Tablet e-Logbooks: Four Thousand Clinical Cases and Complications e-Logged by 14 Nondoctor Anesthesia Providers in Nepal

Anesthesia and Analgesia
Shristi ShahIndra Rai

Abstract

To meet the need for essential surgery across rural Nepal, anesthesia at district level is delivered by nondoctor anesthetists. They require support to maintain confidence and competence, and upgraded professional registration to secure their status. To meet these needs, a distance-blended learning course was pioneered and delivered. A core course requirement was to log all clinical cases; these were logged on a new e-logbook. Fourteen nondoctor anesthesia providers working in 12 different districts across Nepal were enrolled in the 1-year course. The course is based on self-completion on a tablet loaded with new learning modules, a resource library, and a case logbook. Continuous educational mentoring was provided by anesthesiologists by phone and email. The logbook included preanesthesia assessment and interventions, American Society of Anesthesiologists (ASA) grading, types of cases and anesthesia given, monitors used, complications, outcomes and free text remarks. Cases were uploaded monthly to a database, and mentors reviewed all logbook entries. The 14 nondoctor anesthesia providers were widely distributed across the country in district, zonal, community, and mission hospitals, and had different levels of clinical experie...Continue Reading

References

Apr 1, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Bisharad M Shrestha, Narendra B Rana
Jul 17, 2008·Tropical Doctor·Mark ZimmermanSamson Retnaraj
Sep 24, 2016·Archives of Disease in Childhood·Hilary EdgcombeMike English

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Citations

Mar 17, 2018·Anesthesia and Analgesia·Wayne W MorrissFaye M Evans
Sep 19, 2017·Anesthesia and Analgesia·Elizabeth T Drum, M Dylan Bould
Mar 9, 2019·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Eduardo KattanR López Barreda
Feb 2, 2021·Current Anesthesiology Reports·Shristi ShahStephen Pickering

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