Challenges of Anesthetic Monitoring in Low- and Middle-Income Countries: Availability of Equipment in Major Referral Hospitals in Kenya
Authors' conclusion
The availability of recommended monitoring devices in major referral hospitals in Kenya is inadequate.
Study context
- Population
- Major referral hospitals in Kenya: 103 operating theatres, 96 postanesthesia care unit (PACU) beds, 16 procedural sedation areas
- Participants
- 16 hospitals
- Outcome
- Availability of basic and functional monitoring devices recommended by AAGBI guidelines 2015
Methodological detailssurvey, 16 major referral hospitals
- Survey
- 16 major referral hospitals
Main finding
As reported in the abstract
- Hospitals with all Association of Anaesthetists of Great Britain and Ireland (AAGBI)-recommended monitoring devices
- 1 of 16 (6.25%)
- Automated noninvasive BP monitoring and pulse oximetry in operating theatres
- all
- Continuous electrocardiography (ECG) in operating theatres
- 102 of 103 (99%)
- Skin temperature probes in operating theatres
- 73 of 103 (70.9%)
- Capnography in operating theatres
- 49 (47.6%)
- Nerve stimulator accessible (hospitals)
- 5 of 16 (31.25%)
- Functional patient monitors in operating theatres
- 100%
- Regional referral hospitals without a PACU
- 1
- PACU beds without any monitoring device
- 9 of 96 (9.4%)
- Pulse oximetry in PACU beds equipped with monitoring
- 84.4%
- Procedural sedation areas with pulse oximetry as only device
- 5 of 16 (31.25%)
- Procedural sedation areas with no devices
- 2 of 16 (12.5%)
- Hospitals with portable multiparameter transport devices
- 5 of 16 (31.25%)
Observational data: associations, not effects.
Original publication
Challenges of Anesthetic Monitoring in Low- and Middle-Income Countries: Availability of Equipment in Major Referral Hospitals in Kenya. Anesth Analg. Published 10 November 2022. doi:10.
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