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

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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

Introduction. The Global Burden of Surgical Disease. Ethical Considerations. Developing Surgical Capacity Models of Implementation. Anesthesia. Preparing for a Trip OR Management. Pharmacology of Commonly Used Drugs. Regional Anesthesia. Preoperative Evaluation. Intraoperative Management. Postoperative Care PACU and ICU . Resuscitation and Approach to Crisis Situations. Trauma. Chest. Acute Abdomen. Stomach. Liver, Pancreas and Gall Bladder. Spleen. Appendicitis. Hernia. Colon and Rectum. Anus and Rectum. Laparoscopy. Breast Cancer. Obstetric. Gynecology. Genitourinary Surgery. Neurosurgery. Otorhinolaryngology. Thyroidectomy. Ophthalmology. Dentistry .Orthopedic Surgery. Pediatric Surgery. Oncology. Infectious Disease Soft-Tissue Coverage and Flap Skin Graft Wound Care. Trauma. Disaster Management. Initial Evaluation of the Trauma Patient. Amputation. Burn Thoracic Trauma. Abdominal Trauma. Urologic Trauma. Neurosurgical Trauma. Maxillofacial Trauma. Ophthalmic Trauma. Soft-Tissue Injuries of the Face. Spinal Trauma. Upper Extremity Trauma. Hand Trauma. Lower Extremity Trauma. References. Appendix Safety, Security, and Survival Considerations for Healthcare Providers in Remote, Hostile, and Disaster Area. Index.

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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.