Evolution of Anesthesia in Nepal: A historical perspective

Amatya, Roshana

doi:10.3126/jsan.v1i1.13580

Cited by 12 publications

(16 citation statements)

References 6 publications

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“…9,10 Use of autologous transfusion in general hospital setting has also been described in gynecological procedures. 1 However, no such reports are available of its use in surgical outreach camp setting of remote difficult terrain. Patient safety is a major concern both for the care giver and the service users in such surgical camp setting.…”

Section: Discussionmentioning

confidence: 99%

“…History of anaesthesia in Nepal dates back to 1933. 1 However, geographical remoteness and difficult terrain still prevent many Nepalese from access to minimal essential healthcare including anaesthesia and surgery. Health camps organized time to time by the governmental and non-governmental organizations are the only available option left for these marginalized people.…”

Section: Introductionmentioning

confidence: 99%

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Autologous Blood Transfusion in Surgical Outreach Camp

Sharma

Bhattarai

2015

J. Soc. Anesth. Nep.

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Poor access to healthcare including surgical care is one of the known problems faced by people living in the remote terrains of Nepal. Reaching to the community with the help of health camps has been exercised for many years in Nepal. However, surgery in such camps is often hindered by many obstacles including unavailability of blood products, lack of or poor storage facility for donated blood. Surgery often needs to be deferred in otherwise healthy patients with rare blood groups. Autologous blood collection with acute normovolaemic haemodilution is one of the blood sparing techniques used in cases where it is difficult to get matched blood or when allogenic blood cannot be used. We report a case of autologous blood collection and subsequent transfusion in a patient undergoing vaginal hysterectomy and pelvic floor repair performed at a surgical outreach camp organized in a remote district of Nepal.Journal of Society of Anesthesiologists of Nepal 2015; 2(1): 28-30

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Autologous Blood Transfusion in Surgical Outreach Camp

Sharma

Bhattarai

2015

J. Soc. Anesth. Nep.

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“…surgery was performed without invasive arterial and CVP line. 1 Cardiac surgeon was from Britain. Closed mitral commisurotomy is the wolrd's first cardiac surgery which was performed in Boston in 1923.…”

Section: Journal Of Society Of Anesthesiologists Of Nepalmentioning

confidence: 99%

Moonwalk in Cardiac anesthesia platform in Nepal

Pradhan¹

2019

J. Soc. Anesth. Nep.

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“…The anesthetist Dr G P Rajwalot administered anesthesia using a Boyle machine with Ether vaporizer. 13 Dr Lok Bikram Thapa and Dr Damodar Prasad Pokhrel started doing closed heart cases establishing a separate thoracic surgery unit at Bir Hospital. Dr Alain Gale from Australia made a few visits to Bir Hospital with his team between 1985 and 1995.…”

Section: Nepalmentioning

confidence: 99%

Know thy neighbors: The status of cardiac surgery in the South Asian countries around India

Hosain

Amin²,

Rehman³

et al. 2017

Indian Heart Journal

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ObjectivesThe South Asian neighboring countries of India include Bangladesh, Bhutan, Nepal, The Maldives, Pakistan and Sri Lanka. Interestingly all these countries possess either a land or a sea border with India and no border among themselves. These countries have historic, cultural, ethnic and genetic links with India. The paper describes the developmental history and current status of cardiac surgery in these countries.MethodsThorough search of the printed and electronic materials has been made. The authors visited all these countries and contacted the eminent surgeons personally or through mails. All the information is cross-checked and compiled. Record keeping is not well organized in most of these countries. Best information often came from unusual sources like Anesthetists’ society or the corporate houses.ResultsFour of these countries Bangladesh, Nepal, Pakistan and Sri Lanka have their cardiac surgical programs. Collectively they perform around 38000 cardiac operations a year which is a quarter of the cases performed in India. These countries are important sources of medical tourism in India which is worth 3 billion US$ of business annually.ConclusionWhen the number of operations per million populations is considered, Bangladesh and Nepal are lagging behind India where as Pakistan has a comparable figure. Sri Lanka with 265 cardiac operations/million populations has the best figures in the region. However when compared with the Western countries even the Lankan figures also look quite inadequate.

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Evolution of Anesthesia in Nepal: A historical perspective

Cited by 12 publications

References 6 publications

Autologous Blood Transfusion in Surgical Outreach Camp

Autologous Blood Transfusion in Surgical Outreach Camp

Moonwalk in Cardiac anesthesia platform in Nepal

Know thy neighbors: The status of cardiac surgery in the South Asian countries around India

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