Resources
This library provides a comprehensive set of global and country-specific tools, guidance, and other resources to support oxygen scale-up and long-term respiratory care planning.
Hypoxemia Detection and Oxygen Therapy Practices in Neonatal and Pediatric Wards across Seven District and Referral Hospitals in Rwanda
JOURNAL PUBLICATION | Published in Frontiers in Pediatrics, this study examined the extent to which pediatric and neonatal inpatients are monitored and treated for hypoxemia in Rwanda.
March 2025
By: Harriet H. Webster, Christine Kayitesi, Jasmine Miller, Nang’andu Chizyuka, Felix Musabirema, Alida Ngwije, Brenda Kateera, Sanctus Musafiri, Hamish Graham, Felix Lam, Corneille Ntihabose
Light Source Spectra and Higher Measurement Uncertainty in Pulse Oximeter Readings for Individuals with Darker Skin Pigmentation
JOURNAL PUBLICATION | Published in British Journal of Anesthesia, this study hypothesized that color bias in pulse oximetry results from the optical properties of two LED sources typically used in commercial pulse oximeters.
March 2025
By: Kevin Benner, Andrew Bierman, Mark Rea
Open Oximetry Infographic Builder
TOOL | Open Oximetry has created a simple process to help build a custom pulse oximetry infographic.
March 2025
By: Open Oximetry
Clinical Evaluation of a Concentrator Medical Oxygen System with Automated Cylinder Back-up in Western Uganda: A Pragmatic Cluster Quasi-Experimental Trial
JOURNAL PUBLICATION | Published in VeriXiv, this quasi-experimental trial found that a concentrator-based oxygen system with automated back-up reduced oxygen interruptions and transfers for hypoxemic children in western Uganda.
February 2025
By: Rami Subhi, Joseph Mugerwa, David Peake, Graham Moore, Ritah Kenyange, Eleanor Nakintu, Daniel Murokora, Roger Rassool, Marc Sklar, Hamish Graham, Bryn Sobott
Managing Home Oxygen and Nasogastric Feeds Post-NICU Discharge: PCP Practices and Perspectives
JOURNAL PUBLICATION | Published in the American Journal of Perinatology, this cross-sectional survey assessed Colorado and Wyoming physicians’ perceptions and practices surrounding technology in NICU graduates, particularly considering the altitude.
February 2025
By: Lauren A. Beard, Blair W. Weikel, Kathleen E. Hannan, Amanda I. Messinger, Stephanie L. Bourque
Missed Opportunities for Hospitalisation of Severe Pneumonia Identified Using Integrated Management of Childhood Illness and Pulse Oximetry at Primary Care among Children Aged 2 to 59 Months: The AIRE Research Cohort, 2021 – 2022
JOURNAL PUBLICATION | Published in medRxiv, this study analyzed the frequency of missed opportunities for hospitalization of IMCI severe pneumonia cases under the AIRE project in Burkina Faso, Guinea, Mali, and Niger.
February 2025
By: Désiré Lucien Dahourou, Désiré Neboua, Gildas Boris Hedible, Zineb Zair, Sarah Louart, Jean-Paul-Yassa Guilavogui, Abdoul Guaniyi Sawadogo, Bertrand Méda, Yugbaré Solange Ouédraogo, Ibrahima Sory Diallo, Abdoul Aziz Diakite, Hannatou Souleymane Abarry, Valéry Ridde, Valériane Leroy
National Medical Oxygen Scale-Up Plan: Development Guidance
GUIDANCE | This guidance is intended to support the development of an actionable plan for medical oxygen scale up, which should follow a clear methodology and elements for continuous monitoring and evaluating.
February 2025
By: World Health Organization (WHO)
Reducing Global Inequities in Medical Oxygen Access: The Lancet Global Health Commission on Medical Oxygen Security
JOURNAL PUBLICATION | The Lancet Global Health Commission on medical oxygen security aimed to synthesize available evidence and produce actionable recommendations. This article highlights the results of the Commission’s work.
February 2025
By: Hamish Graham, Carina King, Ahmed Ehsanur Rahman, Freddy Eric Kitutu, Leith Greenslade, Masooma Aqeel, Tim Baker, Lucio Flavio de Magalhães Brito, Harry Campbell, Karen Czischke, Mike English, Adegoke G. Falade, Patricia J. Garcia, Mireia Gil, Stephen Graham, Amy Gray, Stephen Howie, Niranjan Kissoon, Ramanan Laxminarayan, Ines Li Lin, Michael S. Lipnick, Dianne B. Lowe, David Lowrance, Eric D. McCollum, Tisungane Mvalo, Jacquie Oliwa, Stefan S. Peterson, Rediet Shimeles Workneh, Heather J. Zar, Shams El Arifeen, Freddie Ssengooba
Riktlinjer LTOT i hemmet: Nationellt kvalitetsregister för långtidsbehandling med oxygen (LTOT), respirator (LTMV) eller CPAP [Guidelines LTOT at home: National quality register for long-term oxygen therapy (LTOT), ventilator (LTMV) or CPAP]
GUIDANCE | This website outlines treatment guidelines for use of oxygen after COVID-19, including mechanical insufflator-exsufflator (MIE), home ventilator treatment, and oxygen therapy at home.
February 2025
By: Swedevox
The Lancet Global Health Commission on Medical Oxygen Security: Bangladesh Country Case Study
JOURNAL PUBLICATION | Published in The Lancet Global Health, this case study focuses on the incorporation and expansion of pulse oximetry within the Integrated Management of Childhood Illnesses (IMCI) programme in Bangladesh.
February 2025
By: Ahmed Ehsanur Rahman, Shafiqul Ameen, Sabit Saad Shafiq, Aniqa Tasnim Hossain, Shams El Arifeen, Carina King
The Prevalence of Hypoxaemia in Paediatric and Adult Patients in Health-Care Facilities in Low-Income and Middle-Income Countries: A Systematic Review and Meta-Analysis
JOURNAL PUBLICATION | Published in The Lancet Global Health, this review aimed to estimate hypoxemia prevalence for adults and children with acute illness attending health facilities in low-income and middle-income countries (LMICs).
February 2025
By: Hamish Graham, Esrat Jahan, Rami Subhi, Farhia Azrin, Jaclyn Maher, Jasmine Miller, Ahmed Ehsanur Rahman, Felix Lam
Who “Needs” Long-Term Oxygen? How Little We Really Know
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this article examines which patients require long-term oxygen therapy.
February 2025
By: Richard Casaburi, Yves Lacasse
Analysis of the Effect of Skin Pigmentation and Oxygen Saturation on Monte Carlo-Simulated Reflectance Photoplethysmography Signals
JOURNAL PUBLICATION | Published in Sensors, this study sought to further investigate the root causes of overestimation of arterial oxygen saturation (SpO2) in individuals with darker skin.
January 2025
By: Raghda Al-Halawani, Meha Qassem, Panicos A. Kyriacou
Community Health Worker and Caregiver Experiences and Perceptions of a Multimodal Handheld Pulse Oximeter Used in Sick Child Consultations in Rural Burundi: A Qualitative Evaluation
JOURNAL PUBLICATION | Published in PLoS Global Public Health, this prospective study evaluated acceptability and feasibility of a multimodal pulse oximeter used by CHWs during their iCCM of childhood illness in rural Burundi.
January 2025
By: Sarah Bauler, Leocadie Nivyindika, Titus Kirwa, Vital Habonimana, Dionis Nizigiyimana, Miles A. Kirby, Asrat Tolossa
FDA Proposes Updated Recommendations to Help Improve Performance of Pulse Oximeters across Skin Tones
ARTICLE | The U.S. Food and Drug Administration published new draft guidance aimed at helping improve the accuracy and performance of pulse oximeters across the range of skin pigmentation.
January 2025
By: U.S. Food and Drug Administration (FDA)
Factors Associated with Knowledge and Practice Regarding Oxygen Administration: A Cross-Sectional Study among Registered Nurses Working in Wards and ICUs at Muhimbili National Hospital in Dar es Salaam, Tanzania
JOURNAL PUBLICATION | Published in PLoS One, this study aimed to assess factors associated with oxygen administration to critically ill patients among nurses at Muhimbili National Hospital (MNH) in Dar es Salaam, Tanzania.
January 2025
By: Magdalena S. Kimario, Joel Seme Ambikile, Masunga K. Iseselo
Masimo – Webinar: Not All Pulse Oximeters Are Created Equal: Addressing Skin Pigmentation in Pulse Oximetry
PRESENTATION / WEBINAR | Published by Masimo, this webinar explores the impact of skin pigmentation on pulse oximeter accuracy and introduces advanced technology solutions to improve readings across all skin tones.
January 2025
By: Masimo
Performance Evaluation of a Locally Produced Pulse Oximeter
JOURNAL PUBLICATION | Published in Engineering and Technology Journal, this study aims to solve the problems of most aftermarket pulse oximeters by developing a cheap, durable, easy to operate, and enhanced reflectance option.
January 2025
By: Chizoba Maryann Ndunwa, Nnenna Harmony Nwobodo-Nzeribe, Peter Eze-Steven, Chidi Henry Onwuekwu
Pulse Oximetry: A Vital Tool with Important Functional Limitations for Patients with Dark Skin Color
JOURNAL PUBLICATION | Published in Universal Library of Clinical Nursing, this review reports the extent of measurement bias for pulse oximeters, describes its clinical importance, and discusses approaches to eliminating it.
January 2025
By: David E. Harris
Understanding Health Innovation Adoption: A Realist Evaluation of Pulse Oximeter Implementation in Primary Care for Children under Five in Four West African Countries
JOURNAL PUBLICATION | Published in medRxiv, this study examined how healthcare workers adopted pulse oximeters and explored the contexts influencing their adoption in Burkina Faso, Guinea, Mali, and Niger under the AIRE project.
January 2025
By: Sarah Louart, Habibata Balde, Abdourahmane Coulibaly, Abdoua Elhadji Dagobi, Kadidiatou Kadio, Gildas Boris Hedible, Valériane Leroy, Emilie Robert, Valéry Ridde
Analysis of Melanin Concentration on Reflective Pulse Oximetry Using Monte Carlo Simulations
JOURNAL PUBLICATION | Published in IEEE, this study investigates the impact of melanin concentration on the accuracy of oxygen saturation (SpO2) estimation using reflective photoplethysmography (PPG) measurements.
December 2024
By: Maximilian Reiser, Oliver Amft, Andreas Breidenassel
Families’ Perceptions of Consumer‐Grade, Inexpensive Oxygen Saturation Monitors
JOURNAL PUBLICATION | Published in Pediatric Pulmonology, this study assesses families’ perceptions of consumer-grade oxygen saturation monitors, highlighting usage patterns and the need for education.
December 2024
By: Danielle Charland, Thomas Kovesi
Guideline on Management of Pneumonia and Diarrhoea in Children up to 10 years of age
GUIDANCE | This guideline aims to help WHO Member States and their partners make evidence-informed decisions on the appropriate actions in their efforts to address common childhood illnesses, including pneumonia and diarrhea.
December 2024
By: World Health Organization (WHO)
Oxygen Saturation Targets in Neonatal Care: A Narrative Review
JOURNAL PUBLICATION | Published in Early Human Development, this paper emphasizes that the scarcity of oxygen blenders and continuous monitoring may pose a challenge in LMICs, increasing the risks of hypoxia and hyperoxia.
December 2024
By: Tri C. Nguyen, Rajeshwari Madappa, Heather M Siefkes, Michelle J. Lim, Kanya Mysore Siddegowda, Satyan Lakshminrusimha
Prevalence of Inpatient Pulse Oximetry in Operative and Nonoperative Settings: A Multicenter Study
JOURNAL PUBLICATION | Published in CHEST Critical Care, this study examined the frequencies of pulse oximeter monitoring in operative and nonoperative contexts and the observed distribution of pulse oximeter readings.
December 2024
By: Nicholas A. Bosch, Anica C. Law, Ashraf Fawzy, Theodore J. Iwashyna
Pulse Oximetry and Oxygen Services for Children with Pneumonia Attending Primary and Secondary Level Health Facilities in Lagos, Nigeria (INSPIRING-Lagos) – A Pre-Post Implementation Study
JOURNAL PUBLICATION | Published in BMJ Global Health, this study examines whether stabilization rooms equipped with pulse oximetry and oxygen alongside HCW training improved quality of care for children with pneumonia in Nigeria.
December 2024
By: Tim Colbourn, Adegoke G. Falade, Hamish Graham, Omotayo E. Olojede, Ayobami A. Bakare, James Beard, Eric D. McCollum, Agnese Iuliano, Adamu Isah, Adams Osebi, Ibrahim Seriki, Ibrahim Haruna, Tahlil Ahmed, Samy Ahmar, Paula Valentine, Temitayo Folorunso Olowookere, Obioma C. Uchendu, Rochelle Ann Burgess, Carina King
Pulse Oximetry and Oxygen Services for Under-Five Children with Community-Acquired Pneumonia Attending Primary and Secondary Level Health Facilities in Lagos, Nigeria (INSPIRING-Lagos): A Pre-Implementation and Post-Implementation Study
JOURNAL PUBLICATION |
Published in BMJ Global Health, this study examines whether stabilization rooms equipped with pulse oximetry and oxygen alongside HCW training improved quality of care for children with pneumonia in Nigeria.
December 2024
By: Tim Colbourn, Adegoke G. Falade, Hamish Graham, Omotayo E. Olojede, Ayobami A. Bakare, James Beard, Eric D. McCollum, Agnese Iuliano, Adamu Isah, Osebi Adams, Ibrahim Seriki, Ibrahim Haruna, Tahlil Ahmed, Samy Ahmar, Paula Valentine, Temitayo Folorunso Olowookere, Obioma C. Uchendu, Rochelle Ann Burgess, Carina King
The Affordable Care Act’s Call for Nondiscrimination: Addressing the Role of Pulse Oximetry in Racial Disparities
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this paper describes how this rule recognizes that pulse oximeters are less reliable on dark skin pigmentation and needs to be addressed.
December 2024
By: Howard L. Saft, Nirav R. Bhakta, An-Kwok Ian Wong, Sharron J. Crowder, Stuart C. Sweet, Indira Gurubhagavatula
Understanding Pulse Oximetry Adoption in Primary Health Care Facilities in Nigeria: A Realist Process Evaluation of the INSPIRING-Lagos Stabilisation Room Project
JOURNAL PUBLICATION | Published in BMJ Global Health, this study examines how stabilization rooms under the INSPIRING-Lagos project improved pulse oximetry practices, for whom, and in what contexts in Nigeria.
December 2024
By: Omotayo E. Olojede, Adegoke G. Falade, Ayobami A. Bakare, Eric D. McCollum, Agnese Iuliano, Adamu Isah, Adams Osebi, Samy Ahmar, Paula Valentine, Temitayo Folorunso Olowookere, Matthew MacCalla, Rochelle Ann Burgess, Tim Colbourn, Carina King, Hamish Graham
Understanding Pulse Oximetry Adoption in Primary Healthcare Facilities in Nigeria: A Realist Process Evaluation of the INSPIRING-Lagos Stabilisation Room Project
JOURNAL PUBLICATION | Published in BMJ Global Health, this study examines how stabilization rooms under the INSPIRING-Lagos project improved pulse oximetry practices, for whom, and in what contexts in Nigeria.
December 2024
By: Omotayo E. Olojede, Adegoke G. Falade, Ayobami A. Bakare, Eric D. McCollum, Agnese Iuliano, Adamu Isah, Adams Osebi, Samy Ahmar, Paula Valentine, Temitayo Folorunso Olowookere, Matthew MacCalla, Rochelle Ann Burgess, Tim Colbourn, Carina King, Hamish Graham
Continuous Pulse Oximetry Monitoring in Children Hospitalized with Bronchiolitis: A Qualitative Analysis of Clinicians’ Justifications
JOURNAL PUBLICATION | Published in Journal of Hospital Medicine, this study found that most continuous pulse oximetry monitoring in stable bronchiolitis patients was done without clinical justification.
November 2024
By: Halley Ruppel, Christopher Bonafide, Rinad Beidas, Raymond Parlar-Chun, Prabi Rajbhandari, Andrew Kern-Goldberger, Patricia Stoeck, Kathleen Snow, Samantha House, Kate Lucey, Patrick Brady, Amanda Schondelmeyer
Effectiveness of Introducing Pulse Oximetry and Clinical Decision Support Algorithms for the Management of Sick Children in Primary Care in India and Tanzania on Hospitalisation and Mortality: The TIMCI Pragmatic Cluster Randomised Controlled Trial
JOURNAL PUBLICATION | Published in The Lancet, this cluster-randomized controlled trial in India and Tanzania evaluated the effects of pulse oximetry and clinical decision support algorithms on child hospitalization and mortality.
November 2024
By: Fenella Beynon, Grace Mhalu, Divas Kumar, Hélène Langet, Gillian Levine, Girdhar Agarwal, Charles Festo, Tracy Glass, Anmol Jacob, Gaurav Kumar, Samwel Lwambura, Lena Matata, Abdallah Mkopi, Robert Moshiro, Fabian Schaer, Vineela Bandi, Leah F. Bohle, Mira Emmanuel-Fabula, Megan Horlacher, Susan Horton, John Maiba, Suzan Makawia, Naomi Masanja, Deusdedit Mjungu, Ibrahim E. Mtebene, Olgah Odek, Vânia Oliveira, Elena Pantjushenko, Elisabeth Reus, Michael Ruffo, Kovid Sharma, Helen Storey, Mansi Tyagi, Valérie D’Acremont, Honorati Masanja, Shally Awasthi, Kaspar Wyss
Medical Oxygen Ecosystem Gap Assessment for Zambia
REPORT | This report analyzes data collected during facility assessments in ten provinces across Zambia, by service ward type, to provide a snapshot of the country’s medical oxygen ecosystem.
November 2024
By: PATH, Zambia Ministry of Health
Acceptability of the Routine Use of Pulse Oximeters in the Integrated Management of Childhood Illness Guidelines at Primary Health Centers in West Africa: A Mixed-Methods Study
JOURNAL PUBLICATION | Published in medRxiv, this study found that integrating pulse oximetry into IMCI consultations in West African primary health centers was generally well accepted, especially after training.
October 2024
By: Sarah Louart, Gildas Boris Hedible, Habibata Balde, Abdourahmane Coulibaly, Abdoua Elhadji Dagobi, Kadidiatou Kadio, Désiré Neboua, Zineb Zair, Valériane Leroy, Valéry Ridde
An Evaluation of Knowledge, Attitudes, Practice, and Associated Factors Regarding Oxygen Therapy Among Resident Doctors in a Tertiary Care Teaching Hospital: A Mixed-Methods Study
JOURNAL PUBLICATION | Published in Journal of Education and Health Promotion, this study assesses the knowledge, attitudes, and practices of resident doctors regarding oxygen therapy.
October 2024
By: M. Yogesh, D. Kadalarasu, Kapil Gandha, Rohankumar Gandhi
Effects of Oxygenation Targets on Mortality in Critically Ill Patients in Intensive Care Units: A Systematic Review and Meta-Analysis
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, the meta-analysis found no significant difference in mortality or intensive care unit outcomes between patients managed with lower or higher oxygenation targets.
October 2024
By: Lei Cao, Qi Chen, Ying-Ying Xiang, Cheng Xiao, Yu-Ting Tan, Hong Li
Epidemiology, Pathways, Patterns of Care and Day-14 Mortality of Severe Cases According to Hypoxemia Among IMCI Children Using Routine Pulse Oximeter, Decentralized at Primary Healthcare in West Africa: The AIRE Cohort Study in Burkina Faso, Guinea, Mali and Niger, 2021-2022
JOURNAL PUBLICATION | Posted on medRxiv in 2024, the study reviewed the epidemiology, pathways, patterns of care, and Day-14 mortality of severe hypoxemic cases among children under 5 in West Africa.
October 2024
By: Gildas Boris Hedible, Abdoul Guaniyi Sawadogo, Zineb Zair, G. Désiré Kargougou, Bertrand Méda, Lucie Peters-Bokol, Sarah Louart, Yugbaré Solange Ouédraogo, Abdoul Aziz Diakite, Ibrahima Sory Diallo, Hannatou Souleymane Abarry, Sandrine Busiere, Franck Lamontagne, Susan Shepherd, Valéry Ridde, Valériane Leroy
Identification of Severe Cases with Routine Pulse Oximetry Use into the Integrated Management of Childhood Illness at Primary Health Centres Level in West Africa: A Cross-Sectional Study within the AIRE Project in Burkina Faso, Guinea, Mali and Niger, 2021
JOURNAL PUBLICATION | Preprint in medRxiv, this study examines the use of pulse oximetry integrated into IMCI consultations at primary healthcare centers in West Africa, identifying severe hypoxemia and related factors.
