Organizing Your Environment

2020 ◽  
pp. 21-38
Author(s):  
Christine Bartulec ◽  
Rachel Freedman ◽  
Amy Hughes ◽  
Sanja Janjanin ◽  
Bruce McCormick ◽  
...  
Keyword(s):  
Critical Care ◽  
Emergency Room ◽  
Operating Theatre ◽  
Limited Time ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Resource Poor ◽  
Anaesthetic Service

One of the challenges when moving from a high- to low-resource setting is having to take more direct responsibility for your own drugs and equipment than you may be used to. In some circumstances you may be starting from nothing and may have limited time to get ‘up and running’. The chapter focuses on practical aspects of setting up an anaesthetic service in resource-poor locations. It contains sections on the minimum expected standards for drugs, equipment, and staffing. As well the operating theatre environment it also contains sections on setting up an emergency room (ER), critical care area, and recovery area, as well as guidance on triage of patients.

Critical Care Management of Peritonitis in a Low-Resource Setting

2018 ◽  
Vol 42 (10) ◽  
pp. 3075-3080 ◽  
Author(s):  
Jennifer Rickard ◽  
Christian Ngarambe ◽  
Leonard Ndayizeye ◽  
Blair Smart ◽  
Robert Riviello ◽  
...  
Keyword(s):  
Critical Care ◽  
Care Management ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Critical Care Management

scholarly journals Surgical Outreach in a Tertiary Healthcare Facility: A Prototype for Mass Hernia Repair among Children in Low Resource Setting

2020 ◽  
Vol 4 (1) ◽  
pp. 47-54
Author(s):  
UU Nnadozie ◽  
CC Maduba ◽  
EM Anekwu ◽  
CC Anikwe ◽  
AA Obasi ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Tertiary Hospital ◽  
Left Groin ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Tertiary Center ◽  
Duration Of Surgery ◽  
Resource Poor ◽  
Groin Hernias

Hernias are common in children and account for most of the surgical operations performed by the Paediatric surgeons. They often present late in resource-poor countries for a variety of reasons. In these settings, surgical outreaches reduce the burden of hernias. We aim to determine the effectiveness of a tertiary hospital-based surgical outreach for hernia repair in children in a low-resource-setting. We did a prospective study conducted during a surgical outreach carried out over seven days at a tertiary center in Southeast Nigeria. Recruited subjects were physically examined to establish a diagnosis and screened for fitness before surgeries were performed. Data were collected using a structured proforma to information from the patient's case-notes. Data analysis was done using the statistical package for social sciences (SPSS) version 25. There were 77 children with 80 hernia surgeries, 71 (92.2%) males, and 6 (7.8%) females (ratio of 12:1) were involved. The majority (66.2%) were aged 2-12years and were mainly rural dwellers. Right groin hernias were present in 54.5% and 40.3% had left groin hernias. Herniotomy was the main procedure offered (93.5%). The complication rate was 9.1%. Senior registrars in surgery (Senior trainee surgeons) participated in most of the operations. The mean duration of surgery was 34.9 + 17.6 minutes. Surgical outreach in tertiary hospital for hernias in children in resource-poor settings offers the opportunity for mass repairs with good outcomes. It provides a hands-on opportunity for trainee surgeons to improve their mastery of hernia surgery.

Evaluation of a New Protocol of Insulin Dose Adjustment in a Low-Resource Setting

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 93-LB
Author(s):  
EDDY JEAN BAPTISTE ◽  
PHILIPPE LARCO ◽  
MARIE-NANCY CHARLES LARCO ◽  
JULIA E. VON OETTINGEN ◽  
EDDLYS DUBOIS ◽  
...  
Keyword(s):  
Dose Adjustment ◽  
Insulin Dose ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

scholarly journals Right paraduodenal hernia with extensive bowel gangrene treated with staged surgery: a Bogota bag followed by resection in a low-resource setting

2021 ◽  
Vol 14 (4) ◽  
pp. e239250
Author(s):  
Vijay Anand Ismavel ◽  
Moloti Kichu ◽  
David Paul Hechhula ◽  
Rebecca Yanadi
Keyword(s):  
Plastic Material ◽  
Successful Outcome ◽  
Paraduodenal Hernia ◽  
Transparent Plastic ◽  
Low Resource ◽  
Entire Small Bowel ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Right Paraduodenal Hernia ◽  
Bowel Gangrene

We report a case of right paraduodenal hernia with strangulation of almost the entire small bowel at presentation. Since resection of all bowel of doubtful viability would have resulted in too little residual length to sustain life, a Bogota bag was fashioned using transparent plastic material from an urine drainage bag and the patient monitored intensively for 18 hours. At re-laparotomy, clear demarcation lines had formed with adequate length of viable bowel (100 cm) and resection with anastomosis was done with a good outcome on follow-up, 9 months after surgery. Our description of a rare cause of strangulated intestinal obstruction and a novel method of maximising length of viable bowel is reported for its successful outcome in a low-resource setting.

scholarly journals Humanitarian Surgical Missions in Times of COVID-19: Recommendations to Safely Return to a Sub-Saharan Africa Low-Resource Setting

2021 ◽  
Author(s):  
Víctor Lopez-Lopez ◽  
Ana Morales ◽  
Elisa García-Vazquez ◽  
Miguel González ◽  
Quiteria Hernandez ◽  
...  
Keyword(s):  
Sub Saharan Africa ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Sub Saharan

scholarly journals Vulvar cancer: surgical management and survival trends in a low resource setting

2020 ◽  
Vol 32 (1) ◽  
Author(s):  
Navin Kumar ◽  
Mukur Dipi Ray ◽  
D. N. Sharma ◽  
Rambha Pandey ◽  
Kanak Lata ◽  
...  
Keyword(s):  
Surgical Management ◽  
Vulvar Cancer ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting
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