The UCSF Anesthesia Division of Global Health Equity (ADGHE) conducted a quality improvement project to enhance the patient consent process and improve access to information, especially for non-English speaking patients. The perioperative period is stressful for all patients, during which they are expected to absorb complex information. This can be especially daunting for non-English speaking patients, who comprise a significant proportion of operative patients at ZSFG. With the support of a SURF grant, Drs. Laura Lang and Michael Lipnick designed a series of animated videos in multiple languages for patients requiring any form of anesthesia care at ZSFG.

Five videos have been created (general, neuraxial, regional and obstetric anesthesia, and monitored anesthesia care) in three languages (English, Spanish, and Cantonese). These videos are intended to augment the informed consent process and enhance patient understanding of the anesthesia care plan. In addition to the existing oral and written consent process, patients will view these videos in the pre-op clinic and pre-op holding area.

This pocket guide contains quick reference for airway management, common induction and sedation agents and more. The card was designed for providers in various practice settings and was made as a collaboration between CHESA and the Association of Anesthesiologists of Uganda.

This report outlines the breadth, depth, and diversity of work amongst our membership and their achievements. Over the coming year, we plan to expand our internal and external partnerships to impact health equity, amplify the work of allied groups that share our mission and vision and advocate for the roles of surgery, anesthesia and perioperative care in global health. We look forward to working with all of you to achieve our shared goals in the coming year.

CHESA was honored to collaborate with leaders from The World Federation of Societies of Anesthesiologists (WFSA) for this grand rounds presentation. WFSA has a vision of universal access to safe anesthesia and a mission to unite anesthesiologists around the world to improve patient care and access to safe anesthesia and perioperative medicine, spanning over 150 countries and 137 societies. Hear WFSA Team Members share strategies and thoughts on strengthening anesthesia capacity at the local, national and global levels.

Over the past nine years Dr. Phyllis Kisa MBCHB, MMed, from Makerere University and Dr. Doruk Ozgediz, MD, MSc and Director of the University of California, San Francisco (UCSF) Center of Health Equity in Surgery and Anesthesia (CHESA) have gained invaluable perspectives and lessons learned through their partnerships and collaborative efforts in global surgery. For the inaugural IGHS-CHESA Grand Rounds on June 24, 2021, they provided their unique insights as pediatric surgeons, and in the context of their respective home countries of Uganda and the United States. Both physicians conveyed the importance of sustainability and investment in long-term partnerships with other clinicians and stakeholders in an effort to confront the surgical burden of disease.

In this CHESA Grand Rounds we host the Lifebox team to discuss the development, implementation, and scale of Clean Cut across surgical subspecialties and geographies. Reducing surgical site infections is one of Lifebox’s three core pillars of Safer Surgery. Clean Cut – based on the WHO Surgical Safety Checklist – is a three to six month program that works to strengthen a hospital’s perioperative infection prevention practices and save lives. CHESA Director Dr. Doruk Ozgediz hosted this Grand Rounds along with UCSF MS4 Ruth Laverde.

CHESA Grand Rounds: Voices of Emerging Leaders in Global Surgery and Anesthesia, where medical students and early career physicians share their perspective as students and practitioners in LMICs, as well as the challenges they have confronted and their thoughts on the future of global anesthesia and global surgery. This webinar will be hosted by UCSF Associate Professor of Ophthalmology, Dr. Sriranjani Padmanabhan, and moderated by GSSA member and MS4, Eric Kim.

This sortable list features ongoing, completed, and upcoming perioperative health equity projects led by CHESA members including faculty and fellows. Use this resource to discover potential collaborators and mentors for health equity initiatives, both in the US and globally. We encourage all CHESA members to contribute regularly, helping to keep the database a vibrant and valuable tool for fostering innovation and partnerships. To update this list, please contact us.

Visit our publication library to browse publications by CHESA members, including faculty, fellows and core collaborators.

This reading list is continuously updated by the CHESA team.

The OpenCriticalCare Project led by CHESA with support from USAID. The project aimed to create an open access repository for critical care education materials to support providers facing COVID19 in resource variable settings.

This pocket guide contains quick reference for respiratory care and management of patients with respiratory failure (ARDS). The card was designed for providers in various practice settings and was made as a collaboration between providers from UCSF CHESA, San Francisco General Hospital, and the Association of Anesthesiologists of Uganda, with support from USAID-STAR.

Samuel Percy, MD ; Bunmi Okunlola, MD ; Elliot Wollner, MBBS, MPH ; Edward Medina, MD ; Michael S. Lipnick, MD ; Fred Bulamba, MBChB. ASA Monitor, February 2021.