October 2024
By: Gildas Boris Hedible, Abdoul Guaniyi Sawadogo, Zineb Zair, G. Désiré Kargougou, Honorat Agbeci, Bertrand Méda, Peters-Bokol Lucie, Sarah Louart, Yugbaré Solange Ouédraogo, Abdoul Aziz Diakite, Ibrahima Sory Diallo, Hannatou Souleymane Abarry, Désiré Neboua, Vignon Marine, Sandrine Busiere, Lamontagne Franck, Valéry Ridde, Valériane Leroy
National Oxygen Scale-Up Framework: Road to Oxygen Access: Meeting Report, Dakar, Senegal, 14–16 May 2024
REPORT | The WHO convened a meeting in Dakar, Senegal, from May 14 to 16, 2024 to produce a template for developing evidence-based, inclusive and costed national plans for oxygen scale up.
October 2024
By: World Health Organization (WHO)
Racial Biases Associated with Pulse Oximetry: Longitudinal Social Network Analysis of Social Media Advocacy Impact
JOURNAL PUBLICATION | Published in Journal Medical Internet Research, this study explores the impact of social media, specifically X, on increasing awareness of racial disparities in the accuracy of pulse oximetry.
October 2024
By: Wasim Ahmed, Mariann Hardey, Bradford David Winters, Aarti Sarwal
Improving Effective Coverage of Medical-Oxygen Services for Neonates and Children in Health Facilities in Uganda: A Before–After Intervention Study
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study examines an intervention in Uganda aimed at improving medical oxygen services for children, resulting in better oxygen access and reduced mortality.
September 2024
By: Hamish Graham, Freddy Eric Kitutu, Yewande Kamuntu, Blasio Kunihira, Santa Engol, Jasmine Miller, Absolom Zisanhi, Dorcas Kemigisha, Charles Olaro, Harriet Ajilong, Freddie Ssengooba, Felix Lam
Knowledge, Attitude, Practice and Associated Factors of Oxygen Therapy among Health Professionals in Ethiopia: A Systematic Review and Meta-Analysis
JOURNAL PUBLICATION | Published in PLoS One, this study aimed to assess the pooled prevalence of health professionals’ knowledge, attitude, practice, and determinant factors about oxygen therapy in Ethiopia.
September 2024
By: Zewdu Bishaw Aynalem, Mekides Nigusu Abera, Birhaneslasie Gebeyehu Yazew, Melsew Dagne Abate, Ayalew Kassie, Fentahun Meseret, Ahmed Nuru Muhamed, Gebremeskel Kibret Abebe, Meseret Mekuriaw Beyene, Tilahun Degu Tsega
Normative Values of Oxygen Saturation by Pulse Oximetry (SpO2) in Apparently Healthy Children from Eastern India – A Cross-Sectional Study
JOURNAL PUBLICATION | Published in Lung India, this study determines normative values of SpO2 by pulse oximetry in apparently healthy children and to explore variation in oxygen saturation levels by age and gender.
September 2024
By: Vivekan R. Chada, Krishna M Gulla, Rashmi R. Das, Ketan Kumar
Oxygen Therapy Practice and Associated Factors among Nurses Working at an Ethiopian Referral Hospital
JOURNAL PUBLICATION | Published in the African Journal of Emergency Medicine, this study assesses oxygen therapy practices and associated factors influencing oxygen administration among nurses in an Ethiopian hospital.
September 2024
By: Mikiyas Muche Teshale, Nurilign Abebe Moges, Mezinew Sintayehu Bitew, Mihretie Gedfew, Belete Negese, Animut Takele Telayneh, Temesgen Ayenew, Dejen Tsegaye
Pulse Oximetry in Pediatric Care: Balancing Advantages and Limitations
JOURNAL PUBLICATION | Published in World Journal of Clinical Pediatrics, this study evaluates the advantages, limitations, and challenges of pulse oximetry in clinical practice, as well as proposes recommendations to optimize its use.
September 2024
By: Mohammed Al-Beltagi, Nermin Kamal Saeed, Adel Salah Bediwy, Reem Elbeltagi
History and Social Implications of the Pulse Oximeter
JOURNAL PUBLICATION | Published in Cureus, this paper reviews the history and evolution of pulse oximeters, the scientific laws behind oximetry, and the limitations of pulse oximetry, especially related to skin pigmentation.
August 2024
By: Dean K. Zacharis, Daniel Z. Zhao, Latha Ganti
Hypoxaemia and Risk of Death Among Children: Rethinking Oxygen Saturation, Risk-Stratification, and the Role of Pulse Oximetry in Primary Care
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study re-evaluates the role of oxygen saturation levels and pulse oximetry in primary care for managing hypoxemia in children.
August 2024
By: Hamish Graham, Carina King, Trevor Duke, Salahuddin Ahmed, Abdullah Baqui, Tim Colbourn, Adegoke G. Falade, Helena Hildenwall, Shubhada Hooli, Yewande Kamuntu, Rami Subhi, Eric D. McCollum
Global Age-Sex-Specific Mortality, Life Expectancy, and Population Estimates in 204 Countries and Territories and 811 Subnational Locations, 1950-2021, and the Impact of the COVID-19 Pandemic: A Comprehensive Demographic Analysis for the Global Burden of Disease Study 2021
JOURNAL PUBLICATION | Published in The Lancet, this article presents global mortality and life expectancy data from 1950 to 2021, highlighting the impact of COVID-19 on population health.
May 2024
By: Global Burden of Disease 2021 Demographics Collaborators
Increasing Access to Medical Oxygen in Rwanda National Strategy (2024-2027)
GOVERNMENT POLICY / STRATEGY | This strategy provides a clear roadmap for increasing access to medical oxygen to reach those in need at all levels of the healthcare system in Rwanda.
May 2024
By: Rwanda Ministry of Health
Early Hyperoxaemia and 2-Year Outcomes in Infants with Hypoxic-ischemic Encephalopathy: A Secondary Analysis of the Infant Cooling Evaluation (ICE) Trial
JOURNAL PUBLICATION | Published in The Journal of Pediatrics, this study found that early hyperoxemia in infants with hypoxic-ischemic encephalopathy is linked to higher rates of death and major disability.
April 2024
By: Shiraz Badurdeen, Jeanie Cheong, Susan Donath, Hamish Graham, Stuart Hooper, Graeme Polglase, Sue Jacobs, Peter Davis
The Performance of 11 Fingertip Pulse Oximeters during Hypoxemia in Healthy Human Participants with Varied, Quantified Skin Pigment
JOURNAL PUBLICATION | Published in EBioMedicine, this study evaluated eleven popular fingertip pulse oximeters using the U.S. FDA Guidance (2013) and ISO Standards (2017) in 34 humans with diverse skin pigmentation.
April 2024
By: Gregory Leeb, Isabella Auchus, Tyler Law, Philip E. Bickler, John Feiner, Shamsudini Hashi, Ellis Monk, Elizabeth Igaga, Michael Bernstein, Yu Celine Chou, Caroline Hughes, Deleree Schornack, Jenna Lester, Kelvin L. Moore, Olubunmi E. Okunlola, Jana Fernandez, Leonid Shmuylovich, Michael S. Lipnick
Building Respiratory Support in East Africa Through High Flow Versus Standard Flow Oxygen Evaluation (BREATHE)
JOURNAL PUBLICATION | Published in the NIH Clinical Trials Registry, this study will compare high-flow and standard-flow oxygen in hypoxemic adults across five LMIC hospitals to assess mortality, oxygen use, and implementation challenges.
March 2024
By: Elisabeth D. Riviello, Theogene Twagirumugabe
Clinical Predictors of Hypoxic Pneumonia in Children from the Eastern Highlands Province, PNG
JOURNAL PUBLICATION | Published in The Lancet Regional Health – West Pacific, this study identified clinical predictors like reduced breath sounds as key indicators of hypoxic pneumonia in children in PNG.
March 2024
By: Kathryn Britton, William Pomat, Joycelyn Sapura, Birunu Nivio, Rebecca Ford, Wendy Kirarock, Hannah Moore, Lea-Ann Kirkham, Peter Richmond, Jocelyn Chan, Deborah Lehmann, Fiona Russell, Christopher Blyth
Differences in Trauma Care between District and Regional Hospitals and Impact of a Trauma Intake Form with Decision Support Prompts in Ghana: A Stepped-Wedge Cluster Randomized Trial
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study demonstrated that TIF improved trauma care and reduced mortality in Ghanaian hospitals, though regional hospitals outperformed district hospitals.
March 2024
By: Adam Gyedu, Forster Amponsah-Manu, Kwabena Awuku, Kennedy Korankye, Peter Donkor, Charles Mock
Factors Predicting Mortality in Hospitalised HIV-Negative Children with Lower-Chest-Wall Indrawing Pneumonia and Implications for Management
JOURNAL PUBLICATION | Published in PLoS One, this study assesses mortality risk factors in hospitalized HIV-negative children with LCWI pneumonia, recommending hospital care for those with hypoxemia, HIV exposure, or malnutrition.
March 2024
By: Katherine Gallagher, Juliet Awori, Maria Knoll, Melissa Higdon, Laura Hammitt, Christine Prosperi, Henry Baggett, W. Abdullah Brooks, Nicholas Fancourt, Daniel Feikin, Stephen Howie, Karen Kotloff, Orin Levine, Shabir Ahmed Madhi, David M. Murdoch, Katherine O’Brien, Donald Thea, Vicky Baillie, Bernard E. Ebruke, Alice Kamau, David Moore, Lawrence Mwananyanda, Emmanuel Olutunde, Philip Seidenberg, Somsak Thamthitiwat
Conservative versus Liberal Oxygenation Targets in Critically Ill Children (Oxy-PICU): A UK Multicentre, Open, Parallel Group, Randomised Clinical Trial
JOURNAL PUBLICATION | Published in Intensive Care Medicine, the Oxy-PICU trial found no significant differences in clinical outcomes between conservative and liberal oxygenation targets for critically ill children.
January 2024
By: Mark Peters, Doug Gould, Samiran Ray, Karen Thomas, Irene Chang, Marzena Orzol, Lauran O’Neill, Rachel Agbeko, Carly Au, Elizabeth Draper, Lee Elliot-Major, Elisa Giallongo, Gareth Jones, Lamprini Lampro, Jon Lillie, John Pappachan, Sam Peters, Padmanabhan Ramnarayan, Zia Sadique, Kathryn Rowan, David Harrison, Paul Mouncey
Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease
GUIDANCE | This document provides an evidence-based strategy for chronic obstructive pulmonary disease (COPD) diagnosis, management, and prevention, with citations from the scientific literature.
January 2024
By: Global Initiative for Chronic Obstructive Lung Disease
Predicting the Potential Impact of Scaling up Four Pneumonia Interventions on Under-Five Pneumonia Mortality: A Prospective Lives Saved Tool (LiST) Analysis for Bangladesh, Chad, and Ethiopia
JOURNAL PUBLICATION | Published in the Journal of Global Health, this study used the Lives Saved Tool to prospectively analyze the potential impact of upscaling pneumonia interventions in Bangladesh, Chad, and Ethiopia.
January 2024
By: Theresa Pfurtscheller, Felix Lam, Rasheduzzaman Shah, Rana Shohel, Maria Suau Sans, Narcisse Tounaikok, Abas Hassen, Alemayehu Berhanu Belete, Dinkineh Bikila Woyessa, Elizabeth Berryman, Tedila Habte, Leith Greenslade, Rebecca Nantanda, Kevin Baker
Advanced Cardiac Life Support: Provider Handbook
GUIDANCE | This manual includes the systematic approach to a cardiopulmonary emergency, effective team communication, and the ACLS cases and algorithms.
December 2023
By: Karl Disque
Artificial Intelligence and Pneumonia: A Rapidly Evolving Frontier
JOURNAL PUBLICATION | Published in The Lancet Global Health, this article discusses how AI is revolutionizing pneumonia diagnosis and management through deep-learning applications in medical imaging and lung sound analysis.
December 2023
By: Amy Sarah Ginsburg, Eric D. McCollum
A Cross-Sectional Survey and Evaluation of Baseline Surgical Safety Intraoperative Practices to Inform Implementation Interventions in Plateau State, Nigeria
JOURNAL PUBLICATION | Published in Global Surgery, this conference abstract presents the results of a survey of perioperative safety practices at secondary and tertiary facilities in Plateau State, Nigeria.
November 2023
By: Barnabas Alayande, Paul Kingpriest
Hospital Care for Critical Illness in Low-Resource Settings: Lessons Learned During the COVID-19 Pandemic
JOURNAL PUBLICATION | Published in BMJ Global Health, this article analyzes the impact of the COVID-19 pandemic on hospital care for critical illness in low-resource settings and provides recommendations for future improvements.
November 2023
By: Mike English, Jacquie Oliwa, Karima Khalid, Onesmus O. Onyango, Tamara Mulenga Willows, Rosanna Mazhar, Elibariki Mkumbo, Lorna Guinness, Carl Otto Schell, Tim Baker, Jacob McKnight
Oxygen Saturation in Healthy-Term Neonates at High Altitude: A Multisite Prospective Study
JOURNAL PUBLICATION | Published in Paedetrics & Child Health, this prospective study looked at SpO2 measurements in healthy neonates admitted to postnatal wards and followed up in Calgary, Alberta, Canada.
November 2023
By: Prakash Kannan Loganathan, Alberto Nettel-Aguirre, Abhay Lodha, Carlos Fajardo, Vrinda Nair, Jeanne Scotland, Nalini Singhal, Marilyn Young, Kristin York, Yacov Rabi
Prevalence and Pattern of Retinopathy of Prematurity at Two National Referral Hospitals in Uganda: A Cross-sectional Study
JOURNAL PUBLICATION | Published in BMC Ophthalmology, this cross-sectional study of preterm infants from the neonatal units of two Ugandan hospitals examined retinopathy of prematurity (ROP).
November 2023
By: Iddi Ndyabawe, Flavia Namiiro, Anita Tumwebaze Muhumuza, Juliet Otiti, Anne Ampaire, Moses Kasadhakawo, Fransisco Msonge, Siyad Mohamed, Mary Nyanzi, Victor Spector Tumukunde, Andrew Weil Semulimi, David Mukunya, Dan Bwonya, Primrose Magala, Clare Gilbert, Nancy Maria Douat Dietrich, Patricia Zanotelli Cagliari, Rebecca Jones, James Nyonyintono, Aisha Muhamad Doka, Bariirah Bushirah Nakitende, Hamish Graham, Susan Mary Carden, Rami Subhi, Grace Ssali Nsibirwa
Pulse Oximetry to Detect Paediatric Hypoxaemia—The Fifth Vital Sign
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study makes the case for oxygen saturation (SpO2) measured by pulse oximetry as an essential fifth vital sign in all sick children.
November 2023
By: Heather J. Zar, Eric D. McCollum
Clinical Hypoxemia Score for Outpatient Child Pneumonia Care Lacking Pulse Oximetry in Africa and South Asia
JOURNAL PUBLICATION | Published in Frontiers in Pediatrics, this study developed and validated clinical models to identify hypoxemic pneumonia in children without pulse oximeters in low-resource settings.
October 2023
By: Holly Schuh, Shubhada Hooli, Salahuddin Ahmed, Carina King, Arunangshu Roy, Norman Lufesi, Asmd Ashraful Islam, Tisungane Mvalo, Nabidul Chowdhury, Amy Sarah Ginsburg, Tim Colbourn, William Checkley, Abdullah Baqui, Eric D. McCollum
Going Beyond the Means: Exploring the Role of Bias from Digital Determinants of Health in Technologies
JOURNAL PUBLICATION | Published in PLoS Digital Health, this article investigates how digital determinants of health contribute to bias in health technologies and their potential impact on healthcare equity.
October 2023
By: Marie-Laure Charpignon, Adrien Carrel, Yihang Jiang, Beatriz Cantada, Terry Hyslop, Christopher Cox, Krista Haines, Valencia Koomson, Guillaume Dumas, Michael Morley, Jessilyn Dunn, An-Kwok Ian Wong
National, Regional, and Global Estimates of Preterm Birth in 2020, with Trends from 2010: A Systematic Analysis
JOURNAL PUBLICATION | Published in The Lancet, this study provides global, regional, and national estimates of preterm birth rates for 2020, highlighting trends since 2010 and calling for targeted interventions.
October 2023
By: Eric O. Ohuma, Ann-Beth Moller, Ellen Bradley, Laith Hussain-Alkhateeb, Alexandra Lewin, Yemisrach B. Okwaraji, Wahyu Retno Mahanani, Emily White Johansson, Tina Lavin, Diana Estevez Fernandez, Giovanna Gatica Domínguez, Ayesha de Costa, Jenny A. Cresswell, Julia Krasevec, Joy Lawn, Hannah Blencowe, Jennifer Requejo
Oxygen Saturation Targets for Children with Respiratory Distress: A Systematic Review
JOURNAL PUBLICATION | Published in ERJ Open Research, this systematic review summarizes the existing evidence for SpO2 thresholds in children with respiratory distress.
October 2023
By: Sam Louman, Karlijn J. van Stralen, Annemie L.M. Boehmer
Clinical Standards for the Diagnosis and Management of Asthma in Low- and Middle-Income Countries
JOURNAL PUBLICATION | Published in The International Journal of Tuberculosis and Lung Disease, this consensus-based study provides clinical standards for managing asthma in LMICs, covering diagnosis, treatment, and emergencies.
September 2023
By: Shamanthi Jayasooriya, Marie Stolbrink, Ee Ming Khoo, I.T. Sunte, J.I. Awuru, Mark Cohen, David C. Lam, Antonio Spanevello, Dina Visca, Rosella Centis, Giovanni Battista Migliori, Adaeze C. Ayuk, Jefferson Antonio Buendia, Babatunde I. Awokola, Blanca Estella Del-Rio-Navarro, Shamiso Muteti-Fana, Mongkol Lao-Araya, Pieranna Chiarella, Hector Badellino, Somwe Wa Somwe, Mahesh P. Anand, J.R. Garcí-Corzo, Abebe Bekele, M.E. Soto-Martinez, Bertrand Hugo Mbatchou Ngahane, Mihaltan Florin, Kuku Voyi, Khaldoun Tabbah, Bukar Bakki, A. Alexander, B.L. Garba, Elsa Maria Salvador, Gilberto Bueno Fischer, Adegoke G. Falade, Zorica ŽivkoviĆ, Sergio de Jesús Romero-Tapia, Gregory Efosa Erhabor, Heather J. Zar, Bilun Gemicioglu, Heli Vieira Brandão, Xhevat Kurhasani, Nuha El-Sharif, V. Singh, Jeewan C. Ranasinghe, Sanath Thushara Kudagammana, Mohammad Reza Masjedi, J.N. Velásquez, Agam Jain, Ivan Cherrez-Ojeda, L.F.M. Valdeavellano, Rosa Mercedes Gómez, Eris Mesonjesi, Blanca Maria Morfin-Maciel, Achiri E. Ndikum, G.B. Mukiibi, B.K. Reddy, Osman Yusuf, S. Taright-Mahi, J.V. Mérida-Palacio, Sushil K. Kabra, Emmy Nkhama, Nelson Rosário Filho, V.B. Zhjegi, Kevin Mortimer, Sarah Rylance, Refiloe Masekela
Detecting Hypoxaemia Among Children with Pneumonia in Low-Resource Settings
JOURNAL PUBLICATION | Published in The Lancet Respiratory Medicine, this article calls for a revision of WHO’s pneumonia guidelines in light of new findings from Bangladesh.
September 2023
By: Shams El Arifeen, Ahmed Ehsanur Rahman
Predictors Associated with Critical Care Need and In-Hospital Mortality among Children with Laboratory-Confirmed COVID-19 Infection in a High HIV Infection Burden Region
JOURNAL PUBLICATION | Published in Frontiers in Pediatrics, this study assessed predictors of critical care needs and hospital mortality in South African children with COVID-19 infection in a region with high HIV burden.
September 2023
By: Liliane N. Byamungu, Jean B. Nachega, Ashendri Pillay, Patrick D.M.C. Katoto, Prakash Jeena, Lindsay Zurba, Refiloe Masekela
Prevalence and Phenotypic Trajectories of Hypoxemia among Hospitalised Adults in Kenya: A Single-Centre, Prospective Cohort Study
JOURNAL PUBLICATION | Published in BMJ Open, this study examined the prevalence and phenotypic trajectories of hypoxemia among hospitalized adults in Kenya, with a focus on chronic hypoxemia.
September 2023
By: Neelima Navuluri, David K. Lagat, Elcy Birgen, Sylvia Kitur, Peter S. Kussin, David M. Murdoch, Nathan M. Thielman, Alice Parish, Cynthia L. Green, Neil R. MacIntyre, Joseph R. Egger, Kara Wools-Kaloustian, Loretta G. Que
Pulse Oximetry Training Landscape for Healthcare Workers in Low- and Middle-Income Countries: A Scoping Review
JOURNAL PUBLICATION | Published in Journal of Global Health, this review describes the landscape of pulse oximetry training for health workers in LMICs prior to the COVID-19 pandemic, as described in the literature.
September 2023
By: Meagan Peterson, Shgufta Docter, Daniel Ruiz-Betancourt, Sedera Arimino, Thomas Weiser
Risk and Accuracy of Outpatient-identified Hypoxaemia for Death among Suspected Child Pneumonia Cases in Rural Bangladesh: A Multifacility Prospective Cohort Study
JOURNAL PUBLICATION | Published in The Lancet Respiratory Medicine, this study sought to establish the outpatient burden, mortality risk, and prognostic accuracy of death from hypoxemia in children with suspected pneumonia in Bangladesh.
