‘Safe anaesthesia care for all’ in India – Challenges

Kapoor, Mukul Chandra

doi:10.4103/ija.ija_882_19

Cited by 10 publications

(10 citation statements)

References 10 publications

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“…The positive experience of integrating AAs into the wider anaesthetic team are in keeping with similar research on the impact of other non‐doctor roles in the UK NHS, 25 and the inclusion of nurse anaesthetist models overseas has contributed to better matching of workforces to the population healthcare needs 26 , 27 . Robust quantitative data on patient safety outcomes relating to care delivered by Anaesthesia Associates in the UK NHS are lacking, in part due to the difficulty of understanding the impact of individual factors within complex multi‐disciplinary care systems 22 .…”

Section: Discussionsupporting

confidence: 53%

The experience of working with anaesthesia associates in the United Kingdom and the impact on medical anaesthetic training

Sellers

Penfold²,

Gass³

et al. 2022

Health Planning & Management

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Anaesthesia Associates have been established in the UK for over 10 years, but without statutory regulation. Renewed interest surfaced based on a widening gap between patient need and workforce supply in the UK and established advanced practice non‐doctor roles within healthcare systems elsewhere. However, there are no robust data on their impact on patient or hospital outcomes, or training opportunities for medical anaesthetists, and perceptions of the profession within the anaesthetic community are mixed. This paper describes an investigation into the demographics and scope of practice of Anaesthesia Associates in the UK in 2017, and the experience of working together as an anaesthetic team. Through qualitative interviews, we explored the role and relationships, the impact on medical anaesthetic training and ideas about future development. The overall experience of working with Anaesthesia Associates was positive. Successful integration requires understanding of the educational needs and competencies of all. Future development relies on strong leadership and robust patient outcome and efficiency measures. Interviewees strongly supported statutory regulation, which was agreed by the government in 2019 but not yet implemented. Anaesthesia Associates were seen as a benefit to anaesthetic departments and as such may provide part of the solution to the prevailing workforce issues in UK Anaesthesia, further critically challenged by the SARS‐CoV‐2 pandemic.

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Section: Discussionsupporting

confidence: 53%

The experience of working with anaesthesia associates in the United Kingdom and the impact on medical anaesthetic training

Sellers

Penfold²,

Gass³

et al. 2022

Health Planning & Management

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show abstract

“…Another solution to the shortfall of anesthesiologists would be to fill the rural gap with well-trained nonphysician anesthesia providers. 6 The training of nurse anesthetists in a third world country and its impact has been evaluated in Kenya, with reported improved perioperative safety. 7 This practice has not been universally accepted by the medical community in India due to its inherent limitations.…”

Section: Pre S Ent S Tatus Of He Alth C Are In Indiamentioning

confidence: 99%

“…There are several solutions to solving the shortage of anesthesia providers; increasing the income and the visibility of anesthesiologists, making a more positive impact on medical students to enthuse them to take up the speciality, increasing the number of anesthesia training programs, and mandatory rural service. Another solution to the shortfall of anesthesiologists would be to fill the rural gap with well‐trained nonphysician anesthesia providers 6 . The training of nurse anesthetists in a third world country and its impact has been evaluated in Kenya, with reported improved perioperative safety 7 .…”

Section: Present Status Of Health Care In Indiamentioning

confidence: 99%

Quality improvement and patient safety in India—Present and future

Dave

Yaddanapudi

Jacob³

et al. 2022

Pediatric Anesthesia

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India is a vast, populous and diverse country, and this reflects in the state of health care as well. The spectrum of healthcare services ranges from world class at one end, to a dearth of resources at the other. In the rural areas especially, there is a shortage of trained medical personnel, equipment, and medications needed to carry out safe surgery. Several initiatives have and are being made by the government, medical societies, hospitals, and nongovernment organizations to bridge this gap and ensure equitable, safe, and timely access to health for all. Training medical personnel and healthcare workers, accreditation of healthcare facilities, guidelines, and checklists, along with documentation and audit of practices will all help in improving services. This narrative review discusses the measures that have been taken, systems that have been established and the challenges involved in ensuring quality and patient safety in India.

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“…In clinical practice, we do not always get a clinical case with literature published on it. So in the absence of the same, practice of 'safe anaesthesia'[ 4 5 ] and the oath 'primum non nocere' should guide management. This helped us to manage our case safely.…”

mentioning

confidence: 99%