Global Surgery and Anesthesia Manual

John G. Meara, MD, DMD, MBA, FACS, FRACS is Director of the Program in Global Surgery and Social Change at Harvard Medical School, Chairman of the Executive Committee of the Harvard Plastic Surgery Training Program, and Plastic Surgeon-in-Chief at Boston Children’s Hospital. Since 2008, he has Co-Directed the Paul Farmer Global Surgery Fellowship program in collaboration with Partners in Health. His clinical interests and innovation activities are in the areas of craniofacial anomalies, and cleft lip and cleft palate. Dr. Meara is particularly interested in augmenting the delivery of quality surgical care in low-resource settings, and serves as chair for the Lancet Commission on Global Surgery. Craig D. McClain, MD, MPH is an anesthesiologist at Boston Children’s Hospital, an Assistant Professor of Anesthesia, and Affiliate Faculty in the Department of Global Health and Social Medicine at Harvard Medical School. He has spent time working in multiple low-resource countries in Asia, Africa, South America, and the Caribbean. He currently serves as the lead anesthesiologist for Harvard Medical School for the Human Resources for Health project in Rwanda. He is the founder and Director of the Global Pediatric Anesthesiology Fellowship at Boston Children’s Hospital. His academic interests include improving the perioperative care of children undergoing neurosurgical procedures, as well as improving the safe delivery of anesthesia and perioperative care in low-resource countries. Selwyn Rogers, Jr., MD, MPH, FACS has served as Division Chief of Trauma, Burn, and Surgical Critical Care at Brigham and Women’s Hospital. In 2005, Dr. Rogers helped launch the Center for Surgery and Public Health, whose mission is to understand the nature, quality, and utilization of surgical care globally. His research includes examining processes to improve quality of care and improving the understanding surgical disparities to close the quality chasm for underserved populations nationally and globally. Dr. Rogers served as Surgeon-in-Chief of Temple University Health System from 2012 to 2014. He now serves as Chief Medical Officer at the University of Texas Medical Branch. David P. Mooney, MD, MPH, FACS is Director of the Trauma Center at Boston Children’s Hospital, an Associate Professor in Surgery, and Affiliate Faculty in the Department of Global Health and Social Medicine at Harvard Medical School. He has been active in Partners in Health and was a part of the U.S. National Disaster Medical System response to the 2010 Haitian earthquake. He is one of the founders of the Pediatric Trauma Society. His interests include the development of trauma care and trauma systems for children in a variety of resource settings.

Introduction. The Global Burden of Surgical Disease. Ethical Considerations. Developing Surgical Capacity Models of Implementation. Anesthesia. Preparing for a Trip OR Management. Pharmacology of Commonly Used Drugs. Regional Anesthesia. Preoperative Evaluation. Intraoperative Management. Postoperative Care PACU and ICU . Resuscitation and Approach to Crisis Situations. Trauma. Chest. Acute Abdomen. Stomach. Liver, Pancreas and Gall Bladder. Spleen. Appendicitis. Hernia. Colon and Rectum. Anus and Rectum. Laparoscopy. Breast Cancer. Obstetric. Gynecology. Genitourinary Surgery. Neurosurgery. Otorhinolaryngology. Thyroidectomy. Ophthalmology. Dentistry .Orthopedic Surgery. Pediatric Surgery. Oncology. Infectious Disease Soft-Tissue Coverage and Flap Skin Graft Wound Care. Trauma. Disaster Management. Initial Evaluation of the Trauma Patient. Amputation. Burn Thoracic Trauma. Abdominal Trauma. Urologic Trauma. Neurosurgical Trauma. Maxillofacial Trauma. Ophthalmic Trauma. Soft-Tissue Injuries of the Face. Spinal Trauma. Upper Extremity Trauma. Hand Trauma. Lower Extremity Trauma. References. Appendix Safety, Security, and Survival Considerations for Healthcare Providers in Remote, Hostile, and Disaster Area. Index.