September 2023
By: Eric D. McCollum, Salahuddin Ahmed, Arunangshu Roy, Asmd Ashraful Islam, Holly Schuh, Carina King, Shubhada Hooli, Mohammad Abdul Quaiyum, Amy Sarah Ginsburg, William Checkley, Abdullah Baqui, Tim Colbourn
Assessing the Acceptability of Technological Health Innovations in sub-Saharan Africa: A Scoping Review and a Best Fit Framework Synthesis
JOURNAL PUBLICATION | Published in BMC Health Services Research, this review explored the acceptability of health technology innovations in sub-Saharan Africa, revealing a lack of consistent frameworks.
August 2023
By: Sarah Louart, Gildas Boris Hedible, Valéry Ridde
Critical Illness at the Emergency Department of a Tanzanian National Hospital in a Three-year Period 2019–2021
JOURNAL PUBLICATION | Published in BMC Emergency Medicine, this study highlights that over 10% of patients at a Tanzanian hospital’s ED were critically ill, with respiratory and cardiovascular issues being the primary causes.
August 2023
By: Erick Mboya, Harrieth Ndumwa, Davis Amani, Victoria Mlele, Happines Biyengo, Ramadhan Mashoka, Rashan Haniffa, Abigail Beane, Juma Mfinanga, Bruno Sunguya, Tim Baker
Provider Adherence to Clinical Care Recommendations for Infants and Children who Died in Seven Low- and Middle-income Countries in the Child Health and Mortality Prevention Surveillance (CHAMPS) Network
JOURNAL PUBLICATION | Published in EClinicalMedicine, this study describes adherence to WHO recommendations for the management of leading causes of death among children across a number of LMICs.
August 2023
By: Chris A. Rees, Kitiezo Aggrey Igunza, Zachary J. Madewell, Dickens Onyango, Shams El Arifeen, Emily S. Gurley, Mohammad Zahid Hossain, Afruna Rahman, Muntasir Alam, Nega Assefa, Lola Madrid, Anteneh Belachew, Haleluya Leulseged, Samba O. Sow, Milagritos D. Tapia, Adama Mamby Keita, Diakaridia Sidibe, Antonio Sitoe, Rosauro Varo, Sara Ajanovic, Quique Bassat, Inácio Mandomando, Beth A. Tippett Barr, Ikechukwu Ogbuanu, Carrie Jo Cain, Ima-Abasi Bassey, Ronita Luke, Khadija Gassama, Shabir Ahmed Madhi, Ziyaad Dangor, Sana Mahtab, Sithembiso Velaphi, Jeanie du Toit, Portia C. Mutevedzi, Dianna M. Blau, Robert F. Breiman, Cynthia G. Whitney
Randomised Trials in Child and Adolescent Health in Developing Countries
JOURNAL PUBLICATION | Each year this booklet is compiled to summarize the evidence on child and adolescent health derived from randomized or controlled trials in developing countries over the previous year.
July 2023
By: Royal Children’s Hospital, Melbourne, Paediatric Society of Papua New Guinea
Usability of Pulse Oximeters Used by Community Health and Primary Care Workers as Screening Tools for Severe Illness in Children under Five in Low Resource Settings: A Cross-Sectional Study in Cambodia, Ethiopia, South Sudan, and Uganda
JOURNAL PUBLICATION | Published in PLoS Global Public Health, this study explores the usability of pulse oximeters for community health and primary care workers in Cambodia, Ethiopia, South Sudan, and Uganda.
July 2023
By: Theresa Pfurtscheller, Kevin Baker, Tedila Habte, Lena Matata, Akasiima Mucunguzi, Jill Nicholson, Anthony Nuwa, Max Petzold, Anteneh Sebsibe, Tobias Alfvén, Karin Källander
Oxygen Therapy Part 2 — Indications and Toxicity
JOURNAL PUBLICATION | In this second part in NEJM Evidence, we discuss the acute and chronic indications for oxygen, the delivery of supplemental oxygen, and its potential adverse effects and toxicity.
June 2023
By: Matthew Wemple, Kai Swenson, Erik Swenson
WHO List of Priority Medical Devices for Management of Cardiovascular Diseases and Diabetes
TOOL | This publication was developed in response to the need for a reference list of priority medical devices required for management of noncommunicable diseases (NCDs), focusing on cardiovascular diseases and diabetes.
June 2023
By: World Health Organization (WHO)
Development and Internal Validation of Clinical Hypoxemia Scores for Outpatient Child Pneumonia Care Lacking Pulse Oximetry in Bangladesh and Malawi: A Pooled Analysis
JOURNAL PUBLICATION | Published in the American Journal of Respiratory and Critical Care Medicine, this study presents a pooled analysis of four IMCI-related models predicting SpO2 <93% (primary) and <90% (secondary).
May 2023
By: Holly Schuh, Shubhada Hooli, Salahuddin Ahmed, Carina King, Charles Makwenda, Arunangshu Roy, Norman Lufesi, Asmd Ashraful Islam, Tisungane Mvalo, Nabidul Chowdhury, Amy Sarah Ginsburg, Tim Colbourn, William Checkley, Abdullah Baqui, Eric D. McCollum
Oxygen Saturation as a Diagnostic Test for World Health Organization-Defined Radiographic Pneumonia in Children
JOURNAL PUBLICATION | Published in Opportunities and Advances in Pediatric Global Health, this study evaluates the diagnostic performance of a SpO2 measurement as a test for radiographic pneumonia in children in Bangladesh.
May 2023
By: Amina Khan, Muhammad Shariful Islam, Nabidul Chowdhury, Salahuddin Ahmed, Arunangshu Roy, Carina King, Joseph Michael Collaco, Tim Colbourn, William Checkley, Abdullah Baqui, Eric D. McCollum
Racial Disparities in Pulse Oximeter Device Inaccuracy and Estimated Clinical Impact on COVID-19 Treatment Course
JOURNAL PUBLICATION | Published in the American Journal of Epidemiology, this study analyzed pulse oximeter accuracy on darker skin pigmentation and its association with COVID-19 treatment outcomes in Northern California.
May 2023
By: Sylvia E.K. Sudat, Paul Wesson, Kim F. Rhoads, Stephanie Brown, Noha Aboelata, Alice R. Pressman, Aravind Mani, Kristen M.J. Azar
In-hospital Mortality Risk Stratification in Children Aged under 5 Years with Pneumonia with or Without Pulse Oximetry: A Secondary Analysis of the Pneumonia REsearch Partnership to Assess WHO REcommendations (PREPARE) Dataset
JOURNAL PUBLICATION | Published in International Journal of Infectious Diseases, this study evaluates the role of pulse oximetry in improving pneumonia risk stratification and patient outcomes in children under 5 years.
April 2023
By: Pneumonia REsearch Partnership to Assess WHO REcommendations (PREPARE) study group, Shubhada Hooli, Carina King, Eric D. McCollum, Tim Colbourn, Norman Lufesi, Charles Mwansambo, Christopher Gregory, Somsak Thamthitiwat, Clare Cutland, Shabir Ahmed Madhi, Marta Nunes, Bradford Gessner, Tabish Hazir, Joseph Mathew, Emmanuel Addo-Yobo, Noel Chisaka, Mumtaz Hassan, Patricia Hibberd, Prakash Jeena, Juan Lozano, William MacLeod, Archana Patel, Donald Thea, Ngoc Tuong Vy Nguyen, Syed M.A. Zaman, Raul Ruvinsky, Marilla Lucero, Cissy Kartasasmita, Claudia Turner, Rai Asghar, Salem Banajeh, Imran Iqbal, Irene Maulen-Radovan, Greta Mino-Leon, Samir Saha, Mathuram Santosham, Sunit Singhi, Shally Awasthi, Ashish Bavdekar, Monidarin Chou, Pagbajabyn Nymadawa, Jean-William Pape, Gláucia Paranhos-Baccalà, Valentina Sanchez Picot, Mala Rakoto-Andrianarivelo, Vanessa Rouzier, Graciela Russomando, Philippe Vanhems, Jianwei Wang, Sudha Basnet, Tor Strand, Mark Neuman, Luis Martinez Arroyo, Marcela Echavarria, Shinjini Bhatnagar, Nitya Wadhwa, Rakesh Lodha, Satinder Aneja, Angela Gentile, Mandeep Chadha, Siddhivinayak Hirve, Kerry-Ann O’Grady, Alexey Clara, Harry Campbell, Harish Nair, Jennifer Falconer, Linda Williams, Margaret Horne, Shamim Ahmad Qazi, Yasir Bin Nisar
Nigeria’s National Strategy for the Scale-up of Medical Oxygen in Health Facilities (2023-2027)
GOVERNMENT POLICY / STRATEGY | This second national strategy builds on the foundations laid by the first plan (2017-2022) for more equitable access to medical oxygen in health facilities in Nigeria.
April 2023
By: Nigeria National Ministry of Health
Oxygen Saturation Targets for Adults with Acute Hypoxemia in Low and Lower-Middle Income Countries: A Scoping Review with Analysis of Contextual Factors
JOURNAL PUBLICATION | Published in Frontiers in Medicine, this literature review and analysis considered SpO2 targets used in previous trials, international and national society guidelines, and direct trial evidence.
April 2023
By: Austin Herbst, Swati Goel, B. Jason Brotherton, Dingase Dula, Stephen Gordon, Rashan Haniffa, Bethany Hedt-Gauthier, Felix Limbani, Michael S. Lipnick, Samuel Lyon, Carolyne Njoki, Peter Oduor, George Otieno, Luigi Pisani, Jamie Rylance, Mark Shrime, Doris Lorette Uwamahoro, Sky Vanderburg, Wangari Waweru-Siika, Theogene Twagirumugabe, Elisabeth D. Riviello
Oxygen Therapy Part 1 — History, Physiology, and Evaluation
JOURNAL PUBLICATION | In part I of a two-part review in NEJM Evidence, Wemple and colleagues discuss the physiology of tissue hypoxia, mechanisms of hypoxemia, and its clinical assessment.
April 2023
By: Matthew Wemple, Kai Swenson, Erik Swenson
Measurement Uncertainty in Clinical Validation Studies of Sensors
JOURNAL PUBLICATION | Published in Sensors, this article describes a basic model of measurement uncertainty that specifies the factors that may degrade the accuracy of an observed measurement value from a clinical sensor.
March 2023
By: J. Mark Ansermino, Guy Albert Dumont, Amy Sarah Ginsburg
Development of a Small and Sick Newborn Clinical Audit Tool and its Implementation Guide Using a Human-Centred Design Approach Newborn Clinical Audit Process and Design
JOURNAL PUBLICATION | Published in PLoS Global Public Health, this study created a newborn clinical audit tool and implementation guide using a human-centered design approach.
February 2023
By: Muthoni Ogola, John Wainaina, Naomi Muinga, Maureen Muriithi, Jalemba Aluvaala, Mike English, Grace Irimu
Essential Emergency and Critical Care as a Health System Response to Critical Illness and the COVID-19 Pandemic: What Does it Cost?
JOURNAL PUBLICATION | Published in Cost Effectiveness and Resource Allocation, the study reviewed the costs of EECC and advanced critical care in Tanzania and Kenya, highlighting its cost-effectiveness in low-resource settings.
February 2023
By: Lorna Guinness, Angela Kairu, August Kuwawenaruwa, Karima Khalid, Khamis Awadh, Vincent Were, Hiral Shah, Peter Baker, Carl Otto Schell, Tim Baker
Home Oxygen Monitoring and Therapy: Learning from the Pandemic
JOURNAL PUBLICATION | Published in Current Opinion in Critical Care, this review explores the role of home oxygen monitoring during the COVID-19 pandemic, analyzing its effectiveness, cost implications, and potential equity concerns.
February 2023
By: Thomas Beaney, Jonathan Clarke
Pulse Oximeters and Violation of Federal Antidiscrimination Law
JOURNAL PUBLICATION | Published in JAMA, this Viewpoint discusses how some pulse oximeters can provide incorrect oxygen saturation data for dark-skinned patients compared with light-skinned patients.
February 2023
By: Annabel Kupke, Carmel Shachar, Christopher Robertson
Pulse Oximetry: Why Oxygen Saturation Is Still Not a Part of Standard Pediatric Guidelines in Low- and Middle-Income Countries (LMICs)
JOURNAL PUBLICATION | Published in Pneumonia (Nathan Qld.), this review looks at past pulse oximetry implementation attempts in LMICs and proposes barriers and solutions for integration in the health system.
February 2023
By: Maheen Sheikh, Huzaifa Ahmad, Romesa Ibrahim, Fyezah Jehan
Retinopathy of Prematurity in the 21st Century and the Complex Impact of Supplemental Oxygen
JOURNAL PUBLICATION | Published in Journal of Clinical Medicine, this paper describes specific features associated with various retinopathy of prematurity presentations.
February 2023
By: Sarah H. Rodriguez, Anna L. Ells, Michael P. Blair, C. Armitage Harper, Maria Ana Martinez-Castellanos, S. Grace Prakalapakorn, Erima Denis, Rebecca C. Lusobya, Mark J. Greenwald, Sherwin J. Isenberg, Scott R. Lambert, Yvonne E Vaucher, Ann Carroll, Lucy Namakula
COVID-19 Toolkit: Physicians
REPOSITORY / TOOLKIT | This toolkit provides key clinical resources for physicians, covering topics from ARDS in adults, to pneumonia and from oxygen therapy and mechanical ventilation to other areas of respiratory care.
January 2023
By: Elsevier
Clinical Management of COVID-19: Living Guideline
GUIDANCE | The WHO COVID-19 Clinical management: living guidance contains the Organization’s most up-to-date recommendations for the clinical management of people with COVID-19.
January 2023
By: World Health Organization (WHO)
Ghana’s Strategic Action Plan for the National Medical Oxygen Policy
GOVERNMENT POLICY / STRATEGY | This strategic action plan goes into detail on the strategic framework, as outlined by the National Medical Oxygen Policy, and lays the foundation for scaling up medical oxygen across Ghana.
January 2023
By: Ghana Ministry of Health
Home Oxygen Therapy Before, During, and After the COVID-19 Pandemic: Our Reality
JOURNAL PUBLICATION | Published in the European Respiratory Journal, this study explores the changes and challenges in home oxygen therapy practices before, during, and after the COVID-19 pandemic.
January 2023
By: R.A. Toribio Abreu, S. Espinal
Oxygen Saturation Ranges for Healthy Newborns within 2 h at Altitudes between 847 and 4,360 m: A Prospective Cohort Study
JOURNAL PUBLICATION | Published in Neonatology, this study compares pulse oxygen saturation for neonates at different altitudes in China to establish cutoff values identifying hypoxemia between 30 and 120 min after birth.
January 2023
By: Yangfang Li, Bi Ze, Tiesong Zhang, Jin Gao, Hui Mao, Mingcai Qin, Yinzhen Lai, Suo Nan Ba Jiu, Guoyun Li, Kun Du, Zhangbin Yu, Wenhao Zhou
ePOCT+ and the medAL-suite: Development of an Electronic Clinical Decision Support Algorithm and Digital Platform for Pediatric Outpatients in Low- and Middle-Income Countries
JOURNAL PUBLICATION | Published in PLoS Digital Health, this study reviewed the development of ePOCT+ and the medAL-suite, emphasizing their role in improving pediatric outpatient care in LMICs.
January 2023
By: Rainer Tan, Ludovico Cobuccio, Fenella Beynon, Gillian Levine, Nina Vaezipour, Lameck Bonaventure Luwanda, Chacha Mangu, Alan Vonlanthen, Olga De Santis, Nahya Salim, Karim Manji, Helga Naburi, Lulu Chirande, Lena Matata, Method Bulongeleje, Robert Moshiro, Andolo Miheso, Peter Arimi, Ousmane Ndiaye, Moctar Faye, Aliou Thiongane, Shally Awasthi, Kovid Sharma, Gaurav Kumar, Josephine Van De Maat, Alexandra Kulinkina, Victor Rwandarwacu, Théophile Dusengumuremyi, John Baptist Nkuranga, Emmanuel Rusingiza, Mary-Anne Hartley, Vincent Faivre, Julien Thabard, Kristina Keitel
Comparison of Two Oxygen Saturation Targets to Decide on Hospital Discharge of Infants with Viral Bronchiolitis Living at High Altitudes: A Cost-Effectiveness Analysis
JOURNAL PUBLICATION | Published in Current Medical Research and Opinion, this cost-effectiveness analysis compares two SpO2 thresholds for discharging infants with viral bronchiolitis from the hospital.
December 2022
By: Carlos Rodriguez-Martinez, Monica Sossa-Briceño, Jefferson Antonio Buendia
Doctors’ and Nurses’ Knowledge and Perceived Barriers Regarding Acute Oxygen Therapy in a Tertiary Care Hospital in Nigeria
JOURNAL PUBLICATION | Published in Advances in Medical Education and Practice, this study highlights gaps in knowledge of acute oxygen therapy among doctors and nurses in Nigeria, pointing out significant delivery barriers.
December 2022
By: Olufemi Desalu, Olutobi Ojuawo, Adekunle O. Adeoti, Olanrewaju Oyedepo, Adeniyi Aladesanmi, Oluwafemi J. Afolayan, Rasheedat Ibraheem, Zakari Suleiman, Christopher Opeyemi
Evaluation of the Routine implementation of Pulse Oximeters into Integrated Management of Childhood Illness (IMCI) Guidelines at Primary Health Care Level in West Africa: The AIRE Mixed-Methods Research Protocol
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study assesses the implementation of pulse oximeters in IMCI guidelines at PHC level in West Africa, identifying key challenges and insights.
December 2022
By: Gildas Boris Hedible, Sarah Louart, Désiré Neboua, Gildas Anago, Abdoul Guaniyi Sawadogo, G. Désiré Kargougou, Bertrand Méda, Jacques Séraphin Kolié, Adama Hema, Mactar Niome, Abdoul Salam Savadogo, Lucie Peters-Bokol, Honorat Agbeci, Zineb Zair, Severin Lenaud, Marine Vignon, Solange Ouedraogo Yugbare, Hannatou Souleymane Abarry, Abdoul Aziz Diakite, Ibrahima Sory Diallo, Franck Lamontagne, Valérie Briand, Désiré Lucien Dahourou, Anthony Cousien, Valéry Ridde, Valériane Leroy
Hospitalised COVID-19 Outcomes are Predicted by Hypoxaemia and Pneumonia Phenotype Irrespective of the Timing of their Emergence
JOURNAL PUBLICATION | Published in BMJ Open, this study describes the prevalence and clinical course of patients hospitalized with COVID-19 in Canada based on oxygenation and pneumonia status at presentation.
December 2022
By: Brittany Salter, Bianca DeBenedictis, Laura Spatafora, Jessica Kapralik, Candice Luo, Steven Qiu, Laura Dawson, Mats Junek, Tyler Pitre, Aaron Jone, Marla Beauchamp, Rebecca Kruisselbrink, MyLinh Duong, Andrew P. Costa, Jennifer L.Y. Tsang, Terence Ho
Pulse Oximeter Bias and Inequities in Retrospective Studies––Now What?
ARTICLE | Published in Respiratory Care, this editorial responds to findings from a recent publication and offers mitigation strategies so the use of pulse oximetry is safe for all patients.
December 2022
By: Kelvin L. Moore, Koa Gudelunas, Michael S. Lipnick, Philip E. Bickler, Carolyn M. Hendrickson
Announcing the Lancet Global Health Commission on Medical Oxygen Security
JOURNAL PUBLICATION | Published in The Lancet Global Health, this article introduces The Lancet Global Health Commission on Medical Oxygen Security, which seeks to close critical gaps in oxygen access, especially in LMICs.
November 2022
By: Freddy Eric Kitutu, Ahmed Ehsanur Rahman, Hamish Graham, Carina King, Shams El Arifeen, Freddie Ssengooba, Leith Greenslade, Zoë Mullan
Basic Course for Planning and Managing Medical Oxygen
COURSE / TRAINING VIDEO | This course aims to improve the planning and management of medical oxygen and to strengthen the rational, sustainable, and safe use of medical oxygen across the Americas.
November 2022
By: Pan American Health Organization (PAHO)
COVID-19 Toolkit: Nursing and Respiratory Therapy
REPOSITORY / TOOLKIT | This toolkit provides trusted nursing knowledge sourced directly from professional practice organizations, regulatory, accreditation, and best practice guidelines.
November 2022
By: Elsevier
Childhood Pneumonia: Everything You Need to Know
ARTICLE | This article outlines key questions related to pneumonia and its treatment and key solutions to reduce morbidity and mortality from pneumonia in children.
November 2022
By: UNICEF
Oxygen Therapy and Critical Care: The Case Based Series
PRESENTATION / WEBINAR | This webinar series features 11 learning hubs across Sub-Saharan Africa and Latin America, focused on oxygen therapy and critical care medicine in the context of COVID-19.
