Popis: |
In sub-Saharan Africa, there is an acute shortage of sedation providers and other healthcare providers, making the provision of sedation challenging. The demand for sedation for procedures on children outside the operating room already exceeds the capacity for offering anesthetic services in the operating room. The shortage of providers, and support staff, and lack of training are probably the largest barriers to the administration of procedural sedation and analgesia (PSA) and the development of representative pediatric sedation services in Africa. Large discrepancies exist between populated metropoles and rural areas in terms of availability of healthcare providers, facilities, and equipment. In this chapter, the challenges facing sub-Saharan Africa as far as the provision of sedation services is concerned are discussed. |