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M. L. Sivilotti, D. W. Messenger, J. van Vlymen, P. E. Dungey and H. E. Murray, “A Comparative Evaluation of Capnometry Versus Pulse Oximetry During Procedural Sedation and Analgesia on Room Air,” Canadian Journal of Emergency Medicine, Vol. 12, No. 5, 2010, pp. 397404.

has been cited by the following article:

• TITLE: The Training and Performance of Emergency Physicians as Anesthetists for International Medical Surgical Response Teams: The Emergency Physician’s General Anesthesia Syllabus (EP GAS)

  AUTHORS: Richard Skupski, Mark Walsh, Manar Jbara, Donald Zimmer, Bhavesh M. Patel, Michael T. McCurdy, James Lantry, Braxton Fritz, Patrick Davis, Harsha Musunuru, Anne Newbold, Art Toth, Richard Frechette, Tiffany Alexander, Madhura Sundararajan, John Lovejoy, Dan Hottinger, Joe Capannari, Rachel Kurcz, Gerard Bernard, Harold Previl

  KEYWORDS: Emergency Physicians; General Anesthesia Syllabus; International Medical Surgical Response Teams; Anesthetists; Induction; Maintenance; Emergence; Anesthesia

  JOURNAL NAME: Open Journal of Anesthesiology, Vol.4 No.2, February 11, 2014

  ABSTRACT: Background: The availability of an anesthesiologist is often a limiting factor in the number of operations that can be performed by International Medical Surgical Response Teams (IMSuRT). Because emergency physicians (EPs) possess skills in airway control, management of moderate and deep sedation, and ventilator management, we propose that with proper training in general anesthesia, EPs can serve as anesthetists for IMSuRT with anesthesiologist supervision. Methods: During a 10-week period, a board-certified EP administered general anesthesia to 60 patients prior to a surgical medical mission trip. The breakdown of surgical cases was: 11 orthopedic, 2 genitourinary, 20 ear, nose, and throat, 8 obstetrics and gynecological, 13 general surgery, and 6 vascular. A simplified protocol for induction, maintenance, and emergence was adhered to for all cases. Results: Fourteen orthopedic cases using general anesthesia were performed in a one-week period in Haiti. These cases involved open reduction and internal fixation (ORIF), hemiarthoplasty, hardware removal, tendon transfer and external fixation of fractured bone. Conclusion: We demonstrate the feasibility of a model curriculum to train EPs in the basics of anesthesia. The EP can safely and effectively deliver general anesthesia for major cases on surgical medical mission trips under the auspices of an anesthesiologist in an austere environment.