November 2022
By: Assist International, Stanford Medicine – Anesthesia Division of Global Health Equity
Pneumonia and Diarrhea Progress Report Card
REPORT | IVAC’s annual Pneumonia and Diarrhea Progress Report evaluates the progress across 10 high-impact indicators outlined in the Global Action Plan for the Prevention and Control of Pneumonia and Diarrhea (GAPPD).
November 2022
By: International Vaccine Access Center (IVAC)
Pulse Oximeter Accuracy and Limitations: FDA Safety Communication
GUIDANCE | The U.S. Food and Drug Administration (FDA) is informing patients and healthcare providers that pulse oximeters have limitations and a risk of inaccuracy under certain circumstances.
November 2022
By: U.S. Food and Drug Administration (FDA)
Pulse Oximetry for the Diagnosis and Management of Acute Respiratory Distress Syndrome
JOURNAL PUBLICATION | Published in The Lancet Respiratory Medicine, this article looks at pulse oximetry-based indices as an alternative for the diagnosis and risk stratification of patients with ARDS.
November 2022
By: Katherine D. Wick, Michael A. Matthay, Lorraine B. Ware
WHO Guidelines for Malaria
GUIDANCE | The WHO guidelines for malaria provide the clinical recommendations for severe malaria cases, including when and how to administer medical oxygen.
November 2022
By: World Health Organization (WHO)
Improving Inpatient Neonatal Data Quality as a Prerequisite for Monitoring and Improving Quality of Care at Scale: A Multisite Retrospective Cohort Study in Kenya
JOURNAL PUBLICATION | Published in PLoS Global Public Health, this article examines neonatal data quality and prescribing accuracy in Kenyan hospitals, aiming to improve care monitoring for neonates.
October 2022
By: Timothy Tuti, Jalemba Aluvaala, Daisy Chelangat, George Mbevi, John Wainaina, Livingstone Mumelo, Kefa Wairoto, Dolphine Mochache, Grace Irimu, Michuki Maina, Mike English
Incidence and Characteristics of Errors Detected by a Short Team Briefing in Pediatric Anesthesia
JOURNAL PUBLICATION | Published in Paediatric Anaesthesia, this study assesses the incidence and characteristics of the detected errors in a modified WHO surgical safety list at a children’s hospital in Germany.
October 2022
By: Oliver Keil, Katja Brunsmann, Dietmar Boethig, Nils Dennhardt, Hendrik Eismann, Stefan Girke, Alexander Horke, Katja Nickel, Vanessa Rigterink, Robert Sümpelmann, Christiane E. Beck
Modelling the Cost-Effectiveness of Pulse Oximetry in Primary Care Management of Acute Respiratory Infection in Rural Northern Thailand
JOURNAL PUBLICATION | Published in Tropical Medicine & International Health, this study evaluates the cost-effectiveness of adding pulse oximetry to primary care for acute respiratory infection management in rural Thailand.
October 2022
By: Rusheng Chew, Rachel C. Greer, Nidanuch Tasak, Nicholas P.J. Day, Yoel Lubell
Prevalence of Pneumonia and Malnutrition among Children in Jigawa state, Nigeria: A Community-Based Clinical Screening Study
JOURNAL PUBLICATION | Published in BMJ Paediatrics Open, this study aimed to estimate the point prevalence of pneumonia and malnutrition and explore associations with household socioeconomic factors in Jigawa state, Nigeria.
October 2022
By: Carina King, Morgan Siddle, Osebi Adams, Samy Ahmar, Tahlil Ahmed, Ayobami A. Bakare, Damola Bakare, Rochelle Ann Burgess, Tim Colbourn, Eric D. McCollum, Julius Salako, Hamish Graham, Adegoke G. Falade
Skin Color Affects the Accuracy of Medical Oxygen Sensors
JOURNAL PUBLICATION | In this article published in Nature, two groups of researchers analyze skin pigmentation’s impact on pulse oximetry readings and its effects on people with dark skin.
October 2022
By: Matthew D. Keller, Brandon Harrison-Smith, Chetan Patil, Mohammed Shahriar Arefin
An Assessment of Nigeria’s Health Systems Response to COVID-19
JOURNAL PUBLICATION | Published in Ghana Medical Journal, this study examines selected health interventions in Nigeria considered significant both in terms of COVID-19 responses and in strengthening the overall health system.
September 2022
By: Chinyere Okeke, Benjamin Uzochukwu, Chioma Onyedinma, Obinna Onwujekwe
Emergency Department-Initiated Home Oxygen for Viral Bronchiolitis: A Cost-Effectiveness Analysis
JOURNAL PUBLICATION | The study, published in Pediatrics, found that emergency department-initiated home oxygen therapy for viral bronchiolitis is a safe and cost-effective alternative to hospitalization.
September 2022
By: Gustavo Nino
Prevalence and Outcomes of COVID-19 Patients with Happy Hypoxia: A Systematic Review
JOURNAL PUBLICATION | Published in Infection and Drug Resistance, this review aimed to summarize information on the prevalence, risk factors, and outcomes of patients with happy hypoxia to improve their management.
September 2022
By: Ben Bepouka, Ossam Odio, Nadine Mayasi, Murielle Longokolo, Madone Mandina, Marcel Mbula, Jean Marie Kayembe, Hippolyte Situakibanza
Retinopathy of Prematurity: A Global Perspective and Recent Developments
JOURNAL PUBLICATION | Published in Pediatrics, this update provides a comprehensive review of pathophysiology, classification, diagnosis, global screening, and treatment of retinopathy of prematurity.
September 2022
By: Kourosh Sabri, Anna L. Ells, Elizabeth Y. Lee, Anand Vinekar
Acute Oxygen Therapy: An Audit of Prescribing and Delivery Practices in the Medical Wards at Dr. George Mukhari Academic Hospital, Pretoria, Gauteng
JOURNAL PUBLICATION | Published in Open Journal of Respiratory Diseases, this study found that oxygen therapy prescriptions in a South African hospital were frequently incomplete, with only 27% of patients having a prescription.
August 2022
By: E.A. Akazie, Matthew J. Mpe
Cost-Effectiveness and Sustainability of Improved Hospital Oxygen Systems in Nigeria
JOURNAL PUBLICATION | Published in BMJ Global Health, this study found that the Nigeria Oxygen Implementation programme improved hospital oxygen systems and pulse oximetry coverage, demonstrating sustainability over time.
August 2022
By: Hamish Graham, Ayobami A. Bakare, Oyaniyi Olatunde, Oluwabunmi Bakare, Blessing Edunwale, Eleanor Neal, Shamim Ahmad Qazi, Barbara McPake, David Peel, Amy Gray, Trevor Duke, Adegoke G. Falade
Early Essential Newborn Care: Clinical Practice Pocket Guide
GUIDANCE | This step-by-step guide is intended to provide a portable and practical summary of the up-to-date global evidence for newborn care focusing on the first hours and days of life.
August 2022
By: World Health Organization (WHO)
The Accuracy of Pulse Oximetry in Measuring Oxygen Saturation by Levels of Skin Pigmentation: A Systematic Review and Meta-Analysis
JOURNAL PUBLICATION | Published in BMC Medicine, this study systematically reviewed the effects of skin pigmentation on the SpO2 accuracy by pulse oximetry compared with the gold standard SaO2 measured by CO-oximetry.
August 2022
By: Chunhu Shi, Mark Goodall, Jo Dumville, Gill Norman, Oliver Hamer, Andrew Clegg, Caroline Leigh Watkins, George Georgiou, Alexander Hodkinson, Catherine Elizabeth Lightbody, Paul Dark, Nicky Cullum
Consolidated Guidelines on HIV, Guidelines on Tuberculosis Hepatitis, and STI Prevention, Diagnosis, Treatment and Care for Key Populations
GUIDANCE | These guidelines outline a public health response for five key populations and discuss new recommendations and guidance from current WHO guidelines.
July 2022
By: World Health Organization (WHO)
Cost-Effectiveness of Pulse Oximetry and Integrated Management of Childhood Illness for Diagnosing Severe Pneumonia
JOURNAL PUBLICATION | Published in PLoS Global Public Health, this study demonstrated that adding pulse oximetry to the IMCI guidelines improved the diagnosis of severe pneumonia in children but increased the cost.
July 2022
By: Kjell Arne Johansson, Bernt Lindtjørn
Global Strategy for Asthma Management and Prevention
GUIDANCE | This strategy aims to increase awareness about asthma and provide a mechanism to translate scientific evidence into improved asthma care worldwide.
July 2022
By: Global Initiative for Asthma
India Training Module: Basics of Medical Oxygen Management System
COURSE / TRAINING VIDEO | The Training of Trainers module is meant for providing training to those participants who are expected to effectively oversee the oxygen ecosystem at their respective levels.
July 2022
By: PATH
Strengthening Oxygen Ecosystem for COVID-19 and Beyond in India
REPOSITORY / TOOLKIT | In order to build capacity for long-term sustainability, PATH developed, translated, and disseminated high-quality, reliable, and ready-reference knowledge products specific to India.
July 2022
By: PATH
The Clinical Predictors of Hypoxaemia in Children with WHO Defined Pneumonia Aged 2 Months to 59 Months
JOURNAL PUBLICATION | Published in SAS Journal of Medicine, this study determines the clinical predictors of hypoxemia in children with WHO defined pneumonia aged 2 to 59 months in a Bangladeshi hospital.
July 2022
By: A.Z. Azad, S. Prodhan, Mariya Islam, S. Shormin, Rubel Biswas Chowdhury, A.R. Mondal
A Cost-Utility Analysis of Remote Pulse-Oximetry Monitoring of Patients With COVID-19
JOURNAL PUBLICATION | Published in Value in Health, this study assesses the cost-utility of remote pulse-oximetry monitoring of moderately ill patients with COVID-19 in the United States.
June 2022
By: William Padula, Marlea Miano, Marcella Kelley, Samuel Crawford, Bryson Choy, Robert Hughes, Riley Grosso, Peter Pronovost
Achievement of Key Performance Indicators in Initial Assessment and Care of Injured Patients in Ghanaian Non-tertiary Hospitals: An Observational Study
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study found that initial trauma assessments at Ghanaian hospitals were well performed, but key evaluations like oxygen saturation were frequently missed.
June 2022
By: Adam Gyedu, Emmanuel Quainoo, Emmanuel Nakua, Peter Donkor, Charles Mock
Factors Associated with Hospital Length of Stay in Patients Admitted with Suspected Malaria in Kenya: Secondary Analysis of a Cross-Sectional Survey
JOURNAL PUBLICATION | Published in BMJ Open, this study evaluates factors influencing hospital length of stay in patients with suspected malaria in Kenya, emphasizing the need for early recognition and severe malaria management.
June 2022
By: Beatrice Machini, Thomas Achia, Hillary Kipruto, Jacqueline Chesang
Host Protease Activity Classifies Pneumonia Etiology
JOURNAL PUBLICATION | This study – published in Immunology and Inflammation – examined a panel of nanosensors that detect the dysregulated activity of pulmonary host proteases implicated in the response to pneumonia-causing pathogens.
June 2022
By: Melodi Anahtar, Leslie W. Chan, Henry Ko, Aditya Rao, Ava P. Soleimany, Purvesh Khatri, Sangeeta N. Bhatia
Indirect Impacts of the COVID-19 Pandemic at Two Tertiary Neonatal Units in Zimbabwe and Malawi: An Interrupted Time Series Analysis
JOURNAL PUBLICATION | Published in BMJ Open, this study analyzes the indirect impacts of COVID-19 on neonatal care in Zimbabwe and Malawi, highlighting changes in patient outcomes and resource availability.
June 2022
By: Simbarashe Chimhuya, Samuel Neal, Gwen Chimhini, Mario Cortina Borja, Caroline Crehan, Deliwe Nkhoma, Tarisai Chiyaka, Emma Wilson, Tim Hull-Bailey, Felicity Fitzgerald, Msandeni Chiume, Michelle Heys
Introducing Pulse Oximetry for Outpatient Management of Childhood Pneumonia: An Implementation Research Adopting a District Implementation Model in Selected Rural Facilities in Bangladesh
JOURNAL PUBLICATION | Published in EClinicalMedicine, this study evaluates the implementation of pulse oximetry in rural Bangladesh to improve the management of childhood pneumonia.
June 2022
By: Ahmed Ehsanur Rahman, Shafiqul Ameen, Sabrina Jabeen, Tamanna Majid, Azim Uddin Afm, Md Ziaul Haque Shaikh, Muhammad Shariful Islam, Md Jahurul Islam, Sabina Ashrafee, Husam Muhammad Shah Alam, Ashfia Saberin, Sabbir Ahmed, Goutom Banik, Anm Ehtesham Kabir, Anisuddin Ahmed, Mohammod Jobayer Chisti, Steve Cunningham, Harish Nair, Shams El Arifeen, Harry Campbell
Learning Resource Package for Medical Oxygen Management
INFORMATION BRIEF | This success story details the need, process, and mechanisms of developing a standardized oxygen ecosystem learning resource package for trainers.
June 2022
By: PATH, Reaching Impact, Saturation, and Epidemic Control (RISE) project
Pulse Oximetry: Self-learning Course
COURSE / TRAINING VIDEO | This course covers pulse oximetry use in the time of COVID-19.
June 2022
By: LifeBox
Decentralizing Oxygen Availability and Use at Primary Care for Children Under-Five with Severe Pneumonia at 12 Health Centers in Ethiopia: A Pre-Post Non-Experimental Study
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study highlights the positive outcomes of decentralizing oxygen services in Ethiopia’s health centers.
May 2022
By: Habtamu Seyoum Tolla, Dinkineh Bikila Woyessa, Rahel Belete Balkew, Yigeremu Abebe Asemere, Zinabie Feleke Fekadu, Alemayehu Berhanu Belete, Martha Gartley, Audrey Battu, Felix Lam, Alebel Yaregal Desale
Paediatric Hospitalisations due to COVID-19 during the First Sars-Cov-2 Omicron (B.1.1.529) Variant Wave in South Africa: A Multicentre Observational Study
JOURNAL PUBLICATION | Published in The Lancet Child and Adolescent Health, the Tshwane Maternal-Child COVID-19 study investigated clinical manifestations and outcomes of pediatric patients in South Africa during the 4th wave of COVID-19.
May 2022
By: Jeané Cloete, Annelet Kruger, Maureen Masha, Dini Mawela, Mphailele Tshukudu, Tabea Manyane, Lekwetji Komane, Marietjie Venter, Waasila Jassat, Ameena Goga, Ute Feucht
Prospective Cohort Study of Referred Malawian Children and their Survival by Hypoxaemia and Hypoglycaemia Status
JOURNAL PUBLICATION | Published in the Bulletin for the World Health Organization, this study investigates survival in children referred from primary care in Malawi, with a focus on hypoglycemia and hypoxemia progression.
May 2022
By: Carina King, Beatiwel Zadutsa, Lumbani Banda, Everlisto Phiri, Eric D. McCollum, Josephine Langton, Nicola Desmond, Shamim Ahmad Qazi, Yasir Bin Nisar, Charles Makwenda, Helena Hildenwall
Pulse Oximetry and Oxygen Services for the Care of Children with Pneumonia Attending Frontline Health Facilities in Lagos, Nigeria (INSPIRING-Lagos): Study Protocol for a Mixed-Methods Evaluation
JOURNAL PUBLICATION | Published in BMJ Open, this evaluation determines whether stabilization rooms equipped with pulse oximetry and oxygen alongside health worker training improves quality of care for children with pneumonia.
May 2022
By: Hamish Graham, Omotayo E. Olojede, Ayobami A. Bakare, Eric D. McCollum, Agnese Iuliano, Adamu Isah, Adams Osebi, Ibrahim Seriki, Tahlil Ahmed, Samy Ahmar, Christine Cassar, Paula Valentine, Temitayo Folorunso Olowookere, Matthew MacCalla, Rochelle Ann Burgess, Tim Colbourn, Carina King, Adegoke G. Falade
Racial and Ethnic Discrepancy in Pulse Oximetry and Delayed Identification of Treatment Eligibility Among Patients With COVID-19
JOURNAL PUBLICATION | Published in JAMA Network, this journal article investigated whether there is differential inaccuracy of pulse oximetry by race or ethnicity among patients with COVID-19.
May 2022
By: Ashraf Fawzy, Tianshi David Wu, Kunbo Wang, Matthew L. Robinson, Jad Farha, Amanda Bradke, Sherita H. Golden, Yanxun Xu, Brian T. Garibaldi
Silent Hypoxia in Coronavirus Disease-2019: Is it More Dangerous? A Retrospective Cohort Study
JOURNAL PUBLICATION | Published in Lung India, this retrospective study looked at the presence of hypoxia without dyspnea in patients with SARS-CoV-2 infection.
May 2022
By: Prashant Sirohiya, Arunmozhimaran Elavarasi, Hari Krishna Raju Sagiraju, Nishkarsh Gupta, Rohit Kumar Garg, Saurav Sekhar Paul, Brajesh Kumar Ratre, Ram Singh, Balbir Kumar, Saurabh Vig, Anuja Pandit, Abhishek Kumar, Rakesh Garg, Ved Prakash Meena, Saurabh Mittal, Saurabh Pahuja, Nupur Das, Tanima Dwivedi, Ritu Gupta, Sunil Kumar, Manisha Pandey, Abhinav Mishra, Karanvir Singh Matharoo, Anant Mohan, Randeep Guleria, Sushma Bhatnagar
WHO Consolidated Guidelines on Tuberculosis. Module 4: Treatment—Drug-Susceptible Tuberculosis Treatment
GUIDANCE | These consolidated guidelines inform health care professionals in Member States on how to improve treatment and care for patients with drug susceptible TB (DS-TB).
May 2022
By: World Health Organization (WHO)
An Evaluation of Severe Anesthetic-Related Critical Incidents and Risks from the South African Paediatric Surgical Outcomes Study: A 14-Day Prospective, Observational Cohort Study of Pediatric Surgical Patients
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study found a significantly higher incidence of severe anesthetic-related critical incidents in South African pediatric surgeries compared to high-income countries.
April 2022
By: Larissa Cronjé, Alexandra Torborg, Heidi Meyer, Anisa Bhettay, Johan Diedericks, Celeste Cilliers, Hyla-Louise Kluyts, Busisiwe Mrara, Mandisa Kalipa, Esther Cloete, Annemie Burke, Palesa Mogane, Christella Alphonsus, Motselisi Mbeki, Jennifer Thomas, Reitze Rodseth, Bruce Biccard
Blindness Secondary to Retinopathy of Prematurity in Sub-Saharan Africa
JOURNAL PUBLICATION | Published in Ophthalmic Epidemiology, this study shows that retinopathy of prematurity (ROP) is becoming a significant and increasing cause of childhood blindness in sub-Saharan Africa.
April 2022
By: Scott Herrod, Adedayo Adio, Scott R. Lambert
COVID-19 Advanced Respiratory Care Educational Training Programme for Healthcare Workers in Lesotho: An Observational Study
JOURNAL PUBLICATION | Published in BMJ Open, this observational study found that a one-day offsite training for respiratory care in Lesotho resulted in significant knowledge improvement among healthcare workers.
April 2022
By: Valerie Osula, Jill Sanders, Tafadzwa Chakare, Lucy Mapota-Masoabi, Makhoase Ranyali-Otubanjo, Bhakti Hansoti, Eric D. McCollum
Clinical Care of Severe Acute Respiratory Infections – Tool kit
REPOSITORY / TOOLKIT | First published in 2020, this toolkit is intended for clinicians working in acute care, managing adult and pediatric patients with acute respiratory infection.
April 2022
By: World Health Organization (WHO)
Hypoxemia Prevalence and Management among Children and Adults presenting to Primary Care Facilities in Uganda: A Prospective Cohort Study
JOURNAL PUBLICATION | Published in PLOS Global Public Health, this study assessed the prevalence and management of hypoxemia at primary care facilities in Uganda.
April 2022
By: Hamish Graham, Yewande Kamuntu, Jasmine Miller, Anna Barrett, Blasio Kunihira, Santa Engol, Lorraine Kabunga, Felix Lam, Charles Olaro, Harriet Ajilong, Freddy Eric Kitutu
Introducing Pulse Oximetry in Routine IMCI Services in Bangladesh: A Context-Driven Approach to Influence Policy and Programme through Stakeholder Engagement
JOURNAL PUBLICATION | Published in Journal of Global Health, this article explores the integration of pulse oximetry into IMCI services in Bangladesh to improve pneumonia management through stakeholder-driven policy and programme development.
April 2022
By: Ahmed Ehsanur Rahman, Sabrina Jabeen, Genevie Fernandes, Goutom Banik, Jahurul Islam, Shafiqul Ameen, Sabina Ashrafee, Husam Muhammad Shah Alam, Tamanna Majid, Ashfia Saberin, Anisuddin Ahmed, Anm Ehtesham Kabir, Mohammod Jobayer Chisti, Sabbir Ahmed, Mahbuba Khan, Tracy Jackson, David H. Dockrell, Harish Nair, Shams El Arifeen, Muhammad Shariful Islam, Harry Campbell
Measuring Coverage and Quality of Supportive Care for Inpatient Neonatal Infections: EN-BIRTH Multi-Country Validation Study
JOURNAL PUBLICATION | Published in Journal of Global Health, this study assesses the coverage and quality of supportive care for neonatal infections across multiple countries, identifying gaps in care and suggesting improvements.
