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Providing anesthesia in resource-limited settings

机译：在资源限制设置中提供麻醉

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Purpose of reviewThe article reviews the reality of anesthetic resource constraints in low and middle-income countries (LMICs). Understanding these limitations is important to volunteers from high-income countries who desire to teach or safely provide anesthesia services in these countries.Recent findingsRecently published information on the state of anesthetic resources in LMICs is helping to guide humanitarian outreach efforts from high-income countries. The importance of using context-appropriate anesthesia standards and equipment is now emphasized. Global health experts are encouraging equal partnerships between anesthesia health care providers working together from different countries. The key roles that ketamine and regional anesthesia play in providing well tolerated anesthesia for cesarean sections and other common procedures is increasingly recognized.SummaryAnesthesia can be safely given in LMICs with basic supplies and equipment, if the anesthesia provider is trained and vigilant. Neuraxial and regional anesthesia and the use of ketamine as a general anesthetic appear to be the safest alternatives in low-resource countries. Environmentally appropriate equipment should be encouraged and pulse oximeters should be in every anesthetizing location. LMICs will continue to need support from outside sources until capacity building has made more progress.
机译：reviewThe文章的目的，回顾了在低麻醉资源约束和中等收入国家（低收入国家）的现实。了解这些限制是从高收入国家谁在中低收入国家麻醉资源的状态，这些countries.Recent findingsRecently公布信息的愿望教或安全地提供麻醉服务，帮助，引导高收入国家的人道主义宣传工作的志愿者非常重要的。使用上下文适当的麻醉标准和设备的重要性，现在强调。全球卫生专家鼓励麻醉卫生保健提供者来自不同的国家一起工作之间的平等伙伴关系。关键的角色在剖腹产等常用程序，提供良好的耐受性氯胺酮麻醉和局部麻醉发挥越来越recognized.SummaryAnesthesia可以安全地在低收入国家给予基本用品和设备，如果麻醉师进行训练和警惕。椎管内和局部麻醉和氯胺酮作为一种全身麻醉似乎是在资源匮乏的国家是最安全的选择。环境适宜的设备应鼓励和脉搏血氧仪应该是在每个麻醉的位置。低收入国家将继续从外部来源需要支持，直至能力建设取得了更多的进展。

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