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Table 8 Anesthetists’ suggestions and comments for making anesthesia safera

From: The challenge of safe anesthesia in developing countries: defining the problems in a medical center in Cambodia

Suggestions

n

Better availability of anesthetic equipment eg. anesthesia machine

15

Better availability of monitors, eg. carbon dioxide detector

15

Better salary

14

Better availability of resuscitative drugs and equipments

12

Timely repair of the equipment

10

Better availability of medical supplies eg. electrode patch for ECG

10

Theoretical and practical training

8

Comments

 

‘The two anesthesia machines in the operating room are used for a longtime, lack of maintenance and have serious air leak problem.’

 

‘We added isoflurane in the only sevoflurane vaporizer, which makes it hard to control the depth of anesthesia.’

 

‘With the help of the Internet, we are keen to learn the latest advances in anesthesiology, but because of the lack of equipment and training, our ability to progress was limited.’

 

‘One of the serious problems I have encountered is intraoperative awareness. This is a problem that may cause great trauma to patients. It is also a legal issue, but we have ignored it.’

 

‘In order to control medical expenses, we used the least amount of drugs and materials, which damages the safety of anesthesia.’

 

‘The process we use to dispense large bottles of medication to each patient can lead to contamination.’

 
  1. aSuggested by the anesthesia providers from the questionnaire