This book outlines the many anesthesia-related obstacles, concerns, and challenges that may be encountered by western trained anesthesiologist in low-resourced settings. 

Each chapter presents a challenging scenario with solutions. It is therefore an essential handbook that will prepare those performing anesthesia in this milieu. All case studies represent real accounts discussing equipment and drug constraints as well as the ethical questions that arise for western doctors working in this environment.

Socially conscious and timely, Anesthesia in Low-Resourced Settings is an invaluable resource for medical practitioners who plan to work in these challenging settings.

1. Now what will you do?

2. What is wrong with this picture?
3. No train of four neuromuscular monitor. No problem.-  4. An old anesthetic machine and it's the only one.-  5. Ether is the only anesthetic and you have never given one.-  6. Transporting a critically ill patient without monitors.-  7. Severe dehydration and no IV solution.-  8. Thinking outside the box
9. This is a serious problem
10. Always check your facts.-  11. An impossible situation
12. No blood bank. Now what?
13. What can the problem be?
14. Living on the equator
15. A word of caution.-  16. A draw-over vaporizer with a non-breathing circuit. Be aware
17. A near tragedy.-  18. A tracheostomy is urgently needed and you have never done one.-19. A prolapsed umbilical cord
20. The one-eyed patient
21. Postoperatively you can't communicate with the patient
22. Traumatic hemothorax and same side central venous access
23. A patient with a difficult airway and you have minimal airway equipment
24. MRI suite. What can the problem be?
25. How should you fill CO2 absorbent in a canister?
26. An old anesthetic machine. Look carefully
27. A single abdominal knife wound. Easy case
28. An endobronchial foreign body
29. Lead apron
30. A tip for nasal intubation
31. A seriously ill patient
32. Malignant hyperpyrexia
33. An adjuvant to the cuff leak test
34. A bronchoscopy surprise
35. Doing research in low-resource environments. What to watch out for
36. An epidural pump in labor in a low-resource environment. Watch out
37. This could be serious
38. A case of intraoperative hyperthermia
39. A case of myasthenia gravis.-  40. A tragic case
41. Essential equipment
42. A potentially life threatening problem
43. A straightforward case or what?
44. A signed consent. Any problem?
45. A Cesarean section with twins
46. A child bitten by a rabid dog
47. What an airway surprise
48. A case of a ruptured ectopic
49. Glass blood bottles. Any concern?
50. An old EKG machine
51. A Bird Ventilator
52. Intraoperative oozing
53. Defibrillator. Watch out
54. A case of trismus.-  55. A diagnostic dilemma
56. An anesthetic equipment graveyard
57. A motor vehicle accident
58. My wife is dead, Doctor
59. Disposal of soda lime
 60. Compressed gas containers
61. A neck abscess
62. An emergency Cesarean section in Togo
63. An overdose with witch doctor medicine
64. A request from a family member
65. A new electronic anesthetic machine
66. Hiccups after induction of anesthesia.-  67. What is going on? Was geht ab?.- 68. A trans-Indian ocean flight
69. Reinforced (armored) endotracheal tubes. Watch out
70. A soda lime dilemma
71. Bain circuit Mapleson D. What is the problem?
72. Suxamethonium. Never forget
73. What a lesson
74. How much oxygen is left in an E-cylinder?
75. A case of lost in translation
76. A sudden intraoperative change in EKG amplitude. Any concern?.-  77. Another reason for preoxygenation
78.  What can go wrong with this anesthetic?
79. A military conflict
80. A dying patient
81. A new breathing system
82. A small child in a war zone
83. A gangrene leg.-  84. Facial trauma.-  85. Always check your facts.-  86. An acute appendix
87. Hospital administrator. You have been warned
88. A tribal conflict
89. Intermittent electrical power failure to an anesthesia machine
90. Bonus Question.