Tablet e-Logbooks: Four Thousand Clinical Cases and Complications e-Logged by 14 Nondoctor Anesthesia Providers in Nepal

Shah, Shristi; Ross, Oliver; Pickering, S.; Knoble, Stephen J.; Rai, Indra

doi:10.1213/ane.0000000000002094

Cited by 9 publications

(1 citation statement)

References 7 publications

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“…Electronic logbook recording is one of the more innovative parts of our blended distance-learning course [17]. All participants must record the cases they have completed successfully, as well as any complications.…”

Section: Blended Distance-learning: a Case Study From Nepalmentioning

confidence: 99%

Distance-Learning Initiatives Targeting Non-physician Anesthesia Providers in Low-Resource Environments

Shah

Ross

Pickering

2021

Curr Anesthesiol Rep

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Purpose of Review "Distance-learning" encompasses a variety of didactics, from self-directed online learning to focused courses and programs. Despite increasing internet availability, focused distance-learning courses are rarely practiced in low-or middleincome countries, particularly among non-physician anesthetists. This review aims to discuss the availability, significance, and challenges of distance-learning programs for non-physician anesthesia providers in low-resource settings. Recent Findings Task shifting and sharing in anesthesia remains essential in low-resource settings to meet the demand of surgical need. Distance-learning may be the ideal option in these settings, as it can be used to train the individual at their workplace even in remote areas. Different models and techniques are described. Success depends on the course design, communication strategies, handling of technical issues, and support mechanisms. Summary Distance-learning should be an essential part of training and in-service support for non-physician anesthetists. Global advocates of safe, effective anesthesia services need to support the development and delivery of distance-learning courses. Keywords Distance-learning . Blended learning . Non-physician anesthetists . Low-resource setting . Low-and middle-income country This article is part of the Topical Collection on Global Health Anesthesia

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Section: Blended Distance-learning: a Case Study From Nepalmentioning

confidence: 99%

Distance-Learning Initiatives Targeting Non-physician Anesthesia Providers in Low-Resource Environments

Shah

Ross

Pickering

2021

Curr Anesthesiol Rep

Self Cite

View full text Add to dashboard Cite

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Systematic review of the use of big data to improve surgery in low- and middle-income countries

Knight

Ots

Maimbo

et al. 2019

British Journal of Surgery

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Background Technological advances have led to the generation of large amounts of data, both in surgical research and practice. Despite this, it is unclear how much originates in low‐ and middle‐income countries (LMICs) and what barriers exist to the use of such data in improving surgical care. The aim of this review was to capture the extent and impact of programmes that use large volumes of patient data on surgical care in LMICs. Methods A PRISMA‐compliant systematic literature review of PubMed, Embase and Google Scholar was performed in August 2018. Prospective studies collecting large volumes of patient‐level data within LMIC settings were included and evaluated qualitatively. Results A total of 68 studies were included from 71 LMICs, involving 708 032 patients. The number of patients in included studies varied widely (from 335 to 428 346), with 25 reporting data on 3000 or more LMIC patients. Patient inclusion in large‐data studies in LMICs has increased dramatically since 2015. Studies predominantly involved Brazil, China, India and Thailand, with low patient numbers from Africa and Latin America. Outcomes after surgery were commonly the focus (33 studies); very few large studies looked at access to surgical care or patient expenditure. The use of large data sets specifically to improve surgical outcomes in LMICs is currently limited. Conclusion Large volumes of data are becoming more common and provide a strong foundation for continuing investigation. Future studies should address questions more specific to surgery.

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A basic anesthesia training program for nurses in Chad: first steps for a south–south academic cooperation program

Kattan

Takoudjou

Venegas

et al. 2019

Can J Anesth/J Can Anesth

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Purpose Safe perioperative care remains a large public healthcare problem in low-and middle-income countries. Anesthesia care provided by trained professionals is one of the essential determinants to address this situation. This article reports the design and implementation of a focused anesthesia educational program for nurses in Chad. Method This program consisted of four full-time courses of one month each, taught in a local hospital. The program included supervised practice in the operating room and post-anesthesia recovery room, skills lab simulation training, high fidelity crisis simulation, theoretical classes, integration sessions, evaluations, and structured feedback sessions. Results Seven male nurses, aged 28-40 yr, were accepted and successfully completed the program. The median [interquartile range] students' global satisfaction with the program was high (86 [85-93]%). Cognitive and skills assessment improved significantly after the program. Students subsequently worked in city and district hospitals performing essential and emergency surgical interventions. Conclusions This is a novel south-south academic cooperation program for nurses in Chad. The program evaluation indicated a high level of satisfaction, effective Electronic supplementary material The online version of this article (https://doi.

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Tablet e-Logbooks: Four Thousand Clinical Cases and Complications e-Logged by 14 Nondoctor Anesthesia Providers in Nepal

Cited by 9 publications

References 7 publications

Distance-Learning Initiatives Targeting Non-physician Anesthesia Providers in Low-Resource Environments

Distance-Learning Initiatives Targeting Non-physician Anesthesia Providers in Low-Resource Environments

Systematic review of the use of big data to improve surgery in low- and middle-income countries

A basic anesthesia training program for nurses in Chad: first steps for a south–south academic cooperation program

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