Anaesthesia in the Dili General Hospital, East Timor

Ej, Bennett

doi:10.1177/0310057x0102900515

Cited by 4 publications

(3 citation statements)

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“…Induction typically consisted of midazolam 5 mg or diazepam 2 to 5 mg intravenously, a small intravenous morphine dose at the anaesthetist's discretion, then ketamine 80-100 mg intravenously over 20 seconds. Contrary to the usual belief that ketamine anaes thesia requires atropine premedication [3][4][5] , we did so only rarely and experienced little diffi culty with excessive salivation. Surgical anaes thesia was achieved within 30 seconds with fi xed, open eyes.…”

Section: Anaesthetic Technique and Perioperative Carecontrasting

confidence: 78%

Anaesthesia in a Disaster Zone: A Report on the Experience of an Australian Medical Team in Banda Aceh following the ‘Boxing Day Tsunami’

Paix

Capps

Neumeister

et al. 2005

Anaesth Intensive Care

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We report on the experience of a 23-member Australian medical team in Banda Aceh, Indonesia, following the 2004 Boxing Day tsunami. Arriving 13 days after the tsunami that devastated the city, killed 100,000 of its inhabitants and injured thousands more, we carried out 130 surgical procedures in austere conditions over a 12-day period. Most surgery was peripheral, principally for plastic surgical or orthopaedic procedures to lower limb injuries. Intravenous ketamine anaesthesia was the technique of choice, with good surgical conditions and few significant side-effects.

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Section: Anaesthetic Technique and Perioperative Carecontrasting

confidence: 78%

Anaesthesia in a Disaster Zone: A Report on the Experience of an Australian Medical Team in Banda Aceh following the ‘Boxing Day Tsunami’

Paix

Capps

Neumeister

et al. 2005

Anaesth Intensive Care

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“…During and after the crisis period health services were provided by military medical teams from various countries4,7,8,9, the International Committee of the Red Cross (ICRC) and many other NGOs. An Irish NGO, GOAL, brought in and distributed 46 essential medicines 5.…”

Section: Introductionmentioning

confidence: 99%

Delivering medicines in a challenging environment: the pharmaceutical sector in East Timor (a descriptive study)

Norris

Santos

Woods³

et al. 2007

Pharmacy pract. (Granada Ed. impr.)

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BackgroundThe health status of the East Timorese population is very poor and much of the health system was destroyed during the violence of 1999. As in other developing countries, the lack of appropriate and high quality medicines significantly compromises patient care throughout the health system. The aim of this study was to examine the purchase, distribution and supply of pharmaceuticals in East Timor, and to identify the challenges faced by the pharmaceutical sector.MethodsKey informant interviews were held with health professionals and others involved in health care and the pharmaceutical sector in East Timor; documents (including regulations and rules) were reviewed; and daily activities observed at the Central Store, health centers, pharmacies and retail shops.ResultsSome of the major challenges facing the pharmaceutical sector include lack of trained staff, sub-optimal facilities and lack of basic equipment. These lead to unsafe practices, and reliance on outside agencies.ConclusionsThere are significant threats to the supply and quality of medicines in East Timor. There is currently a high level of dependence on foreign expertise, which is unsustainable in the long term.

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“…The challenges for an anaesthetist at this time in East Timor have been well described 1 . The limited facilities for anaesthesia, the minimal laboratory and radiological investigations available, the lack of drugs, and the scarcity of blood for transfusion were major daily concerns.…”

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confidence: 99%

Out of my depth in East Timor

Mullins

2009

Medical Journal of Australia

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Anaesthesia in the Dili General Hospital, East Timor

Abstract: An analysis was performed of the anaesthesia caseload of the Dili General Hospital for a four-month period from April 21, 2000 to August 20, 2000.

Cited by 4 publications

References 0 publications

Anaesthesia in a Disaster Zone: A Report on the Experience of an Australian Medical Team in Banda Aceh following the ‘Boxing Day Tsunami’

Anaesthesia in a Disaster Zone: A Report on the Experience of an Australian Medical Team in Banda Aceh following the ‘Boxing Day Tsunami’

Delivering medicines in a challenging environment: the pharmaceutical sector in East Timor (a descriptive study)

Out of my depth in East Timor

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