A suitable anaesthetic technique was needed for oral surgery in infants in a developing country. As an air compressor was present, and oxygen accessible, a continuous flow technique was chosen. Two Boyle's machines - useless due to lack of soda lime and nitrous oxide - were converted without increasing susceptibility to technical and supplemental deficiencies. The challenge to simplify techniques without reducing patient safety is discussed, and the solutions in an Ethiopian hospital are presented.
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References
1.
Ezi-AshiTIPapworthDPNunnJF. Inhalational anaesthesia in developing countries. Part I. The problems and a proposed solution. Anaesthesia1983; 38: 729–35.
2.
WilsonIH. Safe anaesthesia. In: Baillières clinical tropical medicine and communicable diseases, vol. 3. London: Baillière Tindall, 1983: 191–208.
3.
LunnJN. Anaesthesia and developing countries. Editorial. Anaesthesia1983; 38: 727–8.
4.
BoultonTB. Anaesthesia in difficult situations. (3) General anaesthesia - technique. Anaesthesia1966; 21: 513–45.
5.
Ezi-AshiTIPapworthDPNunnJF. Inhalational anaesthesia in developing countries. Part II. Review of existing apparatus. Anaesthesia1983; 38: 736–47.
6.
WilsonIHPageRJEYeatsMJHThe Oxford miniature vaporizer in paediatric anaesthesia. An experimental study. Anaesthesia1988; 43: 700–2.
7.
BoultonTB. Anaesthesia and resuscitation in difficult environments. In: HewerCL, ed. Recent advances in anaesthesia and analgesia, vol. 11. Boston: Little, Brown and Co1973: 143–238.
