Published in:
Open Access
01-12-2021 | Hypoxemia | Research Article
A feasibility study evaluating a reservoir storage system for continuous oxygen delivery for children with hypoxemia in Kenya
Authors:
Dickson Otiangala, Nicholas O. Agai, Bernard Olayo, Steve Adudans, Chin Hei Ng, Ryan Calderon, Ella Forgie, Christine Bachman, Daniel Lieberman, David Bell, Michael Hawkes, Akos Somoskovi
Published in:
BMC Pulmonary Medicine
|
Issue 1/2021
Login to get access
Abstract
Background
Supplemental oxygen is an essential treatment for childhood pneumonia but is often unavailable in low-resource settings or unreliable due to frequent and long-lasting power outages. We present a novel medium pressure reservoir (MPR) which delivers continuous oxygen to pediatric patients through power outages.
Methods
An observational case series pilot study assessing the capacity, efficacy and user appraisal of a novel MPR device for use in low-resource pediatric wards. We designed and tested a MPR in a controlled preclinical setting, established feasibility of the device in two rural Kenyan hospitals, and sought user feedback and satisfaction using a standardized questionnaire.
Results
Preclinical data showed that the MPR was capable of bridging power outages and delivering a continuous flow of oxygen to a simulated patient. The MPR was then deployed for clinical testing in nine pediatric patients at Ahero and Suba Hospitals. Power was unavailable for 2% of the total time observed due to 11 power outages (median 4.6 min, IQR 3.6–13.0 min) that occurred during treatment with the MPR. Oxygen flowrates remained constant across all 11 power outages. Feedback on the MPR was uniformly positive; all respondents indicated that the MPR was easy to use and provided clinically significant help to their patients.
Conclusion
We present a MPR oxygen delivery device that has the potential to mitigate power insecurity and improve the standard of care for hypoxemic pediatric patients in resource-limited settings.