Perioperative outcomes – more than sevoflurane and scalpels
Keywords:perioperative outcomes, sevoflurane, scalpels
It is well understood that access to safe surgery is a major challenge in low- and middle-income countries (LMICs), where over five billion people do not have reliable access to surgical care, resulting in an estimated 17 million avoidable deaths per annum.1 Bickler et al. have predicted that up to 90% of children in LMICs will manifest a surgically treatable condition before the age of 15.2 If these conditions are not managed effectively, they result in severe morbidity or mortality. Butler et al. have echoed this sentiment, noting that up to 20% of children in Rwanda, Sierra Leone, Nepal, and Uganda needed surgery but that 62% of that cohort had an unmet surgical need.3 Despite paediatric surgical services in South Africa being positioned to offer a wide range of safe paediatric surgical interventions,4 the paucity of surgeons results in limited access to centralised centres and much of the population remains unserved.5
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