Anaesthesia for Aboriginal Australians
Autor: | Peter W. Howe, C S Goodchild, John R. Condon |
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Rok vydání: | 1998 |
Předmět: |
Adult
Male Native Hawaiian or Other Pacific Islander media_common.quotation_subject Culture Ethnic group MEDLINE Disease Critical Care and Intensive Care Medicine Shyness 03 medical and health sciences 0302 clinical medicine Preoperative Care Humans Medicine Anesthesia Prospective Studies 030212 general & internal medicine Risk factor Prospective cohort study Aged media_common Patient Care Team business.industry Communication Data Collection Age Factors Australia 030208 emergency & critical care medicine Middle Aged Language difficulty Clinical trial Anesthesiology and Pain Medicine Female business |
Zdroj: | Anaesthesia and Intensive Care. 26:86-91 |
ISSN: | 1448-0271 0310-057X |
DOI: | 10.1177/0310057x9802600113 |
Popis: | This prospective study was designed to describe problems that arise when Aboriginal people undergo anaesthesia, in order to develop guidelines for anaesthetists who are not accustomed to treating Aboriginal people. Data were collected on 1122 consecutive different individuals undergoing anaesthesia at Royal Darwin Hospital, 24.5% of whom described themselves as Aboriginal. Aboriginal patients were in a poorer physiological state than were non-Aboriginal patients. The prevalence of diabetes mellitus, renal disease and rheumatic heart disease reported in Aboriginal patients was very high. Communication difficulties were more commonly reported in Aboriginal patients; the most common difficulty was apparent shyness or fear, rather than actual language difficulty. The results suggest that the treatment of Aboriginal people involves diagnosis and management of diverse pre-operative medical problems, and that better management may be achieved by learning simple cultural strategies and by adding Aboriginal interpreters and health workers to the anaesthetic team. |
Databáze: | OpenAIRE |
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