The future of combat trauma anesthesia in an austere environment (CTA in AE)

IF 2.7 2区 医学 Q1 SURGERY Surgery Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI:10.1016/j.surg.2025.109311
John Gasko COL (Ret), CRNA, DNP , Brian Gegel CRNA, DNAP (former AD CPT) , Herman Henkes MAJ (Ret), CRNA, MSN , Gabe Wander MAJ (Ret), CRNA, MSN , Andrew Sanders Commander (Ret), CRNA, DNAP , Cary Carter LTC, CRNA, MSN , Craig McFarland Brigadier General, MD , Dale Capener COL (Ret), MD, DABA, FASA , Patrick McElhone LTC, CRNA, MSN , Greg Kraus LTC (Ret), MD , Brent Duffield CPT (Ret), CRNA, DNP , Jim Reed LTC (Ret), CRNA, DNP, FAANA
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Abstract

The purpose of this study was to identify shortfalls in combat trauma anesthesia in austere environments on the basis of discussions with other military anesthesia providers. The threat of large-scale combat operations in a multi-domain operational environment based on current data from the Ukrainian-Russian conflict and potential conflict in the Pacific Theater served as the foundation for these discussions. The principal results were 2 centrally themed proposals that were unanimous consensus from all the of the council members that are recommended to be addressed by military medical leadership. The major conclusion of this article is rapid deployment of anesthesia (and surgical assets) with the ability to be less reliant on technology and greater roles for anesthesia providers as the result of anticipated human resource shortages among all 3 military branches.
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严峻环境下作战创伤麻醉的未来(CTA in AE)
本研究的目的是在与其他军事麻醉提供者讨论的基础上,确定在恶劣环境下作战创伤麻醉的不足。基于乌克兰-俄罗斯冲突和太平洋战区潜在冲突的当前数据,在多域作战环境中大规模作战行动的威胁是这些讨论的基础。主要成果是两项以中心为主题的提案,得到安理会所有成员的一致同意,建议由军事医疗领导层处理。本文的主要结论是麻醉(和手术资产)的快速部署,能够减少对技术的依赖,麻醉提供者的作用更大,因为所有三个军事部门都预期存在人力资源短缺。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Surgery
Surgery 医学-外科
CiteScore
5.40
自引率
5.30%
发文量
687
审稿时长
64 days
期刊介绍: For 66 years, Surgery has published practical, authoritative information about procedures, clinical advances, and major trends shaping general surgery. Each issue features original scientific contributions and clinical reports. Peer-reviewed articles cover topics in oncology, trauma, gastrointestinal, vascular, and transplantation surgery. The journal also publishes papers from the meetings of its sponsoring societies, the Society of University Surgeons, the Central Surgical Association, and the American Association of Endocrine Surgeons.
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