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Background: In Nigeria, the nurse anesthesia profession is relatively young. Nurse Anesthetists have professional responsibilities including nursing, treatment and medical-technical equipment usage. Task shifting is one approach to overcoming the lack of specialists in resource-limited settings, including surgeons and anesthesiologists. Objective: This retrospective descriptive study was undertaken to describe our own experiences in the surgical management of patients in our local environment using Nurse Anesthetists as Non-Physician Anesthesia Providers when Physician Anesthetist were not readily available. Setting: Study was carried out at Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria covering the period of January 2007 to December, 2010. PATIENTS and METHOD: Data was collated from hospital records of all patients that were anesthetized in the main operating theatre of the hospital, using a study proforma during the study period. Result: We reviewed 1,389 patients who were anesthestized in the main operating theatre of the hospital during the period of study, with age range of 4 months to 76 years. There were 1112 (80%) females and 277 (20%) males, a female to male ratio of 4:1. Out of the 1,389 cases anesthetized, 1,228 (88.41%) were by Nurse Anesthetists, 133 by Physician Anesthetists and 28 (2.01%) by Surgeons. There were 6 deaths giving a mortality rate of 0.43% in the study population. Four deaths were anesthetized by Nurse Anesthetists and two by Physician Anesthetists. Conclusion: Well supervised use of Certified Registered Nurse Anesthetists (CRNAs is safe and should be used in providing anesthesia for surgical care.

iosr journal of dental and medical sciences

Experience working with Nurse Anesthetists’ as Non-Physician Anesthesia Providers in a temporary Semi-Urban Niger Delta University Teaching Hospital, Okolobiri and review of the literature.