Friday, March 18, 2011

Some Lit Search Findings

I worked on a lit search regarding the availability and quality of surgical lighting, and while I didn't find any studies explicitly reporting the information we were looking for, I did find some interesting papers. I'm including the name and some of the important information from them; they're all available from google scholar or through the university.

Quantifying Surgical and Anesthetic Availability at Primary Health Facilities in Mongolia
David A. Spiegel • Shelly Choo • Meena Cherian •Sergelen Orgoi • Beat Kehrer • Raymond R. Price •Salik Govind

Not much info, but in the table towards end 11% reported to have access to lighting, eg flashlight, surgical, etc

A protocol for safe anasthesia for cleft lip and palate surgery in developing countries
S. C. Hodges, A. M. Hodges

"The majority of hospitals in Uganda are severely underfunded and understaffed. Reliable electricity is unusual. In some centres there is no running water and the majority of hospitals have no oxygen. Many of the operating theatres are small and cramped with poor lighting and no recovery room"

Quantifying surgical capacity in Sierra Leone: a guide for improving surgical care
T. Peter Kingham, MD; Thaim B. Kamara, MD; Meena N. Cherian, MD; Richard A. Gosselin, MD; Meghan Simkins, BA; Chris Meissner, BA; Lynda Foray-Rahall, MD; Kisito S. Daoh, MD; Soccoh A. Kabia, MD; Adam L. Kushner, MD, MPH

-info on availibility and periodicity of electricity

-"Even when electricity was available, lighting was
a problem, given there were approximately 6 individual lightbulbs that worked in all of the dome lights throughout Sierra Leone. Most operating rooms subsisted with a portable light or sunlight."

-hospitals in the capital have been receiving electrical power at an increasingly steady rate

-"The 5 other hospitals surveyed depended on generator power, but owing to the scarcity and cost of fuel, patients’ families were sometimes required to provide the necessary fuel to power generators during surgical procedures."

-"In addition, basic infrastructure, such as lighting in the operating room, is an example of a small investment that can have an enormous effect. The lightbulbs required in Sierra Leone, for example, were found to cost less than US $0.50 at a factory in China."

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