America Sociaty for Pediatric Anesthesiologists
Tamale Teaching Hospital (TTH) is the regional referral center for
much of the remote northern region of Ghana, an area populated by
several million people
•Despite offering basic pediatric surgical services, the hospital lacks
physician anesthesiologists and relies upon nurse anesthetists
•Administering anesthesia to neonates in TTH presents many
challenges to the anesthesia provider.
•Most neonates with gastroschisis/omphalocele (G&O) go
•Co-morbidities at presentation include systemic infection and
•The hospital currently lacks resources to effectively treat such
neonates without high risk of further complications.
•Morbidity and mortality resulting G&O are frequently increased by
delay in presentation to hospital caused by inappropriate local beliefs and superstitions