Anaesthesia Management for Open Thyroidectomy and Resource Limitation Challenges on a Floating Hospital in Indonesia's Underdeveloped Rural Areas: What to Expect?

[Virtual Presenter] The challenges of providing anaesthesia management for open thyroidectomy in Indonesia's underdeveloped rural areas are evident. With few resources available it is a difficult task to follow the necessary protocols for safe and effective surgery. A Floating Hospital Initiative has studied the situation and sought ways to use existing medical and support staff to provide safe and effective anaesthesia management to patients in need. A comprehensive strategy has been formulated to guarantee patient safety while providing the best treatment possible. This case study provides an understanding of the challenges faced and possible solutions when tackling the issue of quality anaesthesia management in a resource-limited setting..

[Audio] The case study shows that providing anaesthesia management for open thyroidectomy operations in Indonesia's underdeveloped rural areas is a major challenge. This common endocrine surgical operation has limited access to health providers in remote areas. To tackle this problem the Floating Hospital Initiative has been proposed which could provide much needed health services to these rural areas..

[Audio] Anaesthesia for open thyroidectomies can be complicated particularly in underdeveloped countries like Indonesia with remote rural areas. This case study examines the Floating Hospital Initiative which seeks to provide medical care to these locations. It faces several main challenges including the lack of thyroid function studies no inpatient ward on the floating hospital a distant blood bank and the ship's motion versus sea currents. Solutions already implemented to tackle these issues are discussed..

[Audio] A 13 year old girl had a 6 centimeters x 5 centimeters lump at her neck and had very limited access to secondary health care facilities due to transportation and financial constraints. In order to explore the challenge of providing anaesthesia care during open thyroidectomy in Indonesia's rural and underdeveloped areas a comprehensive physical examination was conducted which included a thorough airway evaluation and in-depth medical history including the calculation of wayne index and Burch and Wartofsky Point Scale. It was confirmed that the patient was euthyroid before the anesthetic management..

[Audio] For this case study we examined the issue of providing anaesthesia management for open thyroidectomy in rural and underdeveloped parts of Indonesia. General anaesthesia was implemented for this procedure and there was a substantial amount of intraoperative bleeding. The recurrent laryngeal nerve was located and tested for leakage. As for postoperative care it was regarded as essential and conducted in the nearby inpatient ward with the anaesthesiologist regularly communicating with nurses for updates and instructions..

[Audio] A very important issue in Indonesia is providing anaesthesia management for open thyroidectomy procedures in underdeveloped rural areas. This case study shows the intricate process of collaboration between the patient and medical professionals to create the best course of action. Taking into consideration the difficult circumstances the patient anaesthesiologist and surgeon were able to form a plan that minimized the risks of complications. This was achieved through detailed history taking of the patient as well as physical examination to check for any potential risks. It highlights the need for careful collaboration and assessment when providing medical care in remote areas..

[Audio] This case study demonstrates the significance of collaboration in medical decision-making. In this scenario we observe the difficult issues regarding anaesthesia management for an open thyroidectomy in remote backward areas; however with the help of the Floating Hospital Initiative unique solutions have been generated. By joining forces healthcare professionals and patients can create the most optimum treatment plan..

[Audio] It is clear that specific measures must be taken to ensure safe and effective anesthesia management for open thyroidectomy in rural underserved areas of Indonesia. Recognition and assessment are essential to achieve successful anesthesia management with this critical surgical procedure. Through this case study we can see that adequate preparation and understanding are key components to having successful anesthesia management in these contexts. Thank you for your time and attention..