The vast majority of people in Africa, about 95%, lack access to safe and reasonably priced surgical procedures. In some regions of the continent, the ratio of physician anesthesia providers is as low as 1 per 2,000,000 inhabitants, which falls far below the recommended minimum of 4 anesthesia providers per 100,000 people for safe and adequate medical care. Globally, the demand for safe surgery surpasses the available human resources necessary to provide adequate anesthesia. This gap is particularly pronounced in low- and middle-income countries (LMICs). This chapter will discuss the challenges facing “emerging economies,” in particular Southern Africa, regarding the provision of sedation services (Van Der Merwe et al., Anesth Analg. 135:250–63, 2022).

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Sedation in the Unique Context of South Africa

  • James A. Roelofse,
  • Graeme S. Wilson,
  • Cherese Lapere

摘要

The vast majority of people in Africa, about 95%, lack access to safe and reasonably priced surgical procedures. In some regions of the continent, the ratio of physician anesthesia providers is as low as 1 per 2,000,000 inhabitants, which falls far below the recommended minimum of 4 anesthesia providers per 100,000 people for safe and adequate medical care. Globally, the demand for safe surgery surpasses the available human resources necessary to provide adequate anesthesia. This gap is particularly pronounced in low- and middle-income countries (LMICs). This chapter will discuss the challenges facing “emerging economies,” in particular Southern Africa, regarding the provision of sedation services (Van Der Merwe et al., Anesth Analg. 135:250–63, 2022).