Pediatric anesthesia in Mongolia and Thailand
Issued Date
2024-01-01
Resource Type
ISSN
11555645
eISSN
14609592
Scopus ID
2-s2.0-85190978316
Pubmed ID
38629971
Journal Title
Paediatric Anaesthesia
Rights Holder(s)
SCOPUS
Bibliographic Citation
Paediatric Anaesthesia (2024)
Suggested Citation
Charoenraj P., Chinzorig Z., Adiya D., Aroonpruksakul N., Ayatkhan K., Bayarsaikhan O., Boldbaatar O., Horatanaruang D., Khorolsaikhan U., Ngamprasertwong P., Purev-Oidov T., Tumur S., Skowno J. Pediatric anesthesia in Mongolia and Thailand. Paediatric Anaesthesia (2024). doi:10.1111/pan.14894 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/98154
Title
Pediatric anesthesia in Mongolia and Thailand
Author's Affiliation
Siriraj Hospital
Cincinnati Children's Hospital Medical Center
The University of Sydney
Queen Sirikit National Institute of Child Health
Faculty of Medicine and Health
Faculty of Medicine, Chulalongkorn University
Pediatric Hospital
Bayan-Ulgii Province General Hospital
Central Hospital of Khuvsgul Province
Sharav.Kh Memorial Diagnostic and Treatment Center of Umnugobi Province
Intermed Hospital
Dornod Medical Centre
Cincinnati Children's Hospital Medical Center
The University of Sydney
Queen Sirikit National Institute of Child Health
Faculty of Medicine and Health
Faculty of Medicine, Chulalongkorn University
Pediatric Hospital
Bayan-Ulgii Province General Hospital
Central Hospital of Khuvsgul Province
Sharav.Kh Memorial Diagnostic and Treatment Center of Umnugobi Province
Intermed Hospital
Dornod Medical Centre
Corresponding Author(s)
Other Contributor(s)
Abstract
Introduction and history: In Mongolia, pediatric anesthesia has advanced during the past 25 years through expanded, standardized education programs and international collaboration. Pediatric anesthesia is a recognized specialty, covering all surgical services, including cardiac and transplant, using physicians and nurses. Training: The pediatric anesthesia fellowship is 6 months after 2 years of residency; pediatric nurse anesthesia training is 6 months. Conclusion: As a Low- and Middle-Income Country (LMIC) with low population density and extreme weather, the challenges include insufficient equipment, supplies, and clinician numbers, matching few clinicians to many varied patient locations, and covering surgical emergencies over distance and weather. In Thailand, education and training in pediatric anesthesia remain a focus: Pediatric anesthesia is an official subspecialty, the fellowship is accredited, using a competency-based curriculum with milestones of Direct Observation of Procedural Skills and Entrusted Professional Activities. The Bangkok Anesthesia Regional Training Center (BARTC)-Pediatrics, jointly sponsored by the World Federation of Societies of Anesthesiologists (WFSA) and the Society for Pediatric Anesthesia (SPA), have expanded training to anesthesiologists worldwide. Challenges include difficulty balancing service workload and education, as well as attracting pediatric anesthesia fellows due to the strong private sector job market.