Skip to main content
Top
Published in: Current Anesthesiology Reports 1/2019

01-03-2019 | Global Health Anesthesia (MJ Harris, Section Editor)

A Philosophical Primer for Your First Global Anesthesia Experience

Authors: Mark J. Harris, Scott R. Junkins

Published in: Current Anesthesiology Reports | Issue 1/2019

Login to get access

Abstract

Purpose of Review

There are few publications regarding practical important philosophical considerations to international anesthesia work. Most of the literature in this realm is aimed at trainees or are logistical recommendations.

Recent Findings

Clarity of mission can provide guidance and benchmarks for managing challenging situations that may unduly influence the overall experience of a global health trip. Much of that clarity can come from authentic exchanges with your colleagues from the under-resourced region in question.

Summary

We intend to provide a framework and some core principles for organizing thoughts and interactions before, during, and after your first global anesthesia experience.
Literature
1.
go back to reference Gosselin-Tardif A, Butler-Laporte G, Vassiliou M, Khwaja K, Ntakiyiruta G, Kyamanywa P, Razek T, Deckelbaum DL: Enhancing medical students’ education and careers in global surgery. 2014; 57:224–5. Gosselin-Tardif A, Butler-Laporte G, Vassiliou M, Khwaja K, Ntakiyiruta G, Kyamanywa P, Razek T, Deckelbaum DL: Enhancing medical students’ education and careers in global surgery. 2014; 57:224–5.
2.
go back to reference • Melby MK, Loh LC, Evert J, Prater C, Lin H, Khan OA. Beyond medical “missions” to impact-driven short-term experiences in global health (STEGHs): ethical principles to optimize community benefit and learner experience. Acad Med. 2016;91:633–8 Discussion on the shift in culture surrounding short-term medical missions with some proposed core principles to guide developing ethical collaborations.CrossRef • Melby MK, Loh LC, Evert J, Prater C, Lin H, Khan OA. Beyond medical “missions” to impact-driven short-term experiences in global health (STEGHs): ethical principles to optimize community benefit and learner experience. Acad Med. 2016;91:633–8 Discussion on the shift in culture surrounding short-term medical missions with some proposed core principles to guide developing ethical collaborations.CrossRef
3.
go back to reference Ahmed F, Wong KY, Citron I, Lavy C. Global surgery and the role of trainees. Br J Hosp Med (Lond). 2016;77:202–3.CrossRef Ahmed F, Wong KY, Citron I, Lavy C. Global surgery and the role of trainees. Br J Hosp Med (Lond). 2016;77:202–3.CrossRef
4.
go back to reference • Bauer I. More harm than good? The questionable ethics of medical volunteering and international student placements. Trop Dis Travel Med Vaccines. 2017;3(5) Presents ongoing criticism of medical volunteering along with possible methods of mitigation. • Bauer I. More harm than good? The questionable ethics of medical volunteering and international student placements. Trop Dis Travel Med Vaccines. 2017;3(5) Presents ongoing criticism of medical volunteering along with possible methods of mitigation.
5.
go back to reference Jalloh M, Wood JP, Fredley M, deVries CR. IVUmed: a nonprofit model for surgical training in low-resource countries. Ann Glob Health. 2015;81:260–4.CrossRef Jalloh M, Wood JP, Fredley M, deVries CR. IVUmed: a nonprofit model for surgical training in low-resource countries. Ann Glob Health. 2015;81:260–4.CrossRef
6.
go back to reference Mishori R, Eastman A, Evert J: Improving the safety and security of those engaged in global health traveling abroad. 2016; 4:522–8. Mishori R, Eastman A, Evert J: Improving the safety and security of those engaged in global health traveling abroad. 2016; 4:522–8.
7.
go back to reference Butler M, Drum E, Evans FM, Fitzgerald T, Fraser J, Holterman A-X, et al. Guidelines and checklists for short-term missions in global pediatric surgery. Paediatr Anaesth. 2018;28:392–410.CrossRef Butler M, Drum E, Evans FM, Fitzgerald T, Fraser J, Holterman A-X, et al. Guidelines and checklists for short-term missions in global pediatric surgery. Paediatr Anaesth. 2018;28:392–410.CrossRef
8.
go back to reference •• Bennett C, Collins J, Heckscher Z, Papi-Thornton D. Learning Service. 1st ed. Dorset, England: Red Press; 2018. A book intended for humanitarian volunteers that includes practical advice for would-be volunteers, but also philosophical perspectives on how and why such steps are vital for organizations and individual volunteers •• Bennett C, Collins J, Heckscher Z, Papi-Thornton D. Learning Service. 1st ed. Dorset, England: Red Press; 2018. A book intended for humanitarian volunteers that includes practical advice for would-be volunteers, but also philosophical perspectives on how and why such steps are vital for organizations and individual volunteers
9.
go back to reference Tervalon M, Murray-García J. Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved. 1998;9:117–25.CrossRef Tervalon M, Murray-García J. Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved. 1998;9:117–25.CrossRef
10.
go back to reference Devakumar D, Devakumar D, Brotherton H, Brotherton H, Halbert J, Halbert J, et al. Taking ethical photos of children for medical and research purposes in low-resource settings: an exploratory qualitative study. BMC Med Ethics. 2013;14:27.CrossRef Devakumar D, Devakumar D, Brotherton H, Brotherton H, Halbert J, Halbert J, et al. Taking ethical photos of children for medical and research purposes in low-resource settings: an exploratory qualitative study. BMC Med Ethics. 2013;14:27.CrossRef
