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Pacific partnership 2010: Anesthesia support aboard the USNS Mercy humanitarian civic assistance.
MedLine Citation:
PMID:  22934374     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
INTRODUCTION: The USNS Mercy has been integral in providing humanitarian and civic assistance as part of the Department of Defense's ongoing Combatant Commander Theater Security Cooperation Plans. The purpose of this study was to critically assess patient demographics and procedures performed to provide guidance for future missions.
METHODS: A retrospective review was performed on a cohort of 825 surgical patients who underwent surgery during a 4-month period during Pacific Partnership 2010. Patient demographics, anesthesia exam findings, comorbidities, and surgical data were compared among the mission sites.
RESULTS: Of the 825 patients, the mean age ranged from 39.7 to 24.7 with a statistical difference between Vietnam (39.7, p < 0.0087 for all tests) and the remaining sites. Poorer health by American Society of Anesthesiologist grading was noted in Vietnam (1.61) as compared to patients in Cambodia (1.21, p < 0.001) and Timor-Leste (1.40, p = 0.001). No difference in complication rates was noted.
DISCUSSION: The reason for apparent differences in age or health status by site weren't clearly explained, but these differences had no bearing on surgical outcome.
CONCLUSION: Analysis of anesthesia data compiled during Pacific Partnership 2010 provided meaningful data for future humanitarian efforts at these sites.
Authors:
Joseph Lagrew; Eugenio Lujan; Sara C Nelson; Niels M Hauff; Julie L Kaesberg; Mark E Lambert; Robert Riffenburgh; Matthew T Provencher; Trent D Douglas
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Military medicine     Volume:  177     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-08-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  939-46     Citation Subset:  IM    
Affiliation:
Department of General Medical Education, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92118, USA.
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