Tropical Doctor > Volume 38, Number 3 > Pp. 148-150

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Non-doctor anaesthesia in Nepal: developing an essential cadre

Mark Zimmerman MD   ^*    Maurice Lee MBChB FANZA      Samson Retnaraj DA MD   

^* Nick Simons Institute, Box 8975, EPC 1813; International Nepal Fellowship, PO Box 1230; Patan Hospital, Box 252, Kathmandu, Nepal

Correspondence to: Mark Zimmerman, Nick Simons Institute, Box 8975, EPC 1813, Kathmandu, Nepal Email: markz{at}nsi.edu.np

Nepal is a mountainous country of 27 million people where the widespread lack of access to operative services is a major cause of morbidity and mortality. One critical reason for this is the lack of trained, appropriately distributed anaesthesia providers. We discuss the evolution of the ‘anaesthesia assistant’ in Nepal, review the international literature concerning the development of non-doctor anaesthetists, and invite links with others working in this field.

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