1st Edition

Global Surgery and Anesthesia Manual
Providing Care in Resource-limited Settings

ISBN 9781482247305
Published December 12, 2014 by CRC Press
692 Pages 620 B/W Illustrations

USD $94.95

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Book Description

Highly Commended, BMA Medical Book Awards 2015

In 2008, Paul Farmer and Jim Yong Kim described global surgery as the "neglected stepchild" of healthcare, and now leaders from around the world are working to redefine it as a human right through the Lancet Commission on Global Surgery. In order to help advance global surgery and anesthesia as a public health intervention, providers require a practical, hands-on manual to train and educate them to provide safe and effective surgery and anesthesia in resource-limited settings. In an effort to respond to that need, over 140 clinicians from high-, low-, and middle-income countries collaborated to create the Global Surgery and Anesthesia Manual: Providing Care in Resource-Limited Settings.

This guide provides in-depth instruction on epidemiology and ethics surrounding surgical services, and on anesthesia, perioperative care, trauma surgery, and non-trauma surgery. With contributions from a group of culturally and academically diverse clinicians, each chapter is enriched by at least one commentary from a surgeon or anesthesia provider in a low- or middle-income country (LMIC) who shares first-hand perspectives on the realities and complexities of providing surgical care in these settings with limited resources.

The book will serve as a core reference for surgeons and anesthesiologists at all levels interested in global surgery. It will assist those working in LMICs who are confronted with surgical problems that they are not routinely exposed to in their traditional practice. Filled with expert guidance, decision-making algorithms, and treatment options, it will also serve as an invaluable text for trainees in LMICs as it covers the majority of surgical disease processes that would be encountered in such settings.

Table of Contents


The Global Burden of Surgical Disease; K. A. Kelly McQueen

Commentator: Zipporah Gathuya

Ethical Considerations; David B. Waisel and Caris Grimes

Commentator: Wangari Nyaga

Developing Surgical Capacity: Models of Implementation; Regan Bergmark, Wendy Williams, Johanna N. Riesel, Doreen Nakku, and Mack Cheney

Commentators: Nobhojit Roy, Nakul Raykar


Preparing for a Trip: OR Management; Craig D. McClain

Commentator: Clover Ann Lee

Pharmacology of Commonly Used Drugs; Leal G. Segura

Commentators: Edouard Uwamahoro, Denise M. Chan

Regional Anesthesia; Christopher S. Lee and Navil F. Sethna

Commentator: Alexandra Torborg

Preoperative Evaluation; Cynthia S. Tung

Commentators: Francoise Nizeyimana, Denise M. Chan

Intraoperative Management; Terrance A. Yemen

Commentators: Francoise Nizeyimana, Denise M. Chan

Postoperative Care: PACU and ICU; Traci A. Wolbrink and Martin Zammert

Commentators: Francoise Nizeyimana, Denise M. Chan

Resuscitation and Approach to Crisis Situations; Ann T. Hau and Craig D. McClain

Commentators: Edouard Uwamahoro, Denise M. Chan


Chest; Abraham Lebenthal and Alexi C. Matousek

Commentator: Koffi Herve Yangni-Angate

Acute Abdomen; Reinou S. Groen and Adam L. Kushner

Commentators: Okao Patrick, Louis-Franck Telemaque, Ntakiyiruta Georges

Stomach; David S. Shapiro

Commentator: Ntakiyiruta Georges

Liver, Pancreas and Gall Bladder; Kelly Hewitt and Raymond R. Price

Commentators: Jigjidsuren Chinburen, Tsiiregzen Enkh-Amgalan

Spleen; Mallory Williams, Quyen D. Chu, and Selwyn O. Rogers

Commentators: Ndukauba Eleweke, Ntakiyiruta Georges, Okao Patrick

Appendicitis; Ibrahim M. Daoud and Vladimir P. Daoud

Commentators: Edgar Rodas, Edgar B. Rodas

Hernia; Joaquim M. Havens

Commentators: Edgar Rodas, Edgar B. Rodas

Colon and Rectum; Allison F. Linden and Kathryn Chu

Commentator: Thandinkosi E. Madiba

Anus and Rectum; Joel E. Goldberg

Commentator: Thandinkosi E. Madiba, Ntakiyiruta Georges

Laparoscopy; Gabriela M. Vargas and Raymond R. Price

Commentator: Sergelen Orgoi

Breast Cancer; Lisa A. Newman, Marcel Bayor, Evelyn Jiagge, Der Muonir Edmund, and Mawuli Gyakobo

