Anaesthesia in The Gambia.
We review the development of anaesthesia in The Gambia from 1977 to 1992 and the role of nurse anaesthetists. The anaesthetists service provided over a one year period at the Royal Victoria Hospital, Banjul shows that 58.3% are for Obstetrics and Gynaecology (O & G) procedures, 38.06% for Surgical and Dental while 3.164% was Ophthalmology. Nurse anaesthetists administered anaesthesia for 94.4% of the O & G Procedures with minimal complication. However anaesthesia for 65.6% of the general surgical and dental procedures required the expertise of a physician anaesthetist. The major problems associated with anaesthetic service delivery in The Gambia are highlighted and suggestions made on the future development of the specialty of anaesthesia.
Ministry of Health, The Gambia.
O A
OA
Soyannwo
M O
MO
George
D000761:Anesthesia Department, Hospital / Q000458:organization & administration*; D000776:Anesthesiology / Q000458:organization & administration*; D003906:Developing Countries; D005714:Gambia; D006769:Hospitals, General / Q000458:organization & administration; D006801:Humans; D007587:Job Description; D009719:Nurse Anesthetists / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D012017:Referral and Consultation; D012449:Safety