dc.creator Chu, K
dc.date 2009-08-06
dc.date.accessioned 2017-01-31T07:15:14Z
dc.date.available 2017-01-31T07:15:14Z
dc.identifier Ten Years of Experience Training Non-Physician Anesthesia Providers in Haiti. 2009:notWorld J Surg
dc.identifier 1432-2323
dc.identifier 19655194
dc.identifier 10.1007/s00268-009-0192-2
dc.identifier http://hdl.handle.net/10144/83733
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/83733
dc.identifier World Journal of surgery
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/83733
dc.description Surgery is increasingly recognized as an effective means of treating a proportion of the global burden of disease, especially in resource-limited countries. Often non-physicians, such as nurses, provide the majority of anesthesia; however, their training and formal supervision is often of low priority or even non-existent. To increase the number of safe anesthesia providers in Haiti, Médecins Sans Frontières has trained nurse anesthetists (NAs) for over 10 years. This article describes the challenges, outcomes, and future directions of this training program. From 1998 to 2008, 24 students graduated. Nineteen (79%) continue to work as NAs in Haiti and 5 (21%) have emigrated. In 2008, NAs were critical in providing anesthesia during a post-hurricane emergency where they performed 330 procedures. Mortality was 0.3% and not associated with lack of anesthesiologist supervision. The completion rate of this training program was high and the majority of graduates continue to work as nurse anesthetists in Haiti. Successful training requires a setting with a sufficient volume and diversity of operations, appropriate anesthesia equipment, a structured and comprehensive training program, and recognition of the training program by the national ministry of health and relevant professional bodies. Preliminary outcomes support findings elsewhere that NAs can be a safe and effective alternative where anesthesiologists are scarce. Training non-physician anesthetists is a feasible and important way to scale up surgical services resource limited settings.
dc.language en
dc.rights Archived with thanks to World Journal of Surgery
dc.title Ten Years of Experience Training Non-Physician Anesthesia Providers in Haiti.

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