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May 4, 2023Open 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

Review reveals severe insufficiencies in anaesthesia workforce, infrastructure, and supplies across 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.

Population

25 eligible sources on low and lower middle-income countries in the Asia region from 2000-2021

Design

Scoping literature review

Authors

SSSumbal ShahbazNHNatasha Howard

Discussion

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Member takes

Overview

Signals critical anaesthesia shortfalls needing urgent redress in low-income Asia; leaves open scalable solutions requiring prospective evaluation.

Structured PICO

P
Population
Primary and secondary research literature on low and lower middle-income countries in the Asia region from 2000-2021 regarding anaesthesia delivery systems (25 sources)
O
Outcome
Availability and type of anaesthesia workforce; anaesthesia system infrastructure, equipment, and supplies; and effectiveness of anaesthesia 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 in anaesthesia resources
  • Study quality assessment was not conducted
  • Individual country-based data from only 7 countries were available
  • Assessments were conducted and reported by anaesthesia personnel, which could introduce bias
  • Limited information on data collection in sources
  • No sources included countrywide data

Cite This Study

Shahbaz et al. (2023) conducted a review in Anaesthesia delivery systems capacity and effectiveness (n=25). Anaesthesia delivery systems was evaluated. A scoping review of 25 sources revealed severe insufficiencies in anaesthesia workforce, infrastructure, and supplies across low and lower-middle-income Asian countries.

synapsesocial.com/papers/6a0bdb59472871d26ec2230bhttps://doi.org/10.1101/2023.05.03.23289468
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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 effectiveness2024 · 10 citations
  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. 4Pediatric anesthesia in developing countries2007 · 70 citations
  5. 5The Rate‐Limiting Step: The Provision of Safe Anesthesia in Low‐Income Countries2014 · 42 citations