The Capnography Project.
| Autor: | Evans FM; From the Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.; Harvard Medical School, Boston, Massachusetts., Turc R; Lifebox, London, United Kingdom., Echeto-Cerrato MA; Hospital del Valle, San Pedro Sula, Honduras.; Honduran National University for the Sula Valley (UNAH-VS) San Pedro Sula, Honduras., Gathuya ZN; The Nairobi Hospital, Nairobi, Kenya., Enright A; Department of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada.; Department of Anesthesia, Royal Jubilee Hospital, Victoria, British Columbia, Canada. |
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| Jazyk: | angličtina |
| Zdroj: | Anesthesia and analgesia [Anesth Analg] 2023 Nov 01; Vol. 137 (5), pp. 922-928. Date of Electronic Publication: 2023 Oct 20. |
| DOI: | 10.1213/ANE.0000000000006663 |
| Abstrakt: | Capnography is an essential tool used in the monitoring of patients during anesthesia and in critical care which, while required in most high-income countries, is unavailable in many low- and middle-income countries. Launched in 2020, the Smile Train-Lifebox Capnography Project aimed to find a "capnography solution" for resource-poor settings. The project was specifically interested in a capnography device that would meet the needs of the Smile Train partner hospitals to help monitor children requiring airway or cleft surgery. Project advisory and technical groups were formed and included representation from anesthesia practitioners from a balanced representation from all level of income countries, technical experts in capnography, and representatives from the Global Capnography Project (GCAP), the University of California at San Francisco Center for Health Equity in Surgery & Anesthesia (CHESA), and the World Federation of Societies of Anaesthesiologists (WFSA). Built upon the WFSA minimum capnometer specifications, a human centered design approach was used to develop a Target Product Profile. Seven manufacturers submitted 13 devices for consideration and 3 devices were selected for the testing phase. Each of these devices was evaluated for build quality, and clinical and usability performance. Based on the findings from the overall testing process, a combined capnography and pulse oximetry device by Zug Medical Systems was chosen. To accompany the new Smile Train-Lifebox capnograph, an international team of experienced anesthesiologists and educators came together to develop the necessary education materials. These materials were piloted in Ethiopia, subsequently modified, and endorsed by the education team. The device is now ready for distribution, with the accompanying education package, to the Smile Train network and beyond. In addition, a study is being planned to measure the impact of capnography introduction into operating rooms in resource-constrained settings. Competing Interests: Conflicts of Interest: See Disclosures at the end of the article. (Copyright © 2023 International Anesthesia Research Society.) |
| Databáze: | MEDLINE |
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