Evaluation of a large-scale donation of Lifebox pulse oximeters to non-physician anaesthetists in Uganda

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Evaluation of a large-scale donation of Lifebox pulse oximeters to non-physician anaesthetists in Uganda

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Title: Evaluation of a large-scale donation of Lifebox pulse oximeters to non-physician anaesthetists in Uganda
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

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Citation: Finch, L C, R Y Kim, S Ttendo, J K Kiwanuka, I A Walker, I H Wilson, T G Weiser, W R Berry, and A A Gawande. 2014. “Evaluation of a large-scale donation of Lifebox pulse oximeters to non-physician anaesthetists in Uganda.” Anaesthesia 69 (5): 445-451. doi:10.1111/anae.12632. http://dx.doi.org/10.1111/anae.12632.
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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.
Published Version: doi:10.1111/anae.12632
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4240736/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:13581265
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