to send speakers to attend national congresses and workshops to share in local anaesthetist training and education. The WFSA is also supporting continuous medical education in anaesthesia in CEEA centres all over the world. In our area there are centres running the six programme courses of the CEEA in Tunis, Beirut, Cairo, Damascus, Aleppo and Benghazi. The primary trauma care PTC program was established in many countries. It is focusing on training anaesthetists to manage trauma patients and special efforts were done in Palestine and Iraq in this field. Recently, WFSA in collaboration with the WHO, sponsored teaching the Safe Surgery concept to be applied in all the countries over the world and supported the life box project to train
QA
Q: What are the most common causes of respiratory failure in newborns? A: The most common cause of respiratory failure in newborns is Respiratory Distress Syndrome. This disease affects premature newborns because they lack surfactant and structural maturity in the lungs. Approximately one million premature babies die every year worldwide because of poor access to inexpensive surfactant and respiratory support devices.
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anaesthetists and supply oxygen saturation monitors to developing countries. Both projects are expected to increase safety and quality during anaesthesia dramatically.
Q: As president of PAFSA, what are the initiatives adopted to bring accredited anaesthesia centers of excellence to hospitals in the Arab world? A: PAFSA was founded in 1983 by a group of Arab anaesthesiologists that wanted to improve their specialty. They made a system to meet regularly through the Arab countries every two years. They established the Arab board to qualify anaesthesiologists in the Arab countries. They recognized few centres in every country for training and established the system for the teaching, training and
examination. There has been work done for mutual recognition between the different national certification and the Arab Board and they also encouraged the merge with the international organization and became a region of WFSA. Many Arab anaesthesiologists were elected members of different committees of WFSA. As an example late Professor Ahmed Sami, Professor Anis Baraka, Professor Mohamed Takrouri, Late Professor Ali Salama and myself were nominated for the executive committee. Some of the centres in the Arab countries, mainly in Saudi Arabia, the Gulf countries and Egypt, made efforts and advances to obtain international accreditation from the American or Canadian Joint Commission as a centre of excellence.
with Dr Robert DiBlasi, Respiratory Therapy Research Coordinator at the Center for Developmental Therapeutics at the Seattle Children’s Hospital Research Institute
Dr DiBlasi’s research interests include neonatal pulmonary mechanics monitoring, patient/ventilator interaction, ventilator induced lung injury, neonatal lung protective strategies, mechanical ventilator performance and aerosolization of respiratory medications. Currently he is working with the CEO of Children’s Hospital, Thomas Hansen, to design and develop a low-cost neonatal ventilator to be used in resource limited, low-income parts of the world. He is participating in the Paediatric Critical Care conference during Mediconex Cairo Health 2012 and spoke to Arab Health magazine about the causes of respiratory failure in newborns, complications associated with ventilating small children, and the reasons why he chose to specialize in this field.
Q: What is the current main approach for dealing with respiratory failure in newborns? A: We have seen a paradigm shift in the way that newborns are being managed in the Neonatal Intensive Care Unit. Five years ago, most newborns were being managed with invasive mechanical ventilation. Our improved understanding about neonatal lung injury suggests that endotracheal intubation and ventilators are
major risk factors for newborns developing chronic lung disease (ie bronchopulmonary dysplasia). Today, we are finding ourselves using more nasal CPAP and other non- invasive ventilation strategies to minimize the need for invasive ventilation. As long as the newborns have sufficient respiratory efforts, they will be supported using these approaches as an initial from of support or directly following surfactant and short- term ventilation.
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