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Normothermic Ex Vivo Kidney Perfusion for the Preservation of Kidney Grafts prior to Transplantation

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Published on: July 15, 2015

Perfusion Practice in Kenya.

Anyasius Rutto¹, Philip Koech¹, Aron Korir¹

¹Cardiovascular Surgery Department, Tenwek Hospital, Bomet, Kenya.

The Journal of Extra-Corporeal Technology

|November 16, 2022

Summary

This summary is machine-generated.

Practicing perfusionists in Kenya, surveyed on their background and practices, showed varied training and limited awareness of international cardiopulmonary bypass guidelines. There is a consensus to develop national standards for safe patient care.

Keywords:

guidelines perfusion education.perfusion practice standards

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Area of Science:

Cardiopulmonary bypass
Perfusion technology
Healthcare standards

Background:

Established professional guidelines exist for cardiopulmonary bypass (CPB) to ensure patient safety.
Perfusion practice in Kenya has not been previously characterized regarding training, clinical activities, and adherence to standards.

Purpose of the Study:

To survey practicing perfusionists in Kenya to understand their professional background, education, and current clinical practices.
To assess knowledge and attitudes towards existing international CPB standards and guidelines.
To explore the feasibility and desire for establishing national CPB standards in Kenya.

Main Methods:

A multiple-choice survey was distributed electronically to all known practicing perfusionists in Kenya.
The survey collected data on professional background, formal training duration, clinical experience, annual procedure volume, use of safety devices, and familiarity with international guidelines.
Responses were analyzed from 12 perfusionists across 10 centers.

Main Results:

Respondents had diverse professional backgrounds (anesthesia nursing, clinical officers, critical care nursing) with varied formal training durations (6 months to 2 years).
Median clinical experience was 5 years, with a median annual caseload of 54 procedures.
Awareness of international CPB standards varied, with over one-third unaware and nearly two-thirds having some familiarity.
Use of safety devices like level sensors (75%) and one-way vent valves (67%) was common, but others like air bubble detectors (17%) were less utilized.

Conclusions:

Perfusion practice in Kenya in 2021 was characterized by a mix of formal and informal training, with varying levels of experience and caseloads.
There is a significant gap in awareness of international perfusion standards among Kenyan practitioners.
A strong consensus exists among Kenyan perfusionists to develop national standards and practice guidelines to enhance patient care and safety.