April 2022
By: Shafiqul Ameen, Nahya Salim, K.C. Ashish, Harriet Ruysen, Tazeen Tahsina, Anisuddin Ahmed, Md Hafizur Rahman, Shema Mhajabin, Sabrina Jabeen, Kimberly Peven, Stefanie Kong, Louise Day, Evelyne Assenga, Shamim Ahmad Qazi, Qazi Rahman, Shams El Arifeen, Ahmed Ehsanur Rahman, Joy Lawn
NEST-ED Clinical Module: Pulse Oximeter
GUIDANCE | This NEST-ED Clinical Module has been prepared to help healthcare staff and students understand when and how to use pulse oximeters in newborn care.
April 2022
By: NEST360
Skin Pigmentation Influence on Pulse Oximetry Accuracy: A Systematic Review and Bibliometric Analysis
JOURNAL PUBLICATION | Published in Sensors (Basel, Switzerland), this review aims to study the literature that assesses the influence of skin pigmentation on the accuracy of pulse oximeters.
April 2022
By: Ana M. Cabanas, Macarena Fuentes-Guajardo, Katina Latorre, Pilar Martín-Escudero
Success and Time Implications of SpO2 Measurement through Pulse Oximetry among Hospitalised Children in Rural Bangladesh: Variability by Various Device-, Provider- and Patient-Related Factors
JOURNAL PUBLICATION | Published in Journal of Global Health, this study assessed pulse oximetry performance of different types of assessors in inpatient settings after an update to the existing IMCI package in Bangladesh.
April 2022
By: Ahmed Ehsanur Rahman, Shafiqul Ameen, Sabrina Jabeen, Tamanna Majid, Azim Uddin Afm, Tania Sultana Tanwi, Goutom Banik, Md Ziaul Haque Shaikh, Md Jahurul Islam, Sabina Ashrafee, Husam Muhammad Shah Alam, Ashfia Saberin, Ehtesham Kabir Anm, Sabbir Ahmed, Mahbuba Khan, Anisuddin Ahmed, Qazi Rahman, Mohammod Jobayer Chisti, Steve Cunningham, Muhammad Shariful Islam, David H. Dockrell, Harish Nair, Shams El Arifeen, Harry Campbell
Assessment of Practice and Barriers of Oxygen Therapy in Critically Ill Patients among Nurses: A Survey from University of Gondar Comprehensive Specialized Hospital Northwest, Ethiopia, 2021
JOURNAL PUBLICATION | Published in Annals of Medicine and Surgery, this study found that only 47% of nurses practiced oxygen therapy effectively in critically ill patients, with age and knowledge positively influencing practice.
March 2022
By: Yayeh Adamu Getahun, Yosef Belay Bizuneh, Debas Yaregal Melesse
Evaluation of Science Advice During the COVID-19 Pandemic in Sweden
JOURNAL PUBLICATION | Published in Humanities and Social Sciences Communications, this study evaluates the role of science advice during the COVID-19 pandemic in Sweden..
March 2022
By: Nele Brusselaers, David Steadson, Kelly Bjorklund, Jens Stilhoff Sörensen, Andrew Ewing, Sigurd Bergmann, Gunnar Steineck
Factors Associated with Community Acquired Severe Pneumonia among Under Five Children in Dhaka, Bangladesh: A Case Control Analysis
JOURNAL PUBLICATION | Published in PLoS One, this study assesses risk factors for community-acquired severe pneumonia in children under five in Bangladesh, identifying key factors such as male sex, fever, and severe stunting.
March 2022
By: Sabiha Nasrin, Md Tariqujjaman, Marufa Sultana, Rifat A. Zaman, Shahjahan Ali, Abu S.G. Faruque, Tahmeed Ahmed, Niklaus Gyr, Nur H. Alam
Navigating COVID-19 Clinical Care Pathways Across the Healthcare System: A Practical Guide for Primary Healthcare Workers
GUIDANCE | This document offers a framework that healthcare workers can use to navigate their healthcare system and serves as a guide to connect COVID-19 patients to equitable care, including oxygen therapy.
March 2022
By: FHI 360
Respiratory Equipment Training – How to Clinically Use a Pulse Oximeter
COURSE / TRAINING VIDEO | WHO has developed training videos on use of respiratory equipment, for every step of the process. This training video focuses on how to clinically use pulse oximeters.
March 2022
By: World Health Organization (WHO)
Geo-Information Communication Technology (Geo-ICT) Framework to Prevent Spread of Corona Virus Disease (COVID-19)
JOURNAL PUBLICATION | Published in Journal of Indian Society of Remote Sensing, this study introduces a Geo-ICT framework to curb COVID-19 spread in India, using geo-spatial technologies for real-time data and citizen alerts.
February 2022
By: Lesslie Annamalai, Malarvizhi Arulraj, P.V. Nagamani, G. Jai Shankar
Good Practices in the Rational and Effective Use of Oxygen
GUIDANCE | To promote the rational use of oxygen, a set of guidelines has been put together for the development of an efficient management system to deal with situations of oxygen scarcity.
February 2022
By: Pan American Health Organization (PAHO)
Pulse Oximetry Decision Support Tool for COVID-19
TOOL | Lifebox has worked with its global network of partners to distribute pulse oximeters across 53 countries for the ongoing care of COVID-19 patients as well as developed multi-language educational materials.
February 2022
By: LifeBox
Pulse Oximetry in Primary Care: Factors Affecting Accuracy and Interpretation
JOURNAL PUBLICATION | Published in The British Journal of General Practice, this article discusses the factors that can lead to inaccurate SpO2 readings and its implications for general practitioners and patients.
February 2022
By: Paul Silverston, Marco Ferrari, Valentina Quaresima
Respiratory Care Pocket Reference
TOOL | This pocket reference provides a quick reference on respiratory care, including oxygen sources and delivery devices, respiratory mechanics, volume and pressure control, etc.
February 2022
By: Open Critical Care, University of California, San Francisco, Sustaining Technical and Analytic Resources (STAR) project
How to Design and Implement National Oxygen Roadmaps for Oxygen Scale Up: Case Study from Ethiopia
ARTICLE | In 2016, the Ethiopian Ministry of Health designed and implemented an oxygen and pulse oximetry scale up road map, which resulted in significant improvements in oxygen availability and use.
January 2022
By: Ethiopia Federal Ministry of Health, Clinton Health Access Initiative (CHAI)
Integrated Sustainable Childhood Pneumonia and Infectious Disease Reduction in Nigeria (INSPIRING) through Whole System Strengthening in Jigawa, Nigeria: Study Protocol for a Cluster Randomised Controlled Trial
JOURNAL PUBLICATION | Published in Trials, this protocol describes the INSPIRING trial, which aims to reduce childhood pneumonia and infectious diseases in Jigawa, Nigeria, through system-wide health interventions.
January 2022
By: Carina King, Rochelle Ann Burgess, Ayobami A. Bakare, Funmilayo Shittu, Julius Salako, Damola Bakare, Agnese Iuliano, Adamu Isah, Osebi Adams, Ibrahim Haruna, Abdullahi Magama, Tahlil Ahmed, Samy Ahmar, Christine Cassar, Paula Valentine, Temitayo Folorunso Olowookere, Matthew MacCalla, Hamish Graham, Eric D. McCollum, Adegoke G. Falade, Tim Colbourn
Revised Comprehensive Guidelines for Management of COVID-19 in Children and Adolescents (Below 18 Years)
GUIDANCE | These revised comprehensive guidelines outline the appropriate measures and treatment for the management of COVID-19 in children and adolescents below the age of 18 years.
January 2022
By: India Ministry of Health and Family Welfare
Cambodia Oxygen Preparedness Plan (2022-2025)
GOVERNMENT POLICY / STRATEGY | The objective of this Oxygen Preparedness Plan is to identify and implement priority activities which urgently need to be undertaken to respond to the current COVID-19 outbreak in Cambodia.
December 2021
By: Cambodia Ministry of Health
From Production to Patient: A Roadmap to Strengthen Oxygen Access in Malawi
ARTICLE | PATH partnered with the Malawi Ministry of Health and UNICEF to develop and launch a roadmap to establish and maintain a comprehensive national medical oxygen ecosystem.
December 2021
By: PATH
Malawi’s National Medical Oxygen Ecosystem Roadmap (2021-2026)
GOVERNMENT POLICY / STRATEGY | This oxygen roadmap provides a structured and attainable plan to establish and maintain a comprehensive national medical oxygen ecosystem in Malawi.
December 2021
By: Malawi Ministry of Health and Population, PATH, UNICEF
Management of Pneumonia in Critically Ill Patients
JOURNAL PUBLICATION | Published in BMJ, this article reviews current knowledge on the management of pneumonia in critically ill patients, including community-acquired and hospital-acquired pneumonia.
December 2021
By: Catia Cillóniz, Antoni Torres, Michael S. Niederman
NEST-ED Clinical Modules
GUIDANCE | Newborn Essential Solutions and Technologies-Education (NEST-ED) Clinical Modules provide educational support for each of the technologies included in the NEST360° bundle for newborn care.
December 2021
By: NEST360
Oxygen Saturation Reference Ranges and Factors Affecting SpO2 Among Children Living at Altitude
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study determined reference values for SpO2 among healthy children under five living at moderately high altitude in Papua New Guinea.
December 2021
By: Vanessa Binene, Doreen Panauwe, Rhondi Kauna, Trevor Duke
The Alarm Burden of Excess Continuous Pulse Oximetry Monitoring Among Patients with Bronchiolitis
JOURNAL PUBLICATION | Published in Journal of Hospital Medicine, this study examined continuous pulse oximetry monitoring of hospitalized infants with bronchiolitis who are not receiving supplemental oxygen.
December 2021
By: Irit Rasooly, Spandana Makeneni, Amina Khan, Naveen Muthu, Christopher Bonafide
Characteristics and Predictors for Silent Hypoxemia in a Cohort of Hospitalized COVID-19 Patients
JOURNAL PUBLICATION | Published in Autonomic Neuroscience, this study identifies silent hypoxemia and highlights predictors such as new-onset headache and early medical attention.
November 2021
By: Miguel García-Grimshaw, Erwin Chiquete, Anaclara Michel-Chávez, Alma Poema Vigueras-Hernández, Rogelio Domínguez-Moreno, Oswaldo Alan Chávez-Martínez, Samantha Sánchez-Torres, Osvaldo Alexis Marché-Fernández, Alejandra González-Duarte
Defining Hypoxaemia from Pulse Oximeter Measurements of Oxygen Saturation in Well Children at Low Altitude in Bangladesh: An Observational Study
JOURNAL PUBLICATION | Published in BMJ Open Respiratory Research, this study found that the SpO2 threshold for hypoxemia in well children from Bangladesh was higher than the conventional <90%.
November 2021
By: Eric D. McCollum, Carina King, Salahuddin Ahmed, Arunangshu Roy, Asmd Ashraful Islam, Tim Colbourn, Holly Schuh, Amy Sarah Ginsburg, Shubhada Hooli, Nabidul Chowdhury, Syed Rizvi, Nazma Begum, Abdullah Baqui, William Checkley
Experiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India
JOURNAL PUBLICATION | Published in Clinical Medical Insights: Pediatrics, this study examined the use of multimodal pulse oximeters integrated with routine OPD of primary health centers after an abridged IMNCI training.
November 2021
By: Harish Kumar, Enisha Sarin, Prasant Saboth, Avinash Jaiswal, Nidhi Chaudhary, Jaya Swarup Mohanty, Nitin Bisht, Shailendra Singh Tomar, Anil Gupta, Ranjan Panda, Rachana Patel, Arvind Kumar, Sachin Gupta, Varun Alwadhi
Pulse Oximeter Performance, Racial Inequity, and the Work Ahead
JOURNAL PUBLICATION | This article proposes five priority areas for the research community and actionable changes to current regulations that will help improve oximeter accuracy and help reduce bias in pulse oximeter performance.
November 2021
By: Olubunmi E. Okunlola, Michael S. Lipnick, Paul B. Batchelder, Michael Bernstein, John R. Feiner, Philip E. Bickler
COVID-19 Critical Care Training Forum
COURSE / TRAINING VIDEO | This forum focuses on teaching critical care topics followed by an open discussion for early career professionals and non-ICU trained healthcare providers.
October 2021
By: American Thoracic Society
Changes in the Availability of Medical Oxygen and its Clinical Practice in Ethiopia during a National Scale Up Program: A Time Series Design from Thirty-two Public Hospitals
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study evaluates whether availability of oxygen and its clinical practice in public hospitals of Ethiopia changed during the time of their oxygen roadmap implementation.
October 2021
By: Habtamu Seyoum Tolla, Yigeremu Abebe Asemere, Alebel Yaregal Desale, Dinkineh Bikila Woyessa, Zinabie Feleke Fekadu, Alemayehu Berhanu Belete, Audrey Battu, Felix Lam
Guidebook on Medical Oxygen Management System
GUIDANCE | This guidebook presents a comprehensive view at the entire oxygen ecosystem in Meghalaya, India and will be helpful to various stakeholders in the field.
October 2021
By: Government of Meghalaya, Nishtha, Jhpiego, PATH
National Roadmap to Increase Access to Medical Oxygen in Liberia (2021-2024)
GOVERNMENT POLICY / STRATEGY | This roadmap is intended to guide implementation and coordination of oxygen activities in Liberia, to provide cost estimates for implementation, and to support resource mobilization efforts.
October 2021
By: Liberia Ministry of Health
Surviving Sepsis Campaign Guidelines 2021
GUIDANCE | These updated guidelines place an increased emphasis on improving care for sepsis patients after they are discharged from the ICU and represent greater geographic and gender diversity than previous versions.
October 2021
By: Society of Critical Care Medicine
A Location-Allocation Model for Influenza Pandemic Outbreaks: A Case Study in India
JOURNAL PUBLICATION | Published in Operations Management Research, this study provides guidance on health supply chains during a pandemic by proposing a location-allocation model for the locations of temporary testing laboratories.
September 2021
By: Yashoda Devi, Sabyasachi Patra, Surya Prakash Singh
Essential Emergency and Critical Care: A Consensus among Global Clinical Experts
JOURNAL PUBLICATION | Published in BMJ Global Health, this study aimed to specify the content of EECC and additionally the essential diagnosis-specific care for critically ill patients with COVID-19.
September 2021
By: Carl Otto Schell, Karima Khalid, Alexandra Wharton-Smith, Jacquie Oliwa, Hendry R. Sawe, Nobhojit Roy, Alex Sanga, John C. Marshall, Jamie Rylance, Claudia Hanson, Raphael K. Kayambankadzanja, Lee A. Wallis, Maria Jirwe, Tim Baker
Impact of Pulse Oximetry on Hospital Referral Acceptance in Children under 5 with Severe Pneumonia in Rural Pakistan (District Jamshoro): Protocol for a Cluster Randomised Trial
JOURNAL PUBLICATION | Published in BMJ Open, this trial protocol investigates the role of pulse oximetry in improving hospital referral rates for Pakistani children under 5 with severe pneumonia.
September 2021
By: Fatima Mir, Apsara Ali Nathwani, Suhail Chanar, Arjumand Rizvi, Imran Ahmed, Zahid Ali Memon, Atif Habib, Sajid Soofi, Zulfiqar A. Bhutta
COVID Protocols: Supplemental Oxygen
GUIDANCE | COVIDprotocols.org was launched to create open access adaptable protocols for the management of COVID-19 patients, including in low-resource settings.
August 2021
By: Brigham and Women’s Hospital, Partners in Health, Open Critical Care
Capacity Strengthening of Health Care Service Providers of Charitable Health Facilities
INFORMATION BRIEF | This narrative highlights the successful initiatives to equip 62 CHFs with the knowledge and skills needed to manage existing critical care patients and prepare for future health emergencies.
August 2021
By: PATH
NEST360 Clinical Job Aid: Bistos Pulse Oximeter
TOOL | This clinical job aid from NEST360 provides an overview of a Bistos pulse oximeter, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
NEST360 Clinical Job Aid: LifeBox Pulse Oximeter
TOOL | This clinical job aid from NEST360 provides an overview of a LifeBox pulse oximeter, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
Clinical Presentation, Outcomes and Factors Associated with Mortality: A Prospective Study from Three COVID-19 Referral Care Centres in West Africa
JOURNAL PUBLICATION | Published in International Journal of Infectious Diseases, this study from West Africa found that COVID-19 mortality is influenced by factors like age, gender, and chronic hypertension.
July 2021
By: Marie Jaspard, Mamadou Saliou Sow, Sylvain Juchet, Beatrice Serra, Richard Kojan, Billy Sivahera, Caroline Martin, Moumouni Kinda, Hans-Joerg Lang, Fodé Bangaly Sako, Fodé Amara Traoré, Eudoxie Koumbem, Halidou Tinto, Adama Sanou, Apoline Sondo, Flavien Kaboré, Joseph Donamou, Jean-Paul-Yassa Guilavogui, Fanny Velardo, Brice Bicaba, Olivier Marcy, Augustin Augier, Sani Sayadi, Armel Poda, Sakoba Keita, Xavier Anglaret, Denis Malvy
Consolidated Guidelines on HIV Prevention, Testing, Treatment, Service Delivery, and Monitoring: Recommendations for a Public Health Approach
GUIDANCE | These consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring bring together existing and new clinical and programmatic recommendations across different ages, populations and settings.
July 2021
By: World Health Organization (WHO)
Oxygen Systems and Quality of Care for Children with Pneumonia, Malaria, and Diarrhea: Analysis of a Stepped-wedge Trial in Nigeria
JOURNAL PUBLICATION | Published in PLOS One, this study evaluates the effect of improved hospital oxygen systems on quality of care for children with severe pneumonia, severe malaria, and diarrhea with severe dehydration.
July 2021
By: Hamish Graham, Jaclyn Maher, Ayobami A. Bakare, Cattram D. Nguyen, Adejumoke I. Ayede, Oladapo B. Oyewole, Amy Gray, Rasa Izadnegahdar, Trevor Duke, Adegoke G. Falade
Performance of Five Pulse Oximeters to Detect Hypoxemia as an indicator of Severe Illness in Children under Five by Frontline Health Workers in Low-resource Settings – A Prospective, Multicenter, Single-blinded, Trial in Cambodia, Ethiopia, South Sudan, and Uganda
JOURNAL PUBLICATION | Published in eClinical Medicine, this study evaluated the performance of different types of pulse oximeters amongst frontline health workers in Cambodia, Ethiopia, South Sudan, and Uganda.
July 2021
By: Kevin Baker, Max Petzold, Akasiima Mucunguzi, Alexandra Wharton-Smith, Emily Dantzer, Tedila Habte, Lena Matata, Diana Nanyumba, Morris Okwir, Monica Posada, Anteneh Sebsibe, Jill Nicholson, Madeleine Marasciulo, Rasa Izadnegahdar, Tobias Alfvén
Rationalising Oxygen Usage in a Level II Special Newborn Care Unit in Madhya Pradesh, India
JOURNAL PUBLICATION | Published in BMJ Open Quality, this study reduced oxygen consumption in the special newborn care units from 8 to 4 cylinders per day, by rationalizing indications, monitoring, and delivery method.
July 2021
By: Jaiprakash Parmar, Vandana Pawar, Aarti Warathe, Rajashree Bajaj, Jogender Kumar, Anu Thukral, Deepak Chawla, Praveen Kumar, Ashok Deorari
Adult Oxygen Therapy Escalation Algorithm
TOOL | This document, featuring an algorithm to assess adult oxygen therapy escalation, is part of a set of tools that can be locally modified to train health providers in respiratory care.
June 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Neonatal Oxygen Therapy Escalation Algorithm
TOOL | This document, featuring an algorithm to assess neonatal oxygen therapy escalation, is part of a set of tools that can be locally modified to train health providers in respiratory care.
June 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Oxygen Therapy Escalation Algorithm
TOOL | This document, featuring an algorithm to assess oxygen therapy escalation, is part of a set of tools that can be locally modified to train health providers in respiratory care.
June 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Pediatric Oxygen Therapy Escalation Algorithm
TOOL | This document, featuring an algorithm to assess pediatric oxygen therapy escalation, is part of a set of tools that can be locally modified to train health providers in respiratory care.
June 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Pulse Oximetry is an Essential Tool that Saves Lives: A Call for Standardisation
JOURNAL PUBLICATION | The members of Pneumo-Strategy Group support the call to stringent regulatory agencies to immediately review the accuracy of pulse oximeters in different populations.
June 2021
By: Catia Cillóniz, Anita Simonds, Kjeld Hansen, Heather J. Zar, Yoichi Nakanishi, Stephanie Levine, Mark Cohen, Scott E. Evans, Maurizio Sanguinetti, Jordi Vila, Jesús Díez Manglano, Ricard Ferrer, Lucio Criado, José Polo García, Zaira Correcher, Diana Rodriguez-Hurtado, Carmen Terrazas, Carmen Muñoz-Almagro, Carolina Garcia-Vidal, Zeina Aoun, Israel Amirav
A COASTal View: Where Prior Beliefs and Uncertainty Collide
JOURNAL PUBLICATION | Published in Intensive Care Medicine, the COAST trial, conducted in Uganda and Kenya, compared humidified HFNT and standard low-flow nasal oxygen in children with severe hypoxemia.
