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Original Article|Articles in Press, 103647

Obstetric anaesthesia manpower and service provision issues (introduction and European perspective)

  • E. Guasch
    Correspondence
    Corresponding author at: Department of Anaesthesiology and Intensive Care, Hospital Universitario La Paz, P° de la Castellana, 261, 28046 Madrid – Spain
    Affiliations
    Department of Anaesthesiology and Critical Care, Hospital Universitario La Paz, Madrid, Spain. World Federation Societies of Anaesthesia (WFSA) Obstetric Anaesthesia Committee Member, Council and Board Member WFSA
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  • A. Ioscovich
    Affiliations
    Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, affiliated with The Hebrew University, Israel
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  • N. Brogly
    Affiliations
    Department of Anaesthesiology and Critical Care, Hospital Universitario La Paz, Madrid, Spain. World Federation Societies of Anaesthesia (WFSA) Obstetric Anaesthesia Committee Member, Council and Board Member WFSA

    Department of Anaesthesiology, Hospital Universitario La Zarzuela, Madrid, Spain
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  • S. Orbach-Zinger
    Affiliations
    Department of Anaesthesiology, Beilinson Hospital, Petah Tikvah, Affiliated with Sackler Medical School, Tel Aviv University, Tel Aviv, Israel
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  • P. Kranke
    Affiliations
    Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Würzburg, Germany
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  • E. Morau
    Affiliations
    Department of Anaesthesia Intensive Care and Perioperative Medicine, CHU Nîmes, Nîmes, France
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  • F. Gilsanz
    Affiliations
    Emeritus Professor of Anaesthesiology and Intensive Care Medicine, Department of Surgery, Universidad Autónoma de Madrid, Spain
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Published:February 27, 2023DOI:https://doi.org/10.1016/j.ijoa.2023.103647

      Highlights

      • There is wide variability in obstetric anaesthesia manpower in European countries.
      • Educational programmes are important to face manpower issues.
      • Large projects (fellowships) may contribute to a better spread of high-level training.
      • Training standardisation will probably result in a better manpower management.

      Abstract

      Global health is an important and far-reaching concept in which health and access to surgical and anaesthetic care is crucial. Universal access to anaesthesia is a challenge in many countries. Manpower shortages are an important cause of difficulties and each European country has found different ways of facing a lack of healthcare professionals. In obstetric anaesthesia, the availability of competent anaesthesiologists has been related to the morbidity and mortality.outcomes of patients.
      In this narrative review, authors from different European countries explain how manpower is managed in obstetric anaesthesia in delivery suites and obstetric operating rooms in different settings. To address manpower difficulties and issues, the goals are to achieve a minimum standard of care and at the same time, to promote clinical excellence through training, delegation to younger or less experienced colleagues, direct or at-a-distance supervision, or other means.
      The experience of sharing knowledge about the way in which manpower and service provision are organised in other healthcare settings is a significant opportunity to develop strategies for advancing tomorrow’s obstetric anaesthesia in the world. While taking into account the level of socio-economic development in different countries, the aim is to standardise practice and workload organisation. Co-operative international projects in training and education in obstetric anaesthesia are ways in which better obstetric patient care can be achieved in the future.

      Keywords

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