Commentators: Ouyang Lizhi, Ruth Damuse

Obstetrics; Reinou S. Groen and Adam L. Kushner

Commentator: Bomi Ogedengbe

Gynecology; Felicia Lester and Sierra Washington

Commentator: Tarek Meguid

Genitourinary Surgery; Marc D. Manganiello and Jill Buckley

Commentators: E. Oluwabunmi Olapade-Olaopa, Thaim Buya Kamara

Neurosurgery; Benjamin C. Warf

Commentator: John Mugamba

Otorhinolaryngology; Robert M. Boucher

Commentator: Wakisa Mulwafu

Thyroidectomy; Robert M. Boucher

Commentator: Emmanuel R. Ezeome

Ophthalmology; Matthew C. Bujak and Geoffrey Tabin

Commentator: John Nkurikiye

Dentistry; Joel S. Reynolds and Robert P. Horne

Commentator: Rose Dina Premier

Orthopedic Surgery; George S.M. Dyer

Commentator: Ankur B. Bamne

Pediatric Surgery; Doruk Ozgediz and Emmanuel A. Ameh

Commentator: Milliard Derbew

Oncology; T. Peter Kingham and Olusegun Alatise

Commentator: Ruth Damuse

Infectious Diseases; Gita N. Mody, Sachita Shah, and Robert Riviello

Commentators: Samuel Abimerech Luboga, Peter M. Nthumba

Soft-Tissue Coverage and Flaps; Christopher D. Hughes and Nadine Semer

Commentators: Jorge Palacios, Chona Thomas, Charles Furaha, Christian Paletta

Skin Grafts; Ingrid Ganske and Jennifer Wall

Commentators: Jorge Palacios, Charles Furaha, Christian Paletta

Wound Care; Helena O.B. Taylor and Stephen R. Sullivan

Commentators: Ntakiyiruta Georges, Sterman Toussaint, Okao Patrick, Okechukwu O. Onumaegbu


Disaster Management; Susan Miller Briggs and Guy Lin

Commentator: Emmanuel Kayibanda

Initial Evaluation of the Trauma Patient; William P. Schecter

Commentator: Sebastian O. Ekenze

Amputation; Samuel C. Schecter and Nikolaj Wolfson

Commentators: L.O.A. Thanni, Michael O. Ogirima

Burns; Jennifer Wall, Gita N. Mody, and Robert Riviello

Commentators: Nivaldo Alonso, Daniel Chimutu, David Morton

Thoracic Trauma; Abraham Lebenthal and Alexi Matousek

Commentators: Koffi Herve Yangni-Angate, Ikechukwu A. Nwafor

Abdominal Trauma; Alexi Matousek, Thomas G. Weiser, and Selwyn O. Rogers

Commentators: Rodolphe R. Eisenhower Jean-Louis, Emmanuel Kayibanda

Urologic Trauma; Kristen R. Scarpato, Hiep T. Nguyen, and Richard N. Yu

Commentators: Demberelnyambuu Batsukh, E. Oluwabunmi Olapade-Olaopa, Emile Rwamasirabo

Neurosurgical Trauma; Benjamin C. Warf

Commentator: John Mugamba

Maxillofacial Trauma; Daniel J. Meara

Commentators: Bin Song and C.C. Uguru

Ophthalmic Trauma; Matthew C. Bujak, Geoffrey C. Tabin, and Benjamin J. Thomas

Commentators: Ifeoma Ezegwui, John Nkurikiye

Soft-Tissue Injuries of the Face; Christopher D. Hughes and Julian J. Pribaz

Commentator: Nivaldo Alonso

Spinal Trauma; Andrew K. Simpson and Mitchel B. Harris

Commentator: Ankur B. Bamne

Upper Extremity Trauma; Paul T. Appleton and Joseph P. DeAngelis

Commentator: Ankur B. Bamne

Hand Trauma; Simon G. Talbot and Amir H. Taghinia

Commentator: Nyengo Mkandawire

Lower Extremity Trauma; Paul T. Appleton, J. Kent Ellington, and John Y. Kwon

Commentator: Ankur B. Bamne


Appendix: Safety, Security, and Survival Considerations for Healthcare Providers in Remote, Hostile, and

Disaster Areas; Mykel Hawke


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John G. Meara, MD, DMD, MBA, FACS, FRACS is Director of the Program in Global Surgery and Social Change at Harvard Medical School, Chairman of the Executive Committee of the Harvard Plastic Surgery Training Program, and Plastic Surgeon-in-Chief at Boston Children’s Hospital. Since 2008, he has Co-Directed the Paul Farmer Global Surgery Fellowship program in collaboration with Partners in Health. His clinical interests and innovation activities are in the areas of craniofacial anomalies, and cleft lip and cleft palate. Dr. Meara is particularly interested in augmenting the delivery of quality surgical care in low-resource settings, and serves as chair for the Lancet Commission on Global Surgery. 

Craig D. McClain, MD, MPH is an anesthesiologist at Boston Children’s Hospital, an Assistant Professor of Anesthesia, and Affiliate Faculty in the Department of Global Health and Social Medicine at Harvard Medical School. He has spent time working in multiple low-resource countries in Asia, Africa, South America, and the Caribbean. He currently serves as the lead anesthesiologist for Harvard Medical School for the Human Resources for Health project in Rwanda. He is the founder and Director of the Global Pediatric Anesthesiology Fellowship at Boston Children’s Hospital. His academic interests include improving the perioperative care of children undergoing neurosurgical procedures, as well as improving the safe delivery of anesthesia and perioperative care in low-resource countries.

Selwyn Rogers, Jr., MD, MPH, FACS has served as Division Chief of Trauma, Burn, and Surgical Critical Care at Brigham and Women’s Hospital.  In 2005, Dr. Rogers helped launch the Center for Surgery and Public Health, whose mission is to understand the nature, quality, and utilization of surgical care globally. His research includes examining processes to improve quality of care and improving the understanding surgical disparities to close the quality chasm for underserved populations nationally and globally.  Dr. Rogers served as Surgeon-in-Chief of Temple University Health System from 2012 to 2014.  He now serves as Chief Medical Officer at the University of Texas Medical Branch.  

David P. Mooney, MD, MPH, FACS is Director of the Trauma Center at Boston Children’s Hospital, an Associate Professor in Surgery, and Affiliate Faculty in the Department of Global Health and Social Medicine at Harvard Medical School. He has been active in Partners in Health and was a part of the U.S. National Disaster Medical System response to the 2010 Haitian earthquake. He is one of the founders of the Pediatric Trauma Society. His interests include the development of trauma care and trauma systems for children in a variety of resource settings.