TY - JOUR
T1 - Guidelines and checklists for short-term missions in global pediatric surgery
T2 - Recommendations from the American Academy of Pediatrics Delivery of Surgical Care Global Health Subcommittee, American Pediatric Surgical Association Global Pediatric Surgery Committee, Society for Pediatric Anesthesia Committee on International Education and Service, and American Pediatric Surgical Nurses Association, Inc. Global Health Special Interest Group
AU - Butler, Marilyn
AU - Drum, Elizabeth
AU - Evans, Faye M.
AU - Fitzgerald, Tamara
AU - Fraser, Jason
AU - Holterman, Ai Xuan
AU - Jen, Howard
AU - Kynes, J. Matthew
AU - Kreiss, Jenny
AU - McClain, Craig D.
AU - Newton, Mark
AU - Nwomeh, Benedict
AU - O'Neill, James
AU - Ozgediz, Doruk
AU - Politis, George
AU - Rice, Henry
AU - Rothstein, David
AU - Sanchez, Julie
AU - Singleton, Mark
AU - Yudkowitz, Francine S.
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2018/4
Y1 - 2018/4
N2 - Introduction: Pediatric surgeons, anesthesia providers, and nurses from North America and other high-income countries (HICs) are increasingly engaged in resource-limited areas, with short-term missions (STMs) as the most common form of involvement. However, consensus recommendations currently do not exist for STMs in pediatric general surgery and associated perioperative care. Methods: The American Academy of Pediatrics (AAP) Delivery of Surgical Care Subcommittee and American Pediatric Surgical Association (APSA) Global Pediatric Surgery Committee, with the American Pediatric Surgical Nurses Association, Inc. (APSNA) Global Health Special Interest Group, and the Society for Pediatric Anesthesia (SPA) Committee on International Education and Service generated consensus recommendations for STMs based on extensive experience with STMs. Results: Three distinct, but related areas were identified: 1) Broad goals of surgical partnerships between HICs- and low and middle-income countries (LMICs). A previous set of guidelines published by the Global Paediatric Surgery Network Collaborative (GPSN), was endorsed by all groups; 2) Guidelines for the conduct of STMs were developed, including planning, in-country perioperative patient care, post-trip follow-up, and sustainability; 3) travel and safety considerations critical to STM success were enumerated. Conclusion: A diverse group of stakeholders developed these guidelines for STMs in LMICs. These guidelines may be a useful tool to ensure safe, responsible, and ethical STMs given increasing engagement of HIC providers in this work. Level of evidence: 5.
AB - Introduction: Pediatric surgeons, anesthesia providers, and nurses from North America and other high-income countries (HICs) are increasingly engaged in resource-limited areas, with short-term missions (STMs) as the most common form of involvement. However, consensus recommendations currently do not exist for STMs in pediatric general surgery and associated perioperative care. Methods: The American Academy of Pediatrics (AAP) Delivery of Surgical Care Subcommittee and American Pediatric Surgical Association (APSA) Global Pediatric Surgery Committee, with the American Pediatric Surgical Nurses Association, Inc. (APSNA) Global Health Special Interest Group, and the Society for Pediatric Anesthesia (SPA) Committee on International Education and Service generated consensus recommendations for STMs based on extensive experience with STMs. Results: Three distinct, but related areas were identified: 1) Broad goals of surgical partnerships between HICs- and low and middle-income countries (LMICs). A previous set of guidelines published by the Global Paediatric Surgery Network Collaborative (GPSN), was endorsed by all groups; 2) Guidelines for the conduct of STMs were developed, including planning, in-country perioperative patient care, post-trip follow-up, and sustainability; 3) travel and safety considerations critical to STM success were enumerated. Conclusion: A diverse group of stakeholders developed these guidelines for STMs in LMICs. These guidelines may be a useful tool to ensure safe, responsible, and ethical STMs given increasing engagement of HIC providers in this work. Level of evidence: 5.
KW - Capacity-building
KW - Global health
KW - Global surgery
KW - Pediatric surgery
KW - Safe surgery
KW - Short-term missions
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U2 - 10.1016/j.jpedsurg.2017.11.037
DO - 10.1016/j.jpedsurg.2017.11.037
M3 - Review article
C2 - 29223665
AN - SCOPUS:85044132359
SN - 0022-3468
VL - 53
SP - 828
EP - 836
JO - Journal of pediatric surgery
JF - Journal of pediatric surgery
IS - 4
ER -