I read with interest the Analysis article on addressing the anesthesia needs of rural and remote communities in Canada.1
The US model of independent certified registered nurse anesthesiologists (CRNAs) provides the same level of perioperative care throughout the United States. CRNAs practise with the same anesthesia knowledge, same responsibilities and same outcomes as physicians.2–4 Southern Africa has nurse anesthesiology, and Denmark and France recognize that nurses can be valuable providers of perioperative care.
Footnotes
Competing interests: None declared.