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

IF 3.2 2区医学 Q1 SURGERY Surgery Pub 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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来源期刊

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.