Staffing the Operating Room Suite: Perspectives from Europe and North America on the Role of Different Anesthesia Personnel

Halbeis, Christoph B. Egger; Schubert, Armin

doi:10.1016/j.anclin.2008.07.002

Cited by 23 publications

(14 citation statements)

References 32 publications

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“…Between them they perform over 40 million surgeries each year on a population of approximately 300 million people [24]. The UK has one physician–anaesthetist for every patient undergoing surgery—around 12,000 anesthetists for a population of 64 million (approximately 1:5,000) [25].…”

Section: Discussionmentioning

confidence: 99%

Global Anesthesia Workforce Crisis: A Preliminary Survey Revealing Shortages Contributing to Undesirable Outcomes and Unsafe Practices

2009

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BackgroundThe burden of disease, disability, and mortality that could be averted by surgery is growing. However, few low and middle income countries (LMICs) have the infrastructure or capacity to provide surgical services to meet this growing need. Equally, few of these countries have been assessed for key infrastructural capacity including surgical and anesthesia providers, equipment, and supplies. These assessments are critical to revealing magnitude of the evolving surgical and anesthesia workforce crisis, related morbidity and mortality, and necessary steps to mitigate the impact of the crisis.MethodsA pilot Internet-based survey was conducted to estimate per-capita anesthesia providers in LMICs. Information was obtained from e-mail respondents at national health care addresses, and from individuals working in-country on anesthesia-related projects.ResultsWorkers from 6 of 98 countries responded to direct e-mail inquiries, and an additional five responses came from individuals who were working or had worked in-country at the time of the survey. The data collected revealed that the per-capita anesthesia provider ratio in the countries surveyed was often 100 times lower than in developed countries.ConclusionsThis pilot study revealed that the number of anesthesia providers available per capita of population is markedly reduced in low and lower middle income countries compared to developed countries. As anesthesia providers are an integral part of the delivery of safe and effective surgical care, it is essential that more data is collected to fully understand the deficiencies in workforce and capacity in low and middle income countries.

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Section: Discussionmentioning

confidence: 99%

Global Anesthesia Workforce Crisis: A Preliminary Survey Revealing Shortages Contributing to Undesirable Outcomes and Unsafe Practices

2009

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“…Even in Western European countries which have a higher number of anesthesiologists per member of the population, steps to augment the anesthesia care system has been advocated to ensure the supply of a sufficient number of anesthesiologists to meet the demand [18,19].…”

Section: Anesthesiologist Assistantmentioning

confidence: 99%

The role of Certified Registered Nurse Anesthetists in the United States

Matsusaki

Sakai

2011

J Anesth

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Certified Registered Nurse Anesthetists (CRNAs) have been providing anesthesia care in the United States (US) for nearly 150 years. Historically, anesthesia care for surgical patients was mainly provided by trained nurses under the supervision of surgeons until the establishment of anesthesiology as a medical specialty in the US. Currently, all 50 US states utilize CRNAs to perform various kinds of anesthesia care, either under the medical supervision of anesthesiologists in most states, or independently without medical supervision in 16 states; the latter has become an on-going source of conflict between anesthesiologists and CRNAs. Understanding the history and current conditions of anesthesia practice in the US is crucial for countries in which the shortage of anesthesia care providers has become a national issue.

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“…The recent data of Egger Halbeis and Schubert 9 and Pontone et al 14 on the demography of anaesthesiologists in Europe are alarming in that they predict a shortage of anaesthesiologists that may reach 30-35% by 2020 in eight out of 14 European countries.…”

mentioning

confidence: 98%

“…The number of anaesthetics given varies between 3.4 anaesthetics per 100 people per year in eastern Europe and 9.6 in western Europe, though the density of anaesthesiologists in these two groups of countries is 6.1 and 14.5 anaesthesiologists per 100 000 people, respectively. 9 However, a closer look at the western European data fails to demonstrate a relationship between the density of anaesthesia providers and the workload. Sweden, for example, has a similar density of anaesthesiologists and four times the density of nurse anaesthetists than France; the rate of anaesthetics is 2.1 times greater in France than in Sweden.…”

mentioning

confidence: 99%

Time to consider nonphysician anaesthesia providers in Europe?

Clergue¹

2010

European Journal of Anaesthesiology

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Staffing the Operating Room Suite: Perspectives from Europe and North America on the Role of Different Anesthesia Personnel

Cited by 23 publications

References 32 publications

Global Anesthesia Workforce Crisis: A Preliminary Survey Revealing Shortages Contributing to Undesirable Outcomes and Unsafe Practices

Global Anesthesia Workforce Crisis: A Preliminary Survey Revealing Shortages Contributing to Undesirable Outcomes and Unsafe Practices

The role of Certified Registered Nurse Anesthetists in the United States

Time to consider nonphysician anaesthesia providers in Europe?

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