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March 18, 2024PLOS Global Public HealthOpen Access

Anaesthesia delivery systems in low and lower-middle-income Asian countries: A scoping review of capacity and effectiveness

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Key result

Scoping review reveals significant anesthesia workforce and infrastructure shortages in lower-income Asian countries.

  • n=25

Why the study?

Literature on anaesthesia systems in low and lower-middle-income countries is limited, focused on Africa, and provides minimal data on anaesthesia or associated disciplines in intensive care, pain management, and emergency medicine.

Population

25 eligible sources on anaesthesia delivery in low and lower middle-income Asian countries from 2000-2021

Design

Scoping literature review

Authors

SSSumbal ShahbazNHNatasha Howard

Discussion

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Overview

Urgent gaps in anaesthesia capacity demand policy and investment action in lower-income Asia; extends calls for targeted research and collaboration.

Study Design

Type

Systematic Review (n=25)

Structured PICO

P
Population
25 eligible sources of primary and secondary research literature on capacity and effectiveness of anaesthesia delivery in low and lower middle-income countries in the Asia region from 2000-2021
O
Outcome
Capacity and effectiveness of anaesthesia delivery (availability and type of workforce; infrastructure, equipment, supplies; effectiveness of provision)

There is an urgent need for additional research and collaboration to strengthen anaesthesia delivery and surgical facilities in resource-constrained Asian settings.

Limitations

  • Literature was heterogeneous with substantial differences in methodologies, data collection tools, and study samples
  • No source represented an entire country despite significant subnational differences
  • Study quality assessment was not conducted
  • Individual country-based data from only 7 countries were available
  • Assessments were conducted and reported by different research teams, which may have resulted in discrepancies
  • Restricted eligibility criteria to anaesthesia delivery system capacity and effectiveness, excluding some reporting of clinical outcomes
  • Limited information on data collection in included sources
  • No sources included countrywide data

Cite This Study

Shahbaz et al. (2024) conducted a systematic review in Anaesthesia delivery systems capacity and effectiveness (n=25). Anaesthesia delivery systems was evaluated on Availability of workforce, infrastructure, equipment, supplies, and effectiveness of anaesthesia provision. A scoping review of 25 sources on anaesthesia delivery in lower-income Asian countries revealed significant insufficiencies in workforce, infrastructure, and supplies.

synapsesocial.com/papers/6a0bdb59472871d26ec22301https://doi.org/10.1371/journal.pgph.0001953
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Anaesthesia delivery systems in low and lower-middle-income Asian countries: a scoping review of capacity and effectiveness2023
  2. 2Anesthesia Capacity in 22 Low and Middle Income Countries2012 · 58 citations
  3. 3Global anesthesia care: a systematic review of capacity, workforce, and access2026
  4. 4Enhancing Access for Essential surgical and anesthesia care at Primary Healthcare Settings in Low-Resource Settings: A Scoping Review Protocol2025
  5. 5Pediatric anesthesia in developing countries2007 · 70 citations