May 2021
By: Mark Peters, William Macharia, Elizabeth Molyneux
Neonatal Mortality in Rural Northern Ghana and the Three Delays Model: Are We Focusing on the Right Delays?
JOURNAL PUBLICATION | Published in Tropical Medicine & International Health, this study evaluates neonatal mortality in rural northern Ghana, applying the Three Delays Model to understand contributing factors.
May 2021
By: Elizabeth Kaselitz, Brian Cunningham-Rhoads, Raymond Aborigo, John Williams, Katherine James, Cheryl Moyer
The Invention of Hypoxia
JOURNAL PUBLICATION | Published in the Journal of Applied Physiology, this review examined, through multiple databases, the first appearance of “hypoxia” and related terms “hypoxemia” and “hypoxybiosis” in scientific literature.
May 2021
By: Jean-Paul Richalet
The Use of Pulse Oximeter by Public & Healthcare Providers in the Community for Suspected and Confirmed COVID-19 Cases
GUIDANCE | This is a guidance document to support the use of pulse oximeter for assessment of suspected and confirmed cases of COVID-19 in the community.
May 2021
By: Africa Centres for Disease Control and Prevention (CDC)
Usability and Acceptability of a Multimodal Respiratory Rate and Pulse Oximeter Device in Case Management of Children with Symptoms of Pneumonia: A Cross‐Sectional Study in Ethiopia
JOURNAL PUBLICATION | Published in Acta Paediatrica, this study identifies whether Ethiopia’s health extension workers adhere to required guidelines while assessing children under 5 with cough or difficulty breathing.
May 2021
By: Kevin Baker, Charlotte Ward, Alice Maurel, Helen Smith, Dawit Getachew, Tedila Habte, Cindy McWhorter, Paul LaBarre, Jonas Karlstrom, Agazi Ameha, Abraham Tariku, Quique Bassat, Karin Källander
An Audit of Oxygen Supplementation in a Large Tertiary Hospital – We Should Treat Oxygen as Any Other Drug (USA)
JOURNAL PUBLICATION | Published in Hospital Practice, this study found that oxygen therapy in a tertiary hospital was often administered without proper orders, leading to widespread hyperoxia and potential patient harm.
April 2021
By: Neil Devoe, Periklis Kyriazis, Ahmed Eltanbedawi, Anisha Contractor, Anthony Esposito, Muhammad Khan, Joseph Daniel, Mihaela Stefan
NEST-ED Technical Module: Pulse Oximeter
GUIDANCE | The NEST-ED Technical Modules help technical staff and students understand the basics of when and how to use equipment essential to newborn care, such as pulse oximeters.
April 2021
By: NEST360
Oxygen in the First Minutes of Life in Very Preterm Infants
JOURNAL PUBLICATION | Published in Neonatology, this review looked at FiO2 and how it should be changed to reach an optimal SpO2 measured by pulse oximetry target within the first 5-10 min of...
April 2021
By: Ola Didrik Saugstad, Vishal Kapadia, Ju Lee Oei
PIH Technical Toolkit: Building Resilient Oxygen Systems
TOOL | This tool is meant to support the strengthening of oxygen ecosystems, including infrastructure design and maintenance, supply chain, training and ongoing mentorship, and clinical guideline development.
April 2021
By: Partners in Health, Build Health International, Jim Ansara, Frances Cherestal, Noah Hudelson, Forrest Shroyer, Paul Sonenthal
NEST-ED Clinical Module: Oxygen Therapy
GUIDANCE | This NEST-ED Clinical Module has been prepared to help healthcare staff and students understand when and how to use oxygen therapy in newborn care.
March 2021
By: NEST360
Happy Hypoxia in COVID-19 Patients at Kinshasa University Hospital (Democratic Republic of the Congo): Frequency and Vital Outcome
JOURNAL PUBLICATION | Published in Journal of Biosciences and Medicines, this article explores the occurrence of “happy hypoxia” in COVID-19 patients in Kinshasa, highlighting the importance of early detection.
February 2021
By: Ben Bepouka, Hippolyte Situakibanza, Ossam Odio, Madone Mandina, Murielle Longokolo, Nadine Mayasi, Kazadi Mutombo, Tresor Pata, Godelive Nsangana, Felly Tshikangu, Donatien Mangala, Dupont Maheshe, Christine Namasale, Serge Nkarnkwin, Jonathan Muamba, Gorby Ndaie, Rodrigue Ngwizani, Hervé Mole, Gabriel Makeya, Tharcisse Mabiala, Patrick Mukuna, Roger Kabango, Patricia Kabuni, Yves Yanga, Aliocha Nkodila, Hervé Keke, Nice Musangu, Papy Tshimanga, Yamin Kokusa, Bertin Nsitwayizatadi, Eric Mukenge, Guyguy Kamwiziku, Gabriel Mbunsu, Jean Claude Makangara, Marcel Mbula, Jean Marie Kayembe
COVID-19 Guidelines Dashboard
GUIDANCE | This resource aggregates guidelines for COVID-19 care from leading global health authorities and consolidates them into a single recommendation based on concordance.
January 2021
By: University of California, San Francisco, NEJM Group, Open Critical Care
Clinical Management of COVID-19
GUIDANCE | This manual is intended for healthcare providers in Malawi to identify and provide appropriate care for patients with acute respiratory infection when COVID-19 is suspected.
January 2021
By: Public Health Institute of Malawi
A Proposal to Make the Pulse Oximetry as Omnipresent as Thermometry in Public Health Care Systems
JOURNAL PUBLICATION | Published in Journal of Global Health, this article highlights the importance of pulse oximetry in detecting “silent hypoxemia” and managing COVID-19 patients outside hospital settings.
December 2020
By: Arvinder Singh, Sushila Kataria, Payal Das, Amit Sharma
COVID Protocols: Oxygen Care
GUIDANCE | This COVIDprotocols.org section on oxygen care outlines treatment options in patients, both invasive and noninvasive ventilation.
December 2020
By: Brigham and Women’s Hospital, Partners in Health, Open Critical Care
COVIDProtocols v2.0
GUIDANCE | COVIDprotocols.org was launched to create open access adaptable protocols for the management of COVID-19 patients, including guidelines focused on COVID-19 care in resource-limited settings.
December 2020
By: Brigham and Women’s Hospital, Partners in Health, Open Critical Care
Improving Hospital Oxygen Systems for COVID-19 in Low-resource Settings: Lessons From the Field
JOURNAL PUBLICATION | As highlighted in this Global Health: Science and Practice article, field experience from African and Asia-Pacific contexts reveal practical strategies whereby hospitals can rapidly improve their oxygen systems.
December 2020
By: Hamish Graham, Sheillah M. Bagayana, Ayobami A. Bakare, Bernard Olayo, Stefan S. Peterson, Trevor Duke, Adegoke G. Falade
National Guidelines on Use of Oxygen Therapy for Management of Newborn and Paediatric Hypoxemia
GUIDANCE | This guideline is focused on improving the quality of care for severely ill children – describing detection of hypoxemia, use of pulse oximetry, oxygen delivery system, etc.
December 2020
By: Anm Ehtesham Kabir, Sharmin Afroze
Oxygen Saturation Thresholds in Bronchiolitis: Examining Admissions
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study examines admissions for bronchiolitis, comparing centers in the U.K. with oxygen saturation thresholds for admission of 90% versus 92%.
December 2020
By: Tim J. van Hasselt, Bhavna Singham, Eve Bassett, Ian D. Wacogne
Oxygen Use in Low-Resource Settings: An Intervention Still Triggered by Intuition
JOURNAL PUBLICATION | Published in Resuscitation Plus, this study examined the variables associated with the decision to provide supplemental oxygen made by emergency department staff, without access to oximetry, in a Ugandan hospital.
December 2020
By: Lucien Wasingya-Kasereka, Pauline Nabatanzi, Immaculate Nakitende, Teopista Namujwiga, John Kellett
Racial Bias in Pulse Oximetry Measurement
JOURNAL PUBLICATION | This study analyzed paired pulse oximetry measures of oxygen saturation and measures of arterial oxygen saturation and compared the results to patients who identified themselves as White or Black.
December 2020
By: Michael W. Sjoding, Robert P. Dickson, Theodore J. Iwashyna, Steven E. Gay, Thomas S. Valley
Lao PDR’s Experience Managing COVID-19
ARTICLE | This presentation outlines Lao PDR’s COVID-19 response, focusing on data systems for case tracking, hospital capacity management, and the use of technology to monitor oxygen availability.
November 2020
By: Lao PDR Ministry of Health, Rattanaxay Phetsouvanh
The Impact of Pulse Oximetry and Integrated Management of Childhood Illness (IMCI) Training on Antibiotic Prescribing Practices in Rural Malawi: A Mixed-Methods Study
JOURNAL PUBLICATION | Published in PLoS One, this study assesses the impact of portable pulse oximeters and IMCI continued education on the diagnosis and treatment of fever among pediatric patients in rural Malawi.
November 2020
By: Fiona Sylvies, Lucy Nyirenda, Alden Blair, Kimberly Baltzell
NEST360 Resources
GUIDANCE | This collection of resources provides an evidence-based model for sustainable, high-quality hospital-based newborn care in limited-resource settings, including respiratory care and oxygen therapy.
October 2020
By: NEST360
Predictive Value of Pulse Oximetry for Mortality in Infants and Children Presenting to Primary Care with Clinical Pneumonia in Rural Malawi: A Data Linkage Study
JOURNAL PUBLICATION | Published in PLOS Med, this study determined mortality outcomes of infants and children diagnosed and referred using clinical guidelines with or without pulse oximetry in Malawi.
October 2020
By: Tim Colbourn, Carina King, James Beard, Tambosi Phiri, Malizani Mdala, Beatiwel Zadutsa, Charles Makwenda, Anthony Costello, Norman Lufesi, Charles Mwansambo, Bejoy Nambiar, Shubhada Hooli, Neil French, Naor Bar Zeev, Shamim Ahmad Qazi, Eric D. McCollum
What Does Severe Acute Respiratory Syndrome Coronavirus 2 Mean for Global Pneumonia Prevention, Diagnosis, and Treatment?
JOURNAL PUBLICATION | As highlighted in this CHEST Journal article, the COVID-19 pandemic has revealed just how unprepared most countries have been to deal with widescale, rapidly increasing outbreaks of viral pneumonia.
October 2020
By: Shally Awasthi, Harry Campbell, Charles S. Dela Cruz, Hamish Graham, Leith Greenslade, Fyezah Jehan, Heather J. Zar
COVID-19 and the Oxygen Bottleneck
JOURNAL PUBLICATION | This article in the Bulletin of the World Health Organization outlines key gaps and challenges around providing medical oxygen to patients who need it.
September 2020
By: Tatum Anderson
Newborn Signal Functions in Bangladesh: Identification through Expert Consultation and Assessment of Readiness among Public Health Facilities-Study Protocol Using Delphi Technique
JOURNAL PUBLICATION | Published in BMJ Open, this study, a first of its kind, will identify newborn signal functions in Bangladesh on which newborn service availability at a health facility can be assessed.
September 2020
By: Ahmed Ehsanur Rahman, Goutom Banik, Shema Mhajabin, Tazeen Tahsina, Md Jahurul Islam, Farid Uddin Ahmed, Mushair Ul Islam, Md Abdul Mannan, Sanjoy Kumer Dey, Shamina Sharmin, Fida Mehran, Mahbuba Khan, Anisuddin Ahmed, Ahmed Al Sabir, Shahin Sultana, Ziaul Ahsan, Sayed Rubayet, Joby George, Afsana Karim, Mohammod Shahidullah, Shams El Arifeen
PIH Guide COVID-19 Part II: Clinical Management of COVID-19
GUIDANCE | This document describes the procedures for ensuring health facilities are properly equipped to manage patient care during the COVID-19 pandemic.
September 2020
By: Stop COVID, Partners in Health
COVID-19 Catalog of Training Resources for Healthcare Workers
REPOSITORY / TOOLKIT | This catalogue provides a comprehensive list of training resources aimed to better equip healthcare workers in LMICs who are directly involved in patient care to address the COVID-19 pandemic.
August 2020
By: PATH
Clinical Management Guidelines for COVID-19 Acute Respiratory Disease
GUIDANCE | This guidance document provides key information on the clinical management of COVID-19 acute respiratory disease, including case definition, modes of transmission, and diagnosis, and treatment protocols.
August 2020
By: Myanmar Ministry of Health and Sports
Emergency Care of COVID-19 in Adults in Low-resource Settings
GUIDANCE | The purpose of this document is to provide clinical guidance to clinicians working in a low-resource setting during the COVID-19 pandemic.
August 2020
By: African Federation for Emergency Medicine (AFEM)
Home Care for Patients with Suspected or Confirmed COVID-19 and Management of Their Contacts
GUIDANCE | Published by the World Health Organization, this guidance document provides recommendations for safe home care of COVID-19 patients with mild symptoms and management of their contacts.
August 2020
By: World Health Organization (WHO)
Current Concepts in Community and Ventilator-associated Lower Respiratory Tract Infections in ICU Patients
JOURNAL PUBLICATION | This article in the journal Antibiotics talks about patients with pneumonia and other respiratory diseases in hospital settings.
July 2020
By: Ignacio Martin-Loeches
Ending Preventable Newborn Deaths and Stillbirths by 2030
REPORT | The Every Newborn Action Plans provides a roadmap to end preventable newborn mortality, reduce disability, and end preventable stillbirths by 2030.
July 2020
By: UNICEF
Respiratory Therapy Pocket Reference
TOOL | This card provides a summary tool on respiratory therapy, but is not a substitute for clinical decision making based on the medical condition presented.
July 2020
By: Zuckerberg San Francisco General, University of California, San Francisco
Use of Chest Imaging in COVID-19: A Rapid Advice Guide
GUIDANCE | This rapid advice guide examines the evidence and makes recommendations for the use of chest imaging in acute care of adult patients with suspected, probable, or confirmed COVID-19.
July 2020
By: World Health Organization (WHO)
WHO & CED COVID-19 Critical Topic Webinars
PRESENTATION / WEBINAR | WHO and IFMBE Clinical Engineering Division partnered to host a series of COVID-19 Critical Topic 1-hour webinars during May 2020.
July 2020
By: IFMBE Clinical Engineering Division, World Health Organization (WHO)
Association between Hypoxemia and Mortality in Patients with COVID-19
JOURNAL PUBLICATION | Published in Mayo Clinic Proceedings, this study aimed to identify markers associated with in-hospital death in patients with coronavirus disease 2019 (COVID-19)-associated pneumonia in Wuhan, China.
June 2020
By: Jiang Xie, Naima Covassin, Zhengyang Fan, Prachi Singh, Wei Gao, Guangxi Li, Tomas Kara, Virend K. Somers
Community and Caregivers’ Perceptions of Pneumonia and Care‐Seeking Experiences in Nigeria: A Qualitative Study
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study found caregiver and community perceptions of pneumonia in Nigeria are influenced by limited knowledge of symptoms, family dynamics, and cost barriers.
June 2020
By: Ayobami A. Bakare, Hamish Graham, Imaria Agwai, Funmilayo Shittu, Carina King, Tim Colbourn, Agnese Iuliano, Zeus Aranda, Eric D. McCollum, Adamu Isah, Solomon Bahiru, Paula Valentine, Adegoke G. Falade, Rochelle Ann Burgess
Implementation Guide for Non-COVID-19 Essential Services in Ethiopia During COVID-19 Pandemic
GOVERNMENT POLICY / STRATEGY | The purpose of this document is to re-commence and maintain non-COVID-19 essential services, which were halted during the COVID-19 epidemic response in health facilities, across Ethiopia.
June 2020
By: Ethiopia Federal Ministry of Health
Improved Oxygen Systems at Hospitals in Three Nigerian states: An Implementation Research Study
JOURNAL PUBLICATION | Published in Pediatric Pulmonology, this article discusses the implementation of improved oxygen systems in Nigerian hospitals and their impact on reducing child mortality due to pneumonia.
June 2020
By: Chizoba Fashanu, Tinsae Mekonnen, Joseph Amedu, Adebimpe Adebiyi, Oluseyi Omokere, Tayo Olaleye, Martha Gartley, Seyi Gansallo, Funsho Lewu, Abraham Okita, Mahmud Musa, Ashiru Abubakar, Tolulope Ojo, Amina Ja’afar, Adebayo Abdulateef Ekundayo, Mohammed Lawal Abubakar, Kate Schroder, Audrey Battu, Owens Wiwa, Jason Houdek, Felix Lam
NHM Guidance Note on India COVID-19 Emergency Response and Health Systems Preparedness Package
GOVERNMENT POLICY / STRATEGY | This document provides the framework for preparation and implementation of the Emergency COVID Response Plan (ECRP) with details of activities necessary for effective emergency response across India.
June 2020
By: India Ministry of Health and Family Welfare
Preparing Hospitals in India for COVID-19 Pandemic
JOURNAL PUBLICATION | Published in International Journal of Pharmaceutical Sciences and Research, this article describes COVID-19 response strategies that were developed and adopted by a large, multispecialty hospital in India.
June 2020
By: Sameer Jog, Dhananjay Kelkar, Madhav Bhat, Sampada Patwardhan, Purushotham Godavarthy, Ujwal Dhundi, Harshwardhan Pawar, Prasad Rajhans, Balasaheb Pawar, Vishnudas Telbhare, Gouri Ranade, Vaibhavi Upadhye, Parikshit Prayag, Bharat Purandare, Sukrut Purandare, Rajesh Bhavsar
Pulse Oximeter with Integrated Management of Childhood Illness for Diagnosis of Severe Childhood Pneumonia at Rural Health Institutions in Southern Ethiopia: Results from a Cluster-Randomised Controlled Trial
JOURNAL PUBLICATION | Published in BMJ Open, this study aimed to assess whether pulse oximetry improves health workers’ performance in diagnosing severe childhood pneumonia at health centres in Southern Ethiopia.
June 2020
By: Solomon H. Tesfaye, Yabibal Gebeyehu, Eskindir Loha, Kjell Arne Johansson, Bernt Lindtjørn
Reporting the Management of COVID-19 Threat in India Using Remote Sensing and GIS-based Approach
JOURNAL PUBLICATION | Published in Geocarto International, this article reports a COVID-19 management strategy from India, using an integrated satellite remote sensing, GIS, and local knowledge-based approach.
June 2020
By: Shruti Kanga, Sudhanshu, Gowhar Meraj, Mahendrea Singh Nathawat, Suraj Kumar Singh
COVID-19 Clinical Case Management Manual
GUIDANCE | This case management manual is intended to guide clinical care of patients with COVID-19 in Malawi. It is the first edition.
May 2020
By: Malawi Ministry of Health and Population
COVID-19 Clinical Guidance: Oxygen Therapy
GUIDANCE | This tutorial provides a quick reference on the clinical signs of severe COVID-19, when to give oxygen, which methods can be used, and other considerations related to its delivery.
May 2020
By: African Federation for Emergency Medicine (AFEM)
COVID-19 Rapid Review for the Emergency Care
GUIDANCE | The purpose of this review is to present COVID-19-related questions in emergency medicine as pertains to the South African context.
May 2020
By: Emergency Medicine Cape Town (EMCT), African Federation for Emergency Medicine (AFEM)
Clinical Use of Oxygen: Training Package v2.0
REPOSITORY / TOOLKIT | This set of resources includes various oxygen and pulse oximetry trainings and tools collated by Dr. Hamish Graham.
May 2020
By: Hamish Graham
Guidelines for Quarantine Facilities COVID-19
GUIDANCE | The purpose of this document is to provide guidelines for setting up of quarantine facilities during the COVID-19 pandemic.
May 2020
By: India Ministry of Health and Family Welfare
Guidelines for Setting up Isolation Facilities/Ward
GUIDANCE | The document provides guidelines for setting up isolation facilities for COVID-19 patients at district hospitals in India.
May 2020
By: India Ministry of Health and Family Welfare
Guidelines on Clinical Management of Severe Acute Respiratory Illness (SARI) in Suspect/Confirmed Novel Coronavirus (nCOV) Cases
GUIDANCE | This document provides clinicians with updated interim guidance on timely, effective, and safe supportive management of patients with COVID-19 and severe acute respiratory infection.
May 2020
By: India Ministry of Health and Family Welfare
Intensification of Case Investigation, Contact Tracing, Reporting and Deployment of COVID-19 Special Team/s for Urgent Response to Stop COVID-19 Transmission
GUIDANCE | Published by the Department of Health, Philippines, this document outlines urgent measures to enhance case investigation and contact tracing, including the formation of COVID-19 Special Teams for regional response.
May 2020
By: Philippines Department of Health
Interim Guidelines on Management of COVID-19 in Kenya
GUIDANCE | These interim guidelines and protocols for SARS-CoV-2 and COVID-19 combine both preventive and clinical management of the disease in the Kenyan context.
