Back to Search
Start Over
A feasibility study evaluating a reservoir storage system for continuous oxygen delivery for children with hypoxemia in Kenya
- Source :
- BMC Pulmonary Medicine, Vol 21, Iss 1, Pp 1-9 (2021), BMC Pulmonary Medicine
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Background Supplemental oxygen is an essential treatment for childhood pneumonia but is often unavailable in low-resource settings or unreliable due to frequent and long-lasting power outages. We present a novel medium pressure reservoir (MPR) which delivers continuous oxygen to pediatric patients through power outages. Methods An observational case series pilot study assessing the capacity, efficacy and user appraisal of a novel MPR device for use in low-resource pediatric wards. We designed and tested a MPR in a controlled preclinical setting, established feasibility of the device in two rural Kenyan hospitals, and sought user feedback and satisfaction using a standardized questionnaire. Results Preclinical data showed that the MPR was capable of bridging power outages and delivering a continuous flow of oxygen to a simulated patient. The MPR was then deployed for clinical testing in nine pediatric patients at Ahero and Suba Hospitals. Power was unavailable for 2% of the total time observed due to 11 power outages (median 4.6 min, IQR 3.6–13.0 min) that occurred during treatment with the MPR. Oxygen flowrates remained constant across all 11 power outages. Feedback on the MPR was uniformly positive; all respondents indicated that the MPR was easy to use and provided clinically significant help to their patients. Conclusion We present a MPR oxygen delivery device that has the potential to mitigate power insecurity and improve the standard of care for hypoxemic pediatric patients in resource-limited settings.
- Subjects :
- Male
Pulmonary and Respiratory Medicine
Medication Systems, Hospital
medicine.medical_specialty
Global health
Pilot Projects
Article
Simulated patient
Hypoxemia
03 medical and health sciences
0302 clinical medicine
Electricity
030225 pediatrics
Reservoir storage
Humans
Medicine
Hypoxia
Developing Countries
Equipment and Supplies, Hospital
lcsh:RC705-779
Continuous flow
business.industry
Infant
Pneumonia
lcsh:Diseases of the respiratory system
Kenya
Preclinical data
Oxygen
030228 respiratory system
Child, Preschool
Africa
Emergency medicine
Oxygen delivery
Feasibility Studies
Health Resources
Female
Observational study
medicine.symptom
business
User feedback
Subjects
Details
- ISSN :
- 14712466
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- BMC Pulmonary Medicine
- Accession number :
- edsair.doi.dedup.....66d0ef824bc157a46a013d83df41dcc5