Evaluation of a large‐scale donation of Lifebox pulse oximeters to non‐physician anaesthetists in Uganda
Summary 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 Soci...
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| Veröffentlicht in: | Anaesthesia 2014-05, Vol.69 (5), p.445-451 |
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| creator | Finch, L. C. Kim, R. Y. Ttendo, S. Kiwanuka, J. K. Walker, I. A. Wilson, I. H. Weiser, T. G. Berry, W. R. Gawande, A. A. |
| description | Summary
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 |
| doi_str_mv | 10.1111/anae.12632 |
| format | Article |
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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.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1111/anae.12632</identifier><identifier>PMID: 24738801</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Anesthesia ; Anesthesiology ; Clinical Competence - statistics & numerical data ; Donations ; Follow-Up Studies ; Humans ; Hypoxia - diagnosis ; Inservice Training - methods ; Inservice Training - statistics & numerical data ; Medical equipment ; Monitoring, Intraoperative - instrumentation ; Monitoring, Intraoperative - methods ; Original ; Oximetry - instrumentation ; Uganda</subject><ispartof>Anaesthesia, 2014-05, Vol.69 (5), p.445-451</ispartof><rights>2014 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists of Great Britain and Ireland.</rights><rights>Copyright © 2014 The Association of Anaesthetists of Great Britain and Ireland</rights><rights>2014 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists of Great Britain and Ireland. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4482-fb5f37cd8d2f0771e168fc8d1c8362aaabc415fc8bce56b3a725279693e8bd0a3</citedby><cites>FETCH-LOGICAL-c4482-fb5f37cd8d2f0771e168fc8d1c8362aaabc415fc8bce56b3a725279693e8bd0a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fanae.12632$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fanae.12632$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24738801$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Finch, L. C.</creatorcontrib><creatorcontrib>Kim, R. Y.</creatorcontrib><creatorcontrib>Ttendo, S.</creatorcontrib><creatorcontrib>Kiwanuka, J. K.</creatorcontrib><creatorcontrib>Walker, I. A.</creatorcontrib><creatorcontrib>Wilson, I. H.</creatorcontrib><creatorcontrib>Weiser, T. G.</creatorcontrib><creatorcontrib>Berry, W. R.</creatorcontrib><creatorcontrib>Gawande, A. A.</creatorcontrib><title>Evaluation of a large‐scale donation of Lifebox pulse oximeters to non‐physician anaesthetists in Uganda</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><description>Summary
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.</description><subject>Anesthesia</subject><subject>Anesthesiology</subject><subject>Clinical Competence - statistics & numerical data</subject><subject>Donations</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hypoxia - diagnosis</subject><subject>Inservice Training - methods</subject><subject>Inservice Training - statistics & numerical data</subject><subject>Medical equipment</subject><subject>Monitoring, Intraoperative - instrumentation</subject><subject>Monitoring, Intraoperative - methods</subject><subject>Original</subject><subject>Oximetry - instrumentation</subject><subject>Uganda</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp9kU2OEzEQhS0EYsLAhgMgS2wQUg_-6W47G6RoFH6kCDbM2qp2VyceOXawu4fJjiNwRk6CMxkiYIG9sOT66unVK0Kec3bBy3kDAfCCi1aKB2TGZdtUgtX1QzJjjMlK1Gx-Rp7kfM0YF5rrx-RM1EpqzfiM-OUN-AlGFwONAwXqIa3x5_cf2YJH2sdwqq3cgF28pbvJZ6Tx1m1xxJTpGGmIobTsNvvsrINAD47yuMHR5TFTF-jVGkIPT8mjAUrzs_v3nFy9W365_FCtPr__eLlYVbautaiGrhmksr3uxcCU4shbPVjdc6tlKwCgszVvyk9nsWk7CUo0Qs3buUTd9QzkOXl71N1N3RZ7i2FM4M0uuS2kvYngzN-V4DZmHW9MXcJSsi0Cr-4FUvw6lVHM1mWL3kPAOGXDG650uVwU9OU_6HWcUijj3VGyJK1UoV4fKZtizgmHkxnOzGGJ5hCZuVtigV_8af-E_t5aAfgR-OY87v8jZRafFsuj6C8M2Ktk</recordid><startdate>201405</startdate><enddate>201405</enddate><creator>Finch, L. C.</creator><creator>Kim, R. Y.</creator><creator>Ttendo, S.</creator><creator>Kiwanuka, J. K.</creator><creator>Walker, I. A.</creator><creator>Wilson, I. H.</creator><creator>Weiser, T. G.</creator><creator>Berry, W. R.</creator><creator>Gawande, A. A.</creator><general>Blackwell Publishing Ltd</general><general>BlackWell Publishing Ltd</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201405</creationdate><title>Evaluation of a large‐scale donation of Lifebox pulse oximeters to non‐physician anaesthetists in Uganda</title><author>Finch, L. C. ; Kim, R. Y. ; Ttendo, S. ; Kiwanuka, J. K. ; Walker, I. A. ; Wilson, I. H. ; Weiser, T. G. ; Berry, W. R. ; Gawande, A. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4482-fb5f37cd8d2f0771e168fc8d1c8362aaabc415fc8bce56b3a725279693e8bd0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Anesthesia</topic><topic>Anesthesiology</topic><topic>Clinical Competence - statistics & numerical data</topic><topic>Donations</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hypoxia - diagnosis</topic><topic>Inservice Training - methods</topic><topic>Inservice Training - statistics & numerical data</topic><topic>Medical equipment</topic><topic>Monitoring, Intraoperative - instrumentation</topic><topic>Monitoring, Intraoperative - methods</topic><topic>Original</topic><topic>Oximetry - instrumentation</topic><topic>Uganda</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Finch, L. C.</creatorcontrib><creatorcontrib>Kim, R. Y.</creatorcontrib><creatorcontrib>Ttendo, S.</creatorcontrib><creatorcontrib>Kiwanuka, J. K.</creatorcontrib><creatorcontrib>Walker, I. A.</creatorcontrib><creatorcontrib>Wilson, I. H.</creatorcontrib><creatorcontrib>Weiser, T. G.</creatorcontrib><creatorcontrib>Berry, W. R.</creatorcontrib><creatorcontrib>Gawande, A. A.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Anaesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Finch, L. C.</au><au>Kim, R. Y.</au><au>Ttendo, S.</au><au>Kiwanuka, J. K.</au><au>Walker, I. A.</au><au>Wilson, I. H.</au><au>Weiser, T. G.</au><au>Berry, W. R.</au><au>Gawande, A. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of a large‐scale donation of Lifebox pulse oximeters to non‐physician anaesthetists in Uganda</atitle><jtitle>Anaesthesia</jtitle><addtitle>Anaesthesia</addtitle><date>2014-05</date><risdate>2014</risdate><volume>69</volume><issue>5</issue><spage>445</spage><epage>451</epage><pages>445-451</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><abstract>Summary
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.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24738801</pmid><doi>10.1111/anae.12632</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Anesthesia Anesthesiology Clinical Competence - statistics & numerical data Donations Follow-Up Studies Humans Hypoxia - diagnosis Inservice Training - methods Inservice Training - statistics & numerical data Medical equipment Monitoring, Intraoperative - instrumentation Monitoring, Intraoperative - methods Original Oximetry - instrumentation Uganda |
| title | Evaluation of a large‐scale donation of Lifebox pulse oximeters to non‐physician anaesthetists in Uganda |
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