May 2020
By: Kenya Ministry of Health
Oxygen Sources and Delivery Devices
PRESENTATION / WEBINAR | This presentation provides an introduction to oxygen delivery devices, including general terminology, high-flow vs. low-flow, the various oxygen sources, consumption tracking, delivery devices, and more.
May 2020
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Survive and Thrive: Transforming Care for Every Small and Sick Newborn
REPORT | This joint report focuses on the world’s most vulnerable: outlines the global problem, emphasizes progress made, and summarizes what can be done to transform care for small and sick newborns.
May 2020
By: UNICEF, World Health Organization (WHO)
African Federation for Emergency Medicine COVID-19 Palliative Care Guideline
GUIDANCE | This document aims to provide clinical guidance on palliative care during the COVID-19 pandemic, specifically for use in low-resource settings.
April 2020
By: African Federation for Emergency Medicine (AFEM)
Consensus Guidelines for Managing the Airway in Children with COVID-19
GUIDANCE | This consensus statement provides clarity on airway management for COVID-19 patients and where that guidance differs for pediatric patients.
April 2020
By: Association of Anesthetists, Difficult Airway Society, Association of Pediatric Anesthetists
How to Use the LifeBox Pulse Oximeter
COURSE / TRAINING VIDEO | This is an instructional video to show the use of a LifeBox pulse oximeter in the context of the COVID-19 pandemic.
April 2020
By: LifeBox
Managing COVID-19 in Resource-limited Settings: Critical Care Considerations
JOURNAL PUBLICATION | From an urgent and pragmatic perspective, this article published in BMC Critical Care suggests creative uses of existing resources and repurposing others for human medical care.
April 2020
By: Wen Ting Siow, Mei Fong Liew, Babu Raja Shrestha, Faisal Muchtar, Kay Choong See
Neonatal Oxygen Therapy in Low- and Middle-Income Countries: A Pragmatic Review
JOURNAL PUBLICATION | Published in Early Human Development, this article outlines the history and future of Cochrane Neonatal, highlighting its role in shaping evidence-based neonatal care through systematic reviews that influence global guidelines.
April 2020
By: Roger Soll, Colleen Ovelman, William McGuire
Oxygen Insecurity and Mortality in Resource-Constrained Healthcare Facilities in Rural Kenya
JOURNAL PUBLICATION | Published in Pediatric Pulmonology, this study assesses availability of therapeutic oxygen, reliability of the electrical supply, and effects of suboptimal oxygen delivery on patient outcomes in rural Kenya.
April 2020
By: Dickson Otiangala, Nicholas Agai, Bernard Olayo, Steve Adudans, Chin Hei Ng, Ryan Calderon, Ella Forgie, Christine Bachman, Daniel Lieberman, David Bell, Michael Hawkes, Akos Somoskovi
Oxygen Therapy in Maternity
TOOL | This video provides a brief overview of when oxygen therapy may be necessary in maternity care.
April 2020
By: Leeds Teaching Hospitals NHS Trust
Oxygen Therapy with Limited Resources: COVID-19 Severe Acute Respiratory Infection (SARI) and Pneumonia
GUIDANCE | This brief provides information on how to manage oxygen therapy in low-resource settings for severe acute respiratory infection and pneumonia in the context of COVID-19.
April 2020
By: Australasian College for Emergency Medicine, World Federation of Societies of Anaesthesiologists (WFSA)
Use of a Pulse Oximeter in the COVID-19 Pandemic
COURSE / TRAINING VIDEO | This instructional video demonstrates how to use a pulse oximeter in the COVID-19 pandemic.
April 2020
By: LifeBox
Using Pulse Oximetry for Decision Support for COVID-19
TOOL | This flowchart lays out use of pulse oximetry in the decision-making process for COVID-19 treatment with oxygen therapy.
April 2020
By: LifeBox, World Health Organization (WHO)
A Nationwide Survey on the Use of Heated Humidified High Flow Oxygen Therapy on the Paediatric Wards in the UK: Current Practice and Research Priorities
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study describes current practice related to the use of HHFNC on pediatric wards and high dependency units, weaning practices, and preferred outcome measures.
March 2020
By: Osama Hosheh, Christopher Edwards, Padmanabhan Ramnarayan
COVID-19 Airway Management Principles
GUIDANCE | This guidance highlights proper airway management of patients suspected or confirmed to have COVID-19.
March 2020
By: Association of Anesthetists, Difficult Airway Society, Association of Pediatric Anesthetists
Guidelines on the Management of Pediatric Patients During COVID-19 Pandemic
GUIDANCE | This guidance seeks to advise health workers in the pediatric arena during the COVID-19 outbreak in Kenya.
March 2020
By: Kenya Ministry of Health, Kenya Pediatric Association, Keprecon, Save the Children
Liberal or Conservative Oxygen Therapy for Acute Respiratory Distress Syndrome
JOURNAL PUBLICATION | Published in the New England Journal of Medicine, this study assessed whether targeting the lower limit of the Pao2 range would improve outcomes in patients with ARDS.
March 2020
By: Loic Barrot, Pierre Asfar, Frederic Mauny, Hadrien Winiszewski, Florent Montini, Julio Badie, Jean-Pierre Quenot, Sebastien Pili-Floury, Belaid Bouhemad, Guillaume Louis, Bertrand Souweine, Olivier Collange, Julien Pottecher, Bruno Levy, Marc Puyraveau, Lucie Vettoretti, Jean-Michel Constantin, Gilles Capellier
National Preparedness and Response Plan for COVID-19 Bangladesh
GOVERNMENT POLICY / STRATEGY | The goal of this plan is prevention and control of COVID-19 in Bangladesh to reduce impact on the health, wellbeing, and the economy of the country.
March 2020
By: Bangladesh Ministry of Health
Revised Guidelines on Clinical Management of COVID-19
GUIDANCE | This document is intended for clinicians taking care of hospitalized adult and pediatric patients of COVID-19 in India.
March 2020
By: India Ministry of Health and Family Welfare
The Epidemiology of Hypoxemic Pneumonia among Young Infants in Malawi
JOURNAL PUBLICATION | Published in the American Journal of Tropical Medicine and Hygiene, this retrospective analysis of a prospective cohort study investigates infants participating in pneumonia surveillance in Malawi.
March 2020
By: Shubhada Hooli, Carina King, Beatiwel Zadutsa, Bejoy Nambiar, Charles Makwenda, Gibson Masache, Norman Lufesi, Charles Mwansambo, Lucas Malla, Anthony Costello, Tim Colbourn, Eric D. McCollum
WHO Video on Giving Oxygen to Children
COURSE / TRAINING VIDEO | The World Health Organization developed a series of videos in the 1990s on how to give oxygen to children in low- and middle-income countries.
March 2020
By: World Health Organization (WHO)
Evaluation of Hypoxemia Among Patients Admitted to a Tertiary Referral Hospital in Western Kenya
JOURNAL PUBLICATION | Published in American Journal of Respiratory and Critical Care Medicine, this study assesses hypoxemia in Western Kenya, identifying key factors and suggesting improvements.
February 2020
By: Neelima Navuluri, Loretta G. Que, David M. Murdoch, Nathan M. Thielman, Neil R. MacIntyre, Jerry Krishnan, David K. Lagat, Peter S. Kussin
Providing Oxygen to Children in Hospitals: A Realist Review
JOURNAL PUBLICATION | This study highlighted in the Bulletin of the World Health Organization aims to identify and describe interventions to improve oxygen therapy in hospitals in low-resource settings.
February 2020
By: Hamish Graham, Shidan Tosif, Amy Gray, Shamim Ahmad Qazi, Harry Campbell, David Peel, Barbara McPake, Trevor Duke
WHO Clinical Care Severe Acute Respiratory Infection Training
COURSE / TRAINING VIDEO | This course is intended for clinicians who are working in intensive care units in LMICs and managing adult and pediatric patients with severe forms of acute respiratory infection.
February 2020
By: World Health Organization (WHO)
Every Child’s Right to Survive: A 2020 Agenda to End Pneumonia Deaths
REPORT | This brief report presents the causes of pneumonia, the ways to prevent and treat it, and the resources needed to end pneumonia-related deaths.
January 2020
By: UNICEF, Save the Children, Every Breath Counts (EBC) coalition
Oxygen Therapy for Children: A Key Tool in Reducing Deaths from Pneumonia
JOURNAL PUBLICATION | This commentary in Pediatric Pulmonology explores the oxygen gap, using Nigeria as an illustrative case study in improving oxygen access, and concluding with key actions for policy and practice.
January 2020
By: Hamish Graham, Ayobami A. Bakare, Chizoba Fashanu, Owens Wiwa, Trevor Duke, Adegoke G. Falade
Variability in the Use of Pulse Oximeters with Children in Kenyan Hospitals
JOURNAL PUBLICATION | Published in PLoS Medicine, this study explored when and which pulse oximeters are used for children in Kenyan hospitals, how its use impacts treatment provision, and the barriers to use.
December 2019
By: Mike English, Gerald McGivern, Sasha Shepperd
WHO Trauma and Emergency Surgery Kit
REPOSITORY / TOOLKIT | WHO trauma and emergency surgery kit provides materials and drugs to meet the needs of 50 patients requiring surgical care in emergency situations, assuming two operations per patient.
December 2019
By: World Health Organization (WHO)
Oxygen Systems to Improve Clinical Care and Outcomes for Children and Neonates: A Stepped-Wedge Cluster-Randomized Trial in Nigeria
JOURNAL PUBLICATION | This paper from PLOS Medicine reports the effects of an improved oxygen system on mortality and clinical practices in 12 general, pediatric, and maternity hospitals in southwest Nigeria.
November 2019
By: Hamish Graham, Ayobami A. Bakare, Adejumoke I. Ayede, Amy Gray, Barbara McPake, David Peel, Olatayo Olatinwo, Oladapo B. Oyewole, Eleanor Neal, Cattram D. Nguyen, Shamim Ahmad Qazi, Rasa Izadnegahdar, John B. Carlin, Adegoke G. Falade, Trevor Duke
Empowering Midwives to Manage Postpartum Haemorrhage in Rural Areas of Islamic Republic of Iran: Lessons Learnt from Cases of Maternal Death
JOURNAL PUBLICATION | The study, published in the Eastern Mediterranean Health Journal, found that targeted interventions improved midwives’ management of postpartum hemorrhage in rural Iran.
October 2019
By: Zahra Moudi, Seyed Mehdi Tabatabaei, Zahra Sargazi-Moakhar, Maryam Zaboli, Shahram Borjian Boroojeny
Epidemiology of ROP Update—Africa is the New Frontier
JOURNAL PUBLICATION | Published in Seminars in Perinatology, this article emphasizes that retinopathy of prematurity (ROP) is likely to become an increasingly important cause of blindness in children in sub-Saharan Africa.
October 2019
By: Clare Gilbert, Aeesha N.J. Malik, Nazmun Nahar, Sanjoy Kumer Das, Linda Visser, Sarah Sitati, Dupe S. Ademola-Popoola
Primary Prevention of ROP and the Oxygen Saturation Targeting Trials
JOURNAL PUBLICATION | Published in Seminars in Perinatology, the Neonatal Oxygenation Prospective Meta-analysis collaboration reported analysis of five trials of oxygen saturation targeting in very preterm infants.
October 2019
By: Brian A. Darlow, Shahid Husain
Nigeria’s National Integrated Pneumonia Control Strategy and Implementation Plan
GOVERNMENT POLICY / STRATEGY | The Federal Government of Nigeria has developed the first-ever national pneumonia control strategy and implementation plan to elevate pneumonia within the integrated newborn and child health agenda.
August 2019
By: Nigeria National Ministry of Health
Using Intermittent Pulse Oximetry to Guide Neonatal Oxygen Therapy in a Low-resource Context
JOURNAL PUBLICATION | This prospective validation study in BMJ evaluated the effectiveness of intermittent pulse oximetry in guiding oxygen therapy in neonates in a low-resource setting—focusing on three hospitals in southwest Nigeria.
August 2019
By: Patrick James Berkeley Walker, Ayobami A. Bakare, Adejumoke I. Ayede, Rosena Olubanke Oluwafemi, Omolayo Adebukola Olubosede, Iyabo Victoria Olafimihan, Kenneth Tan, Trevor Duke, Adegoke G. Falade, Hamish Graham
Integrated Management of Childhood Illness: Management of the Sick Young Infant Aged up to 2 Months. IMCI Chart Booklet
TOOL | This chart booklet provides an overview of the integrated management of childhood illness, specifically as it related to the management of sick and young infants aged up to two months.
June 2019
By: World Health Organization (WHO), UNICEF
Acute Oxygen Therapy on Hospital Wards in Low Middle-Income Country: Experience from a Referral Centre in Ilorin, Nigeria
JOURNAL PUBLICATION | Published in West African Journal of Medicine, this study found that acute oxygen administration in a Nigerian hospital was often inadequate, with only 40.7% of prescriptions meeting documentation standards.
May 2019
By: Olufemi Desalu, Olanrewaju Oyedepo, Olutobi Ojuawo, Rasheedat Ibraheem, Adeniyi Aladesanmi, Zakari Suleiman, Christopher Opeyemi, Kikelomo Adesina, Emmanuel Sanya, Kazeem Salami
Uganda National Scale Up of Medical Oxygen Implementation Plan (2018-2022)
GOVERNMENT POLICY / STRATEGY | This National Medical Oxygen Scale Up Implementation Plan articulates a holistic approach to improving demand and supply of medical oxygen in Uganda.
April 2019
By: Uganda Ministry of Health
Barriers to Pediatric Inpatient Care Guideline Adherence: A Mixed Method Assessment of Eight Hospitals in Asia and Africa
JOURNAL PUBLICATION | Published in PLoS One, this study identified barriers to implementing pediatric inpatient care guidelines in nine hospitals across sub-Saharan Africa and South Asia.
March 2019
By: Kirkby Tickell, Dorothy Mangale, Stephanie Tornberg-Belanger, Johnstone Thitiri, Molline Timbwa, Jenala Njirammadzi, Wieger Voskuijl, Tahmeed Ahmed, Abu Sadat Mohammad Sayeem Bin Shahid, Abdoulaye Diallo, Issaka Ouédrago, Al Fazal Khan, Ali F. Saleem, Fehmina Arif, Zaubina Kazi, Ezekiel Mupere, John Mukisa, Priya Sukhtankar, Judd Walson, Donna Denno
Providing Oxygen to Children and Newborns: A Multi-faceted Technical and Clinical Assessment of Oxygen Access and Oxygen Use in Secondary-Level Hospitals in Southwest Nigeria
JOURNAL PUBLICATION | This study in the journal International Health evaluates the quality of oxygen therapy in 12 secondary-level Nigerian hospitals.
March 2019
By: Ayobami A. Bakare, Hamish Graham, Adejumoke I. Ayede, David Peel, Olatayo Olatinwo, Oladapo B. Oyewole, Kayode R. Fowobaje, Shamim Ahmad Qazi, Rasa Izadnegahdar, Trevor Duke, Adegoke G. Falade
Development and Validation of a Questionnaire to Assess the Doctors and Nurses’ Knowledge of Acute Oxygen Therapy
JOURNAL PUBLICATION | Published in PLoS One, this study developed and validated a reliable and valid questionnaire to assess healthcare providers’ knowledge of acute oxygen therapy.
February 2019
By: Olufemi Desalu, Adeniyi Aladesanmi, Olutobi Ojuawo, Christopher Opeyemi, Rasheedat Ibraheem, Zakari Suleiman, Olanrewaju Oyedepo, Kikelomo Adesina, Taofeek Oloyede, Emmanuel Sanya
Use of Pulse Oximetry During Initial Assessments of Children under Five with Pneumonia: A Retrospective Cross-Sectional Study from 14 Hospitals in Ethiopia
JOURNAL PUBLICATION | Published in the Journal of Global Health Reports, this study describes the use of pulse oximetry during the initial patient assessment among children under five diagnosed with pneumonia in Ethiopia.
February 2019
By: Habtamu Seyoum Tolla, Mekitew Letebo, Yigeremu Abebe Asemere, Alemayehu Berhanu Belete, Tegegn Chote Tumbule, Zinabie Feleke Fekadu, Dinkineh Bikila Woyessa, Simret Ameha, Yibeltal Mekonen Feyisa, Felix Lam
Newborn Pulse Oximetry Screening: It’s Time to Have Recommendation and Universal Implementation in India
JOURNAL PUBLICATION | Published in Tropical Doctor, this letter advocates for universal implementation of newborn pulse oximetry in India to improve early detection of congenital heart disease and reduce neonatal mortality.
January 2019
By: Shahid Akhtar Siddiqui
Approaching Quality Improvement at Scale: A Learning Health System Approach in Kenya
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study introduces the Clinical Information Network in Kenya, which applies a Learning Health System model to enhance pediatric care in county hospitals.
November 2018
By: Grace Irimu, Morris Ogero, George Mbevi, Ambrose Agweyu, Samuel Akech, Thomas Julius, Rachel Nyamai, David Githang’a, Philip Ayieko, Mike English
The Global Need for Essential Emergency and Critical Care
JOURNAL PUBLICATION | Published in Critical Care, this research paper argues for the need of establishing a new global focus on essential emergency and critical care (EECC) within the universal health coverage agenda.
October 2018
By: Carl Otto Schell, Martin Gerdin Wärnberg, Anna Hvarfner, Andreas Höög, Ulrika Baker, Markus Castegren, Tim Baker
Emergency Admissions in Sub-Saharan Africa: Example of the Surgical Emergency Admissions Unit at the Sylvanus Olympio Teaching Hospital of Lome, Togo
JOURNAL PUBLICATION | Published in Médecine et Santé Tropicales, this study on emergency care at the Sylvanus Olympio Teaching Hospital in Lomé found that trauma and appendicitis were common emergencies.
August 2018
By: Saliou Adam, D. Hamza Sama, Tabana Mouzou, A. Akakpovi, Kadjika Tomta, Marion Bellier
Reference Values for Oxygen Saturation from Sea Level to the Highest Human Habitation in the Andes in Acclimatised Persons
JOURNAL PUBLICATION | Published in Thorax, this descriptive, cross-sectional study describes SpO2 measurements at 15 locations from sea level up to the highest permanent human habitation.
August 2018
By: Jose Rojas-Camayo, Christian Richard Mejia, David Callacondo, Jennifer A. Dawson, Margarita Posso, Cesar Alberto Galvan, Nadia Davila-Arango, Erick Anibal Bravo, Viky Yanina Loescher, Magaly Milagros Padilla-Deza, Nora Rojas-Valero, Gary Velasquez-Chavez, Jose Clemente, Guisela Alva-Lozada, Angel Quispe-Mauricio, Silvana Bardalez, Rami Subhi
Adoption of Paediatric and Neonatal Pulse Oximetry by 12 Hospitals in Nigeria: A Mixed-Methods Realist Evaluation
JOURNAL PUBLICATION | Published in BMJ Global Health, this study found that pulse oximetry use in 12 Nigerian hospitals improved from under 5% to over 90% within a year of targeted intervention.
June 2018
By: Hamish Graham, Ayobami A. Bakare, Amy Gray, Shamim Ahmad Qazi, Barbara McPake, Rasa Izadnegahdar, Trevor Duke, Adegoke G. Falade
Evaluation of the Feasibility and Performance of Early Warning Scores to Identify Patients at Risk of Adverse Outcomes in a Low-Middle Income Country Setting
JOURNAL PUBLICATION | Published in BMJ Open, this study assesses the feasibility and performance of early warning scores in a low-middle income country setting, highlighting the potential burden on healthcare staff.
April 2018
By: Abigail Beane, Ambepitiyawaduge Pubudu De Silva, Nirodha De Silva, R.M. Dhanapala Rathnayake, P. Chathurani Sigera, Priyantha Lakmini Athapattu, Palitha Mahipala, Aasiyah Rashan, Sithum Bandara Munasinghe, Kosala Saroj Amarasiri Jayasinghe, Arjen Dondorp, Rashan Haniffa
Pneumonia Market Landscape Analysis in the Democratic Republic of the Congo: Improving Access to High-Quality Pneumonia Products and Services for Children Under the Age of Five
REPORT | To understand the barriers to reducing pneumonia burden, PATH collected and analyzed secondary data and conducted a landscape of key pneumonia stakeholders in the Democratic Republic of the Congo.
April 2018
By: PATH
Assessment and Recommendations to Increase Access to Oxygen and Pulse Oximetry in Kenya
REPORT | The information in this report focuses on oxygen access in Kenya and was collected through a combination of desk research and in-country stakeholder interviews and observations.
March 2018
By: PATH
Market Assessment and Recommendations to Increase Access to Oxygen and Pulse Oximetry in India
REPORT | The information in this country report focuses on India and is intended to guide key decision-makers in India as they work to improve access to safe oxygen delivery.
March 2018
By: PATH
Market Assessment and Recommendations to Increase Access to Oxygen and Pulse Oximetry in Indonesia
REPORT | The information in this report focuses on oxygen access in Indonesia and was collected through a combination of desk research and in-country stakeholder interviews and observations.
