Evidence map›Paper›PMID 32577558›Full record

ArticleHeliyon2020

Using critical care physicians to deliver anesthesia and boost surgical caseload in austere environments: the Critical Care General Anesthesia Syllabus (CC GAS).

Quincy K Tran, Natalie M Mark, Lia I Losonczy, Michael T McCurdy, James H Lantry, Marc E Augustin, Lovely N Colas, Richard Skupski, Arthur S Toth, Bhavesh M Patel and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Heliyon, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

Quincy K TranDepartment of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Natalie M MarkIndiana University School of Medicine, South Bend Campus, South Bend, IN, USA.
Lia I LosonczyDepartment of Emergency Medicine, The George Washington University Medical Center, Washington, DC, USA.
Michael T McCurdyDivision of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
James H LantryDivision of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Marc E AugustinSt. Luc Hospital, Port-au-Prince, Haiti.
Lovely N ColasSt. Luc Hospital, Port-au-Prince, Haiti.
Richard SkupskiMemorial Hospital Trauma Center, South Bend, IN, USA.
Arthur S TothMemorial Hospital Trauma Center, South Bend, IN, USA.
Bhavesh M PatelDepartment of Critical Care, Mayo Clinic Arizona, Phoenix, AZ, USA.
Donald F ZimmerMemorial Hospital Trauma Center, South Bend, IN, USA.
Rebecca TracyIndiana University School of Medicine, South Bend Campus, South Bend, IN, USA.
Mark WalshMemorial Hospital Trauma Center, South Bend, IN, USA.
Memorial Hospital of South Bend · USUniversity of Maryland, Baltimore · USIndiana University School of MedicineIndiana University South Bend · USMayo Clinic Hospital · USWashington University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite an often severe lack of surgeons and surgical equipment, the rate-limiting step in surgical care for the nearly five billion people living in resource-limited areas is frequently the absence of safe anesthesia. During disaster relief and surgical missions, critical care physicians (CCPs), who are already competent in complex airway and ventilator management, can help address the need for skilled anesthetists in these settings.

methodsWe provided a descriptive analysis that CCPs were trained to provide safe general anesthesia, monitored anesthesia care (MAC), and spinal anesthesia using a specifically designed and simple syllabus.

resultsSix CCPs provided anesthesia under the supervision of a board-certified anesthesiologist for 58 (32%) cases of a total of 183 surgical cases performed by a surgical mission team at St. Luc Hospital in Port-au-Prince, Haiti in 2013, 2017, and 2018. There were no reported complications.

conclusionsGiven CCPs' competencies in complex airway and ventilator management, a CCP, with minimal training from a simple syllabus, may be able to act as an anesthesiologist-extender and safely administer anesthesia in the austere environment, increasing the number of surgical cases that can be performed. Further studies are necessary to confirm our observation.

Indexed as

AnesthesiaAnesthesiologist extenderAustere environmentClinical researchCritical careIntensive care medicinePublic healthSurgery

Identifiers

PMID32577558
PMCPMC7305384
OpenAlexW3036580872

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.