Evidence map›Paper›PMID 38196674›Full record

ArticleATS scholar2023

Ventilator Training through International Telesimulation in Sierra Leone.

Oluwakemi Tomobi, Howard Nelson-Williams, Adam Laytin, Christaphine Bob-Ray, Ifeoma Ekwere, Michael C Banks, Elizabeth David, Christelle D K Samen, Joseph Edwin Kanu, John B Sampson

Abstract read
In one paragraph

Article in ATS scholar, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Oluwakemi TomobiAnesthesiology & Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Howard Nelson-WilliamsAnesthesiology & Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Adam LaytinAnesthesiology & Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Christaphine Bob-RayAnesthesiology & Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Ifeoma EkwereAnesthesiology & Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Michael C BanksAnesthesiology & Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Elizabeth DavidWalden University, Minneapolis, Minnesota; and.
Christelle D K SamenAnesthesiology & Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Joseph Edwin Kanu34 Military Hospital, Freetown, Sierra Leone.
John B SampsonAnesthesiology & Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
NCATS NIH HHS UL1 TR001079
6 · The paper itself

Abstract

Background: The coronavirus disease (COVID-19) pandemic resulted in an increased need for medical professionals with expertise in managing patients with acute hypoxemic respiratory failure, overwhelming the existing critical care workforce in many low-resource countries. Objective: To address this need in Sierra Leone, we developed, piloted, and evaluated a synchronous simulation-based tele-education workshop for healthcare providers on the fundamental principles of intensive care unit (ICU) management of the COVID-19 patient in a low-resource setting. Methods: Thirteen 2-day virtual workshops were implemented between April and July 2020 with frontline Sierra Leone physicians and nurses for potential ICU patients in hospitals throughout Sierra Leone. Although all training sessions took place at the 34 Military Hospital (a national COVID-19 center) in Freetown, participants were drawn from hospitals in each of the provinces of Sierra Leone. The workshops included synchronous tele-education-directed medical simulation didactic sessions about COVID-19, hypoxemia management, and hands-on simulation training about mechanical ventilation. Measures included pre and postworkshop knowledge tests, simulation checklists, and a posttest survey. Test results were analyzed with a paired sample Results: Seventy-five participants enrolled in the program. On average, participants showed 20.8% improvement (a score difference of 4.00 out of a maximum total score of 20) in scores between pre and postworkshop knowledge tests ( Conclusion: This synchronous tele-education-directed medical simulation workshop implemented through partnerships between U.S. physicians and Sierra Leone healthcare providers was a feasible, acceptable, and effective means of providing training about COVID-19, hypoxemia management, and mechanical ventilation. Future ICU ventilator training opportunities may consider increasing the length of training beyond 2 days to allow more time for the hands-on simulation scenarios using the ICU ventilator and assessing knowledge application in long-term follow-up.

Indexed as

COVID-19global disparitiesICU managementSierra Leonetelesimulation

Identifiers

PMID38196674
PMCPMC10773495

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.