March 2018
By: PATH
Pulse Oximetry Values of Neonates Admitted for Care and Receiving Routine Oxygen Therapy
JOURNAL PUBLICATION | Published in Journal of Paediatrics and Child Health, this two-part prospective study examined the hypoxemia prevalence and explored clinical risk factors of neonates in Nairobi, Kenya.
March 2018
By: Melissa C. Morgan, Beth Maina, Mary Waiyego, Jalemba Aluvaala, Michuki Maina, Mike English
A Pediatric Death Audit in a Large Referral Hospital in Malawi
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study audited pediatric deaths at a Malawian hospital, finding that 44% occurred within 24 hrs and were due to malaria, malnutrition, HIV-related illnesses, and sepsis.
February 2018
By: Elizabeth Fitzgerald, Rachel Mlotha-Mitole, Emily Ciccone, Alyssa Tilly, Jennie Montijo, Hans-Joerg Lang, Michelle Eckerle
Advanced Trauma Life Support, Students’ Course Manual
GUIDANCE | This manual presents the Advanced Trauma Life Support student course, which does not present new concepts in the field of trauma care; rather, it teaches established treatment methods.
February 2018
By: American College of Surgeons
Performance of the Silverman Andersen Respiratory Severity Score in Predicting PCO2 and Respiratory Support in Newborns: A Prospective Cohort Study
JOURNAL PUBLICATION | This article in the Journal of Perinatology describes a prospective cohort study investigating if the Silverman Andersen respiratory severity score is associated with a need for increased respiratory support.
February 2018
By: Anna Bruett Hedstrom, Nancy E. Gove, Dennis E. Mayock, Maneesh Batra
Burden of Early-Term Birth on Adverse Infant Outcomes: A Population-Based Cohort Study in Brazil
JOURNAL PUBLICATION | Published in BMJ Open, this cohort study in Brazil showed that infants born at 37-38 weeks’ gestation are at greater risk for adverse outcomes, such as NICU admission and death.
December 2017
By: Maria do Carmo Leal, Ana Paula Esteves Pereira, Marcos Nakamura-Pereira, Rosa Maria Soares Madeira Domingues, Marcos Augusto Bastos Dias, Silvana Granado Nogueira da Gama
Nigeria’s National Policy on Medical Oxygen in Health Facilities
GOVERNMENT POLICY / STRATEGY | The publication of this first comprehensive National Policy on Medical Oxygen marks a significant step in improving access to lifesaving medical oxygen to patients in Nigeria.
December 2017
By: Nigeria National Ministry of Health
A Complex Intervention to Improve Implementation of World Health Organization Guidelines for Diagnosis of Severe Illness in Low-Income Settings: A Quasi-Experimental Study from Uganda
JOURNAL PUBLICATION | Published in Implementation Science, the study evaluated a multi-modal intervention using the WHO “Quick Check” triage tool in four Ugandan hospitals.
November 2017
By: Matthew Cummings, Elijah Goldberg, Savio Mwaka, Olive Kabajaasi, Eric Vittinghoff, Adithya Cattamanchi, Achilles Katamba, Nathan Kenya-Mugisha, Shevin Jacob, J. Lucian Davis
Effectiveness of Structure Teaching Programme on Paediatric Nurses Knowledge on Pulse Oximetry and Interpretation of The Oximetry Data
JOURNAL PUBLICATION | Published in OISR Journal of Nursing and Health Science, interventional study assessed the knowledge level of pediatric nurses in a tertiary care setting, regarding the use of pulse oximeter.
November 2017
By: Lilly Prasad, Vinitha Ravindran, Ruma Nayak
Review of Supplemental Oxygen and Respiratory Support for Paediatric Emergency Care in Sub-Saharan Africa
JOURNAL PUBLICATION | Published in the African Journal of Emergency Medicine, this review describes management priorities in emergency care of critically ill children presenting with respiratory problems in resource-limited settings.
November 2017
By: Andreas Hansmann, Brenda May Morrow, Hans-Joerg Lang
Evidence to Support Oxygen Guidelines for Children with Emergency Signs in Developing Countries: A Systematic Review and Physiological and Mechanistic Analysis
JOURNAL PUBLICATION | Published in Journal of Tropical Pediatrics, this study reviews evidence to support oxygen saturation targets for children with emergency signs in developing countries.
October 2017
By: Shidan Tosif, Trevor Duke
Improving Oxygen Therapy for Children and Neonates in Secondary Hospitals in Nigeria: Study Protocol for a Stepped-Wedge Cluster Randomised Trial
JOURNAL PUBLICATION | Published in Trials, this study protocol outlines a trial designed to improve oxygen therapy for children and neonates in Nigerian hospitals through better equipment and healthcare training.
October 2017
By: Hamish Graham, Ayobami A. Bakare, David Peel, Amy Gray, Barbara McPake, Eleanor Neal, Shamim Ahmad Qazi, Rasa Izadnegahdar, Trevor Duke
Tachypnea and Other Danger Signs vs Pulse Oximetry for Prediction of Hypoxia in Severe Pneumonia/Very Severe Disease
JOURNAL PUBLICATION | Published in Indian Pediatrics, this study compared the performance of respiratory rate and other clinical signs against pulse oximetry for predicting hypoxia in children as per IMNCI classification.
September 2017
By: Varun Alwadhi, Pooja Dewan, Rajeev Kumar, Piyush Gupta
An Evidence-Based Study: Evaluating the Management of Acute Heart Failure in the Gaza-Strip Hospitals
JOURNAL PUBLICATION | Published in Journal of Cardiac Failure, a clinical audit of 200 acute heart failure cases found poor adherence to international guidelines, inadequate documentation, low utilization of diagnostic tests, etc.
August 2017
By: Enas Alaloul, Reem Dabbour, Mohammed Alkhatib, Tamer Abd-Alghafoor, Bettina Böttche
Improved Oxygen Systems in District Hospitals in Lao PDR: A Prospective Field Trial of the Impact on Outcomes for Childhood Pneumonia and Equipment Sustainability
JOURNAL PUBLICATION | Published in BMJ Paediatrics Open, this article examines the effect of improved oxygen systems on childhood pneumonia outcomes in district hospitals in Lao PDR.
August 2017
By: Amy Gray, Melinda Morpeth, Trevor Duke, David Peel, Christian Winter, Manivanh Satvady, Kongkham Sisouk, Bouasengnignom Prasithideth, Khamsay Detleuxay
WHO Recommendations on Adolescent Health
GUIDANCE | This publication outlines WHO recommendations on adolescent health in one easy-to-access document for WHO staff, policymakers, program managers, and health professionals.
August 2017
By: World Health Organization (WHO)
Improving Prehospital Trauma Care in Rwanda through Continuous Quality Improvement: An Interrupted Time Series Analysis
JOURNAL PUBLICATION | Published in Injury, this study explores how continuous quality improvement (CQI) methods improved prehospital trauma care in Rwanda, leading to better patient outcomes.
July 2017
By: Jeanne D’Arc Nyinawankusi, Samuel Enumah, Eric Uwitonze, Yihan Hu, Ignace Kabagema, Jean Claude Byiringiro, Robert Riviello, Sudha Jayaraman
Modeling the Potential Impact of Emerging Innovations on Achievement of Sustainable Development Goals Related to Maternal, Newborn, and Child Health
JOURNAL PUBLICATION | Published in Cost Effectiveness and Resource Allocation, this study evaluates the impact of emerging health innovations on maternal, newborn, and child health to save lives by 2030.
July 2017
By: Tara Herrick, Claudia Harner-Jay, Craig Shaffer, Peder Digre, Amie Batson
ISO 80601-2-61, Medical Electrical Equipment, Part 2-61: Particular Requirements for Basic Safety and Essential Performance of Pulse Oximeter Equipment
GUIDANCE | ISO 80601-2-61:2017 applies to the basic safety and essential performance of pulse oximeter equipment intended for use on humans.
June 2017
By: International Standards Organization
Lifebox Pulse Oximeter Implementation in Malawi: Evaluation of Educational Outcomes and Impact on Oxygen Desaturation Episodes during Anaesthesia
JOURNAL PUBLICATION | Published in Anaesthesia, this study determined whether the introduction of pulse oximetry with training was feasible and could reduce the incidence of oxygen desaturation during anesthesia in Malawi.
June 2017
By: Vanessa Albert, Samson Kwazizira Mndolo, Ewan M. Harrison, Ellen O’Sullivan, Iain H. Wilson, Isabeau A. Walker
Outpatient Management of Children With World Health Organization Chest Indrawing Pneumonia: Implementation Risks and Proposed Solutions
JOURNAL PUBLICATION | In Clinical Infectious Diseases, this article recommends the WHO IMCI guidelines to consider additional referral or daily monitoring criteria for children with chest indrawing pneumonia in low-resource settings.
June 2017
By: Eric D. McCollum, Amy Sarah Ginsburg
British Thoracic Society Guideline for Oxygen Use in Adults in Healthcare and Emergency Settings
JOURNAL PUBLICATION | Published in BMJ Open Respiratory Research, this article summarizes the recommendations and good practice points in the British Thoracic Society Guideline for Oxygen Use in Adults.
May 2017
By: B. Ronan O’Driscoll, Luke S. Howard, John Earis, Vincent Mak
Nigeria’s National Strategy for the Scale Up of Medical Oxygen in Health Facilities (2017-2022)
GOVERNMENT POLICY / STRATEGY | This national strategy aims to reduce mortality and morbidity from hypoxemia in Nigeria by addressing the key gaps in access to medical oxygen.
May 2017
By: Nigeria National Ministry of Health
WHO Recommendations on Child Health
GUIDANCE | This publication outlines WHO recommendations on child health in one easy-to-access document for WHO staff, policymakers, program managers, and health professionals.
May 2017
By: World Health Organization (WHO)
WHO Recommendations on Maternal Health
GUIDANCE | This publication outlines WHO recommendations on maternal health in one easy-to-access document for WHO staff, policymakers, program managers, and health professionals.
May 2017
By: World Health Organization (WHO)
WHO Recommendations on Newborn Health
GUIDANCE | This publication outlines WHO recommendations on newborn health in one easy-to-access document for WHO staff, policymakers, program managers, and health professionals.
May 2017
By: World Health Organization (WHO)
The Effective Introduction of Lifebox Pulse Oximetry to Malawi
JOURNAL PUBLICATION | Published in Anaesthesia, this article highlights the introduction of Lifebox pulse oximeters combined with appropriate training in Malawi.
April 2017
By: David Scott, Robert J. McDougall
A Prospective Registry Evaluating the Epidemiology and Clinical Care of Traumatic Brain Injury Patients Presenting to a Regional Referral Hospital in Moshi, Tanzania: Challenges and the Way Forward
JOURNAL PUBLICATION | Published in International Journal of Injury Control and Safety Promotion, this study assessed traumatic brain injury care in Tanzania, revealing high mortality among severe patients due to limited interventions.
March 2017
By: Catherine Staton, Daniel Msilanga, George Kiwango, Joao Ricardo Vissoci, Luciano de Andrade, Rebecca Lester, Michael Hocker, Charles Gerardo, Mark Mvungi
Management and Outcome of Traumatic Brain Injury Patients at Muhimbili Orthopaedic Institute Dar es Salaam, Tanzania
JOURNAL PUBLICATION | Published in Pan African Medical Journal, this study evaluates the management and outcomes of traumatic brain injury patients at Muhimbili Orthopaedic Institute, highlighting challenges in neurosurgical care in low-income settings.
March 2017
By: Respicious Boniface, Edwin Rwebugisa Lugazia, Abel Mussa Ntungi
WHO List of Priority Medical Devices for Cancer Management
TOOL | This publication is based on the list of clinical interventions selected from clinical guidelines on prevention, screening, diagnosis, treatment, palliative care, monitoring and end of life care.
February 2017
By: World Health Organization (WHO)
Acceptability of Healthcare Interventions: An Overview of Reviews and Development of a Theoretical Framework
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study developed a multi-construct theoretical framework of acceptability of health interventions that can be applied to intervention deliverers and recipients.
January 2017
By: Mandeep Sekhon, Martin Cartwright, Jill J. Francis
Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors
GUIDANCE | This manual, and a similar one on preterm and sick newborns, provides guidance for health workers caring for pregnant women and newborns, including when respiratory care is necessary.
January 2017
By: World Health Organization (WHO), UNICEF, UNFPA
Managing Neonatal and Early Childhood Syndromic Sepsis in Sub-District Hospitals in Resource Poor Settings: Improvement in Quality of Care through Introduction of a Package of Interventions in Rural Bangladesh
JOURNAL PUBLICATION | Published in PLoS One, this study assesses the effectiveness of an intervention package in improving the management and outcomes of neonatal and early childhood sepsis in rural Bangladesh.
January 2017
By: Ahmed Ehsanur Rahman, Afrin Iqbal, Dewan M. Emdadul Hoque, Sojib Bin Zaman, Qazi Rahman, Tahmina Begum, Atique Iqbal Chowdhury, Rafiqul Haider, Shams El Arifeen, Niranjan Kissoon, Charles Larson
Predicting Hospitalised Paediatric Pneumonia Mortality Risk: An External Validation of RISC and mRISC, and Local Tool Development (RISC-Malawi) from Malawi
JOURNAL PUBLICATION | Published in PLoS One, this study performed an external validation of two prediction tools and compared this to a locally developed tool to identify children admitted with pneumonia in Malawi.
December 2016
By: Shubhada Hooli, Tim Colbourn, Norman Lufesi, Anthony Costello, Bejoy Nambiar, Satid Thammasitboon, Charles Makwenda, Charles Mwansambo, Eric D. McCollum, Carina King
Pulse Oximetry for Children with Pneumonia Treated as Outpatients in Rural Malawi
JOURNAL PUBLICATION | Published in the Bulletin of the World Health Organization, this study aims to investigate implementation of outpatient pulse oximetry among children with pneumonia in Malawi.
December 2016
By: Eric D. McCollum, Carina King, Rashid Deula, Beatiwel Zadutsa, Limangeni Mankhambo, Bejoy Nambiar, Charles Makwenda, Gibson Masache, Norman Lufesi, Charles Mwansambo, Anthony Costello, Tim Colbourn
Improving Access to Essential Oxygen Therapy and Pulse Oximetry for Childhood Pneumonia Treatment
MULTIMEDIA | This poster presentation from the ASTMH 2016 Annual Meeting summarizes efforts to identify barriers and implement scalable solutions to improve access to oxygen and pulse oximetry.
November 2016
By: PATH
One is too Many: Ending Child Deaths from Pneumonia and Diarrhea
REPORT | This report highlights current pneumonia and diarrhea related mortality, and illustrates the startling divide between the children being reached and the considerable number of those left behind.
November 2016
By: UNICEF
Oxygen Therapy for Children: A Manual for Health Workers
GUIDANCE | This manual focuses on the availability and clinical use of oxygen therapy in children in health facilities by providing the practical aspects for health workers, biomedical engineers, and administrators.
October 2016
By: World Health Organization (WHO)
Updated Guideline: Pediatric Emergency Triage, Assessment, and Treatment: Care of Critically-ill Children
GUIDANCE | WHO’s pediatric emergency triage, assessment and treatment guidelines aim to identify children presenting with airway obstruction and other breathing problems.
October 2016
By: World Health Organization (WHO), UNICEF, UNFPA
Ethiopia’s National Medical Oxygen and Pulse Oximetry Scale Up Road Map (2016-2021)
GOVERNMENT POLICY / STRATEGY | This roadmap is intended to guide scale up of oxygen and pulse oximeters as well as standardizing the need for comprehensive approach to implementation at all levels throughout Ethiopia.
September 2016
By: Ethiopia Federal Ministry of Health
Hypoxaemia in Mozambican Children <5 Years of Age Admitted to Hospital with Clinical Severe Pneumonia: Clinical Features and Performance of Predictor Models
JOURNAL PUBLICATION | Published in Tropical Medicine and International Health, this study investigates the prevalence of hypoxemia in young children with severe pneumonia in Mozambique and evaluates the effectiveness of clinical prediction models.
September 2016
By: Quique Bassat, Miguel Lanaspa, Sónia Machevo, Lola Madrid, Tacilta Nhampossa, Sozinho Acácio, Anna Roca, Pedro L. Alonso
A Clinical Guidance Tool to Improve the Care of Children Hospitalized with Severe Pneumonia in Lusaka, Zambia
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study evaluates the impact of a clinical guidance tool designed to improve outcomes for children hospitalized with severe pneumonia in Zambia.
August 2016
By: Catherine Sutcliffe, Donald Thea, Philip Seidenberg, James Chipeta, Lawrence Mwananyanda, Somwe Wa Somwe, Julie Duncan, Magdalene Mwale, Justin Mulindwa, Musaku Mwenechenya, Rasa Izadnegahdar, William Moss
Does Pulse Oximeter Use Impact Health Outcomes? A Systematic Review
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this review indicates that pulse oximetry can improve health outcomes for children by reducing mortality and length of stay.
August 2016
By: Abigail Enoch, Mike English, Sasha Shepperd
The Accuracy of 6 Inexpensive Pulse Oximeters Not Cleared by the Food and Drug Administration: The Possible Global Public Health Implications
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study evaluated the accuracy of 6 low-cost finger pulse oximeters during stable arterial oxygen saturations (SaO2) between 70% and 100% in 22 healthy subjects.
August 2016
By: Michael S. Lipnick, John Feiner, Paul Au, Michael Bernstein, Philip E. Bickler
Oxygen Saturation of Medical Inpatients in a Malawian Hospital: Cross-Sectional Study of Oxygen Supply and Demand
JOURNAL PUBLICATION | Published in Pneumonia (Nathan Qld), the aim of this study was to evaluate the need for supplementary oxygen against oxygen delivery capacity at a large teaching hospital in Malawi.
July 2016
By: Hywel-Gethin Tudur Evans, Nadia Mahmood, Duncan Fullerton, Jamie Rylance, Andrew Gonani, Stephen Gordon, Kevin Mortimer, Theresa Allain
Anesthesia Care Capacity at Health Facilities in 22 Low- and Middle-income Countries
JOURNAL PUBLICATION | This systematic review in the World Journal of Surgery examines the results of anesthesia care capacity assessments in LMICs to identify patterns of deficits and useful targets for intervention.
May 2016
By: Rachel A. Hadler, Sagar Chawla, Barclay T. Stewart, Maureen C. McCunn, Adam L. Kushner
Oxygen for Children and Newborns in Non-Tertiary Hospitals in South-West Nigeria: A Needs-Assessment
JOURNAL PUBLICATION | Published in African Journal of Medicine and Medical Science, this study assesses structural, technical, and clinical barriers to the provision of safe and effective oxygen therapy in Nigeria.
May 2016
By: Hamish Graham, Ayobami A. Bakare, David Peel, Adegoke G. Falade, Trevor Duke
Recognizing Respiratory Distress
COURSE / TRAINING VIDEO | This video informs viewers on how to identify clinical signs and symptoms of respiratory distress in a pediatric patient.
February 2016
By: Boston Children Hospital, World Federation of Pediatric Intensive, Critical Care Societies, Monica Kleinman
Mortality and its Risk Factors in Malawian Children Admitted to Hospital with Clinical Pneumonia, 2001-12: Retrospective Observational Study
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study investigates the mortality and risk factors in Malawian children hospitalized with pneumonia, highlighting delayed care, malnutrition, etc.
January 2016
By: Marzia Lazzerini, Nadine Seward, Norman Lufesi, Sophie Sinyeka, Gibson Masache, Bejoy Nambiar, Charles Makwenda, Anthony Costello, Eric D. McCollum, Tim Colbourn
Evaluating the Impact of Pulse Oximetry on Childhood Pneumonia Mortality in Resource-poor Settings
JOURNAL PUBLICATION | This study in Nature uses a deterministic compartmental model to assess the impact of introducing pulse oximetry as a prognostic tool to distinguish severe from non-severe pneumonia in children.
December 2015
By: Jessica Floyd, Lindsey Wu, Deborah Hay Burgess, Rasa Izadnegahdar, David Mukanga, Azra C. Ghani
Hypoxemia as a Mortality Risk Factor in Acute Lower Respiratory Infections in Children in Low- and Middle-Income Countries: Systematic Review and Meta-Analysis
JOURNAL PUBLICATION | This systematic review and meta-analysis in PLOS One examines observational studies to evaluate the association between hypoxemia and mortality from acute lower respiratory infections in children in LMICs.
September 2015
By: Marzia Lazzerini, Michela Sonego, Maria Chiara Pellegrin
Oxygen Saturation Targets in Infants with Bronchiolitis (BIDS): A Double-Blind, Randomised, Equivalence Trial
JOURNAL PUBLICATION | Published in The Lancet, this study assessed whether the 90% or higher target for oxygen supplementation was equivalent to a normoxic 94% or higher target for infants with viral bronchiolitis.
September 2015
By: Steve Cunningham, Aryelly Rodriguez, Tim Adams, Kathleen A. Boyd, Isabella Butcher, Beth Enderby, Morag MacLean, Jonathan McCormick, James Y. Paton, Fiona Wee, Huw Thomas, Kay Riding, Steve W. Turner, Chris Williams, Emma McIntosh, Steff C. Lewis
Utility and Feasibility of