69 percent of people worldwide do not have access to emergency and essential surgery when needed, with lack of anesthesia services a primary barrier. In Kenya, there are vast regions where the cesarean section rates are less than 1%, the result of which is untold death, disability and suffering. The ‘Every Second Matters for Emergency and Essential Surgery – Ketamine’ (ESM-Ketamine) program is a ground-breaking collaborative effort to address this crisis by providing a bridge solution for the anesthesia gap. The goal of the ESM-Ketamine program is to support the march toward universal health coverage by increasing access to surgery for the most vulnerable populations.
This manual was supported by the UK Department for International Development through ‘Research for Health in Humanitarian Crises (R2HC)’ programme.
Division of Global Health Innovation Massachusetts General Hospital (2019) ESM-Ketamine Manual. Massachusetts General Hospital Division of Global Health and Human Rights