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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Evaluation of a large-scale donation of Lifebox pulse oximeters to non-physician anaesthetists in Uganda
Anaesthesia, Volume 69, No. 5, Year 2014
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Description
Pulse oximetry is widely accepted as essential monitoring for safe anaesthesia, yet is frequently unavailable in resource-limited settings. The Lifebox pulse oximeter, and associated management training programme, was delivered to 79 non-physician anaesthetists attending the 2011 Uganda Society of Anaesthesia Annual Conference. Using a standardised assessment, recipients were tested for their knowledge of oximetry use and hypoxia management before, immediately following and 3-5 months after the training. Before the course, the median (IQR [range]) test score for the anaesthetists was 36 (34-39 [26-44]) out of a maximum of 50 points. Immediately following the course, the test score increased to 41 (38-43 [25-47]); p < 0.0001 and at the follow-up visit at 3-5 months it was 41 (39-44 [33-49]); p = 0.001 compared with immediate post-training test scores, and 75/79 (95%) oximeters were in routine clinical use. This method of introduction resulted in a high rate of uptake of oximeters into clinical practice and a demonstrable retention of knowledge in a resource-limited setting. © 2014 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists of Great Britain and Ireland.
Authors & Co-Authors
Finch, L. C.
United Kingdom, Southampton
University Hospital Southampton Nhs Foundation Trust
Kim, R. Y.
United States, Boston
Brigham and Women's Hospital
Ttendo, Stephen Senyonjo
Uganda, Mbarara
Mbarara University of Science and Technology
Kiwanuka, Joseph Kyobe
Uganda, Mbarara
Mbarara University of Science and Technology
Walker, Isabeau
United Kingdom, London
Great Ormond Street Hospital for Children Nhs Foundation Trust
Wilson, Iain H.
United Kingdom, Exeter
Royal Devon and Exeter Nhs Foundation Trust
Weiser, Thomas G.
United States, Stanford
Stanford University School of Medicine
Berry, William R.
United States, Boston
Brigham and Women's Hospital
Gawande, Atul A.
United States, Boston
Brigham and Women's Hospital
Statistics
Citations: 32
Authors: 9
Affiliations: 6
Identifiers
Doi:
10.1111/anae.12632
ISSN:
00032409
e-ISSN:
13652044
Study Design
Cohort Study
Study Locations
Uganda