11.
go back to reference • Morriss WW, Johnson W, International Standards for a Safe Practice of Anesthesia Workgroup, Gelb AW, Merry AF. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Can J Anesth/J Can Anesth. 2018;65:698–708 Minimum standards from the WFSA providing guidance and assistance to anesthesia providers, their professional organizations, hospital and facility administrators, and governments for maintaining and improving the quality and safety of anesthesia care.CrossRef • Morriss WW, Johnson W, International Standards for a Safe Practice of Anesthesia Workgroup, Gelb AW, Merry AF. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Can J Anesth/J Can Anesth. 2018;65:698–708 Minimum standards from the WFSA providing guidance and assistance to anesthesia providers, their professional organizations, hospital and facility administrators, and governments for maintaining and improving the quality and safety of anesthesia care.CrossRef
12.
go back to reference Demes KA, Geeraert N. The highs and lows of a cultural transition: a longitudinal analysis of sojourner stress and adaptation across 50 countries. J Pers Soc Psychol. 2015;109:316–37.CrossRef Demes KA, Geeraert N. The highs and lows of a cultural transition: a longitudinal analysis of sojourner stress and adaptation across 50 countries. J Pers Soc Psychol. 2015;109:316–37.CrossRef
13.
go back to reference Edmondson AC. Strategies for learning from failure. Harv Bus Rev. 2011;89:48–55.PubMed Edmondson AC. Strategies for learning from failure. Harv Bus Rev. 2011;89:48–55.PubMed
14.
go back to reference Haynes AB, Haynes AB, Weiser TG, Berry WR, Berry WR, Lipsitz SR, et al. Safe surgery saves lives study group: a surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491–9.CrossRef Haynes AB, Haynes AB, Weiser TG, Berry WR, Berry WR, Lipsitz SR, et al. Safe surgery saves lives study group: a surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491–9.CrossRef
15.
go back to reference Harris MJ. We need more reports of global health anesthesia articles. Anesthesiology. 2015;124:1–269. Harris MJ. We need more reports of global health anesthesia articles. Anesthesiology. 2015;124:1–269.
16.
go back to reference Saluja S, Nwomeh B, Finlayson SRG, Holterman AL, Jawa RS, Jayaraman S, et al. Society of University Surgeons Global Academic Surgery Committee: guide to research in academic global surgery: a statement of the Society of University Surgeons Global Academic Surgery Committee. Surgery. 2018;163:463–6.CrossRef Saluja S, Nwomeh B, Finlayson SRG, Holterman AL, Jawa RS, Jayaraman S, et al. Society of University Surgeons Global Academic Surgery Committee: guide to research in academic global surgery: a statement of the Society of University Surgeons Global Academic Surgery Committee. Surgery. 2018;163:463–6.CrossRef
17.
go back to reference Kushner AL, Kyamanywa P, Adisa CA, Kibatala P, Mkandawire N, Coleman P, et al. Editorial policy on co-authorship of articles from low- and middle-income countries. World J Surg. 2011;35:2367–8.CrossRef Kushner AL, Kyamanywa P, Adisa CA, Kibatala P, Mkandawire N, Coleman P, et al. Editorial policy on co-authorship of articles from low- and middle-income countries. World J Surg. 2011;35:2367–8.CrossRef
18.
go back to reference Smith E, Hunt M, Master Z. Authorship ethics in global health research partnerships between researchers from low- or middle-income countries and high-income countries. BMC Med Ethics. 2014;15:42.CrossRef Smith E, Hunt M, Master Z. Authorship ethics in global health research partnerships between researchers from low- or middle-income countries and high-income countries. BMC Med Ethics. 2014;15:42.CrossRef
20.
go back to reference Jobe K, Jobe K. Disaster relief in post-earthquake Haiti: unintended consequences of humanitarian volunteerism. Travel Med Infect Dis. 2011;9:1–5.CrossRef Jobe K, Jobe K. Disaster relief in post-earthquake Haiti: unintended consequences of humanitarian volunteerism. Travel Med Infect Dis. 2011;9:1–5.CrossRef
21.
go back to reference Perry L, Malkin R. Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world? Med Biol Eng Comput. 2011;49:719–22.CrossRef Perry L, Malkin R. Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world? Med Biol Eng Comput. 2011;49:719–22.CrossRef
22.
go back to reference Meara JG, Leather A, Hagander L, Alkire BC. Global surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet. 2015;386:569–624.CrossRef Meara JG, Leather A, Hagander L, Alkire BC. Global surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet. 2015;386:569–624.CrossRef
24.
Metadata
Title
A Philosophical Primer for Your First Global Anesthesia Experience
Authors
Mark J. Harris
Scott R. Junkins
Publication date
01-03-2019
Publisher
Springer US
Published in
Current Anesthesiology Reports / Issue 1/2019
Electronic ISSN: 2167-6275
DOI
https://doi.org/10.1007/s40140-019-00304-5

Other articles of this Issue 1/2019

Current Anesthesiology Reports 1/2019 Go to the issue

Obstetric Anesthesia (LR Leffert, Section Editor)

Inhaled Nitrous Oxide Analgesia for Labor

Global Health Anesthesia (MJ Harris, Section Editor)

Development of Intensive Care in Low-Resource Regions

Obstetric Anesthesia (LR Leffert, Section Editor)

Update on Vasopressors for Cesarean Delivery

Global Health Anesthesia (MJ Harris, Section Editor)

A Review of Anesthesia Simulation in Low-Income Countries

Obstetric Anesthesia (LR Leffert, Section Editor)

Anesthetic Management of Nonobstetric Surgery during Pregnancy

Obstetric Anesthesia (LR Leffert, Section Editor)

Update on Obstetric Hemorrhage