Key result
Lifebox oximeter training is linked to ~14% higher knowledge scores among non-physician anaesthetists.
Why the study?
Does the Lifebox pulse oximeter and associated management training programme improve knowledge of oximetry use and hypoxia management in non-physician anaesthetists?
Observational (n=79)
Does the Lifebox pulse oximeter and associated management training programme improve knowledge of oximetry use and hypoxia management in non-physician anaesthetists?
Absolute Event Rate: 41% vs 36%
p-value: p=< 0.0001
The introduction of Lifebox pulse oximeters and training significantly improved and sustained knowledge of hypoxia management and resulted in high clinical uptake among non-physician anesthetists in a resource-limited setting.
May support training in resource-limited settings; leaves open effects on patient outcomes pending RCTs.
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.
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Finch et al. (2014) conducted an observational in Hypoxia management and oximetry use training (n=79). Lifebox pulse oximeter and management training programme vs. Pre-training baseline was evaluated on Knowledge of oximetry use and hypoxia management (test score out of 50) (p=< 0.0001). The Lifebox pulse oximeter and training program increased median knowledge scores among non-physician anaesthetists from 36 to 41 out of 50 (p<0.0001), with 95% of oximeters in use at 3-5 months.
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