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Intensive care in the developing world.

R M Towey1, S Ojara

  • 1Department of Anaesthesia and Intensive Care, St Mary's Hospital Lacor, PO Box 180, Gulu, Uganda. raytowey@africaonline.co.ug

Anaesthesia
|December 6, 2007
PubMed
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Intensive care in sub-Saharan Africa is feasible, serving mainly surgical patients. Improving nurse ratios and using appropriate technology can reduce hospital mortality in resource-limited settings.

Area of Science:

  • Critical care medicine
  • Global health
  • Resource-limited healthcare

Background:

  • Intensive care units (ICUs) in sub-Saharan Africa face unique challenges.
  • Data from seven countries highlights the predominant surgical patient population.
  • International severity scoring systems are often inapplicable due to limited laboratory support.

Observation:

  • Effective intensive care is achievable despite resource limitations.
  • Surgical patients form the majority of ICU admissions.
  • Lack of laboratory support hinders direct comparison between ICUs.

Findings:

  • Reducing hospital mortality is possible through improved nurse-to-patient ratios.
  • Adequate patient monitoring and timely use of intermittent positive pressure ventilation are crucial.

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  • Appropriate technology, such as oxygen concentrators and non-dependency ventilators, is vital.

    • Implications:

    • Sustainable intensive care models can be implemented in resource-limited areas.
    • The role of clinical officer anaesthetists is significant in multidisciplinary ICU teams.
    • Focusing on essential interventions and appropriate technology can enhance patient outcomes in African ICUs.