Publications & Reports

The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety.

McQueen K, Coonan T, Ottaway A, Hendel S, Bagutifils PR, Froese A, Neighbor R, Perndt H
Vanderbilt University, Nashville, TN, USA, [email protected]


INTRODUCTION: Current guidelines for the provision of safe anaesthesia from the World Health Organization and the World Federation of Societies of Anaesthesiologists (WFSA) are unachievable in a majority of low and middle-income countries (LMICs) worldwide. METHODS: Current guidelines for anaesthesia and patient safety provisions from the WHO and WFSA are compared with local ability to achieve these recommendations in LMICs. CONCLUSIONS: Influential international organizations have historically published anaesthesia guidelines, but for the most part, without impacting substantial documentable changes or outcomes in low-income environments. This analysis, and subsequent recommendations, reviews the effectiveness of existing strategies for international guidelines, and proposes practical, step-wise implementation of patient safety approaches for LMICs.


  • Journal: World Journal of Surgery
  • Published: 01/09/2015
  • Volume: 39
  • Issue: 9
  • Pagination: 2153-2160