Shrestha GS, Lamsal R, Tiwari P, Acharya SP. Anesthesiology and Critical Care Response to COVID-19 in Resource-Limited Settings: Experiences from Nepal.
Anesthesiol Clin 2021;
39:285-292. [PMID:
34024431 PMCID:
PMC7879105 DOI:
10.1016/j.anclin.2021.02.004]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
It is difficult to predict the future course and length of the ongoing COVID-19 pandemic, which has devastated health care systems in low- and middle-income countries. Anesthesiology and critical care services are hard hit because many hospitals have stopped performing elective surgeries, staff and scarce hospital resources have been diverted to manage COVID-19 patients, and several makeshift COVID-19 units had to be set up. Intensive care units are overwhelmed with critically ill patients. In these difficult times, low- and middle-income countries need to improvise, perform indigenous research, adapt international guidelines to suit local needs, and target attainable clinical goals.
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