1st Edition
Global Surgery and Anesthesia Manual Providing Care in Resource-limited Settings
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.
Introduction
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
Anesthesia
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
Non-Trauma
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
Trauma
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
References
Appendix: Safety, Security, and Survival Considerations for Healthcare Providers in Remote, Hostile, and
Disaster Areas; Mykel Hawke
Index
Biography
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.
