Key result
Spinal anesthesia was associated with lower perioperative mortality compared with general anesthesia with intubation (0.04%; AOR 0.10; 95% CI 0.05-0.18) in resource-limited settings.
Why the study?
What are the outcomes and factors associated with perioperative mortality for anesthesia procedures in resource-limited settings?
Population
75,536 anesthetics provided to adult patients at Médecins Sans Frontières facilities in resource-limited…
Comparison
Anesthesia procedures vs Different anesthesia techniques compared against…
Design
Cohort
Follow-up
Perioperative
Authors
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MSF's mixed-provider model with standardized equipment supports anesthesia delivery in humanitarian settings; leaves open questions on safety and outcomes.
Observational (n=75,536)
Yes
What are the outcomes and factors associated with perioperative mortality for anesthesia procedures in resource-limited settings?
Odds Ratio: 0.1 (95% CI 0.05–0.18)
A wide range of anesthetic procedures can be performed safely in resource-limited settings, with an overall perioperative mortality of 0.25%.
Ariyo et al. (2016) conducted an observational in Patients requiring anesthesia for surgery in resource-limited settings (n=75,536). Spinal anesthesia vs. General anesthesia with intubation was evaluated on Perioperative mortality (AOR 0.10, 95% CI 0.05-0.18). Spinal anesthesia was associated with lower perioperative mortality compared with general anesthesia with intubation (0.04%; AOR 0.10; 95% CI 0.05-0.18) in resource-limited settings.
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