Features  |   November 2019
Difficulties in Non-Operating Room Anesthesia – An Indian Perspective
Article Information
Cardiovascular Anesthesia / Critical Care / Gastrointestinal and Hepatic Systems / Patient Safety / Radiological and Other Imaging / Respiratory System / Technology / Equipment / Monitoring / Quality Improvement / Features
Features   |   November 2019
Difficulties in Non-Operating Room Anesthesia – An Indian Perspective
ASA Monitor 11 2019, Vol.83, 18-21.
ASA Monitor 11 2019, Vol.83, 18-21.
India, although still classified as a developing country, has achieved tremendous growth and progress in the health care sector. It is a hotbed of medical tourism and currently has all the advanced cutting-edge technology at par with the western world in almost all disciplines of medicine. There is, however, a significant variation in the standard of care available in different parts of the country. In urban areas, the facilities available are at par with many developed countries, while in many rural areas, intuition, clinical judgement and innovation are still the best assets for the anesthesiologist. One of the authors of this article used phenylephrine eye drops from a local pharmacy and diluted them to provide necessary pressor support in a makeshift ICU in an area of need. A disparity also exists in the availability of clinical personnel. There are only 1.27 anesthesiologists per 100,000 population with an uneven distribution of personnel and equipment throughout the country. State funding of hospitals also plays a role and different facilities are available to the patients in the state funded (public or government hospitals, as they are known) and the private sector hospitals. While these are definite critical concerns, burgeoning national and state health care budgets, new government reforms to increase short term anesthesia training, and increasing urbanization of rural areas have brought about sweeping changes in the health care scenario.
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