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Drug shortages in Canadian anesthesia: A national survey

机译:加拿大麻醉药短缺:一项全国调查

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We read with interest the article by Hall et al. on shortages of anesthetic drugs in Canada. We work in a large referral hospital in Zimbabwe and also face drug shortages in our anesthesia and critical care practice. The problem of drug shortages is global; however, our situation has not received as much scrutiny as is the case in Canada and North America.In Sub-Saharan Africa, our anesthetic and related drug shortages are similar to those in Canada and include a range of drugs, e.g., propofol, muscle relaxants, opioid and non-opioid analgesics, inotropes, local anesthetics, and benzodiazepines. In a study of anesthesia resources in Uganda (Sub-Sahara), Hodges et al. reported severe anesthetic drug shortages. Except for ketamine, most of the drugs were not easily available; in addition, only 54% of the anesthetists had pethidine or morphine available on a continuous basis. In the same study, 30% of the anesthetists stated that they never had local anesthetic solution for a subarachnoid block in their hospitals, while 28% revealed that they only sometimes had the solution. In a recent study by Baelani et al.
机译:我们感兴趣地阅读了Hall等的文章。关于加拿大麻醉药短缺的问题。我们在津巴布韦的一家大型转诊医院工作,并且在麻醉和重症监护实践中也面临毒品短缺的问题。毒品短缺问题是全球性的;但是,我们的情况没有像加拿大和北美那样受到严格审查。在撒哈拉以南非洲,我们的麻醉药和相关药物短缺情况与加拿大相似,包括一系列药物,例如异丙酚,肌肉松弛剂,阿片类和非阿片类镇痛药,正性肌力药,局部麻醉药和苯二氮卓类药物。在对乌干达(撒哈拉以南地区)麻醉资源的研究中,Hodges等人。报告严重麻醉药短缺。除氯胺酮外,大多数药物都不容易获得。此外,只有54%的麻醉师连续使用哌替啶或吗啡。在同一项研究中,30%的麻醉师表示,他们的医院从未有针对蛛网膜下腔阻滞的局部麻醉药,而28%的麻醉师表示,他们有时只有这种药。在Baelani等人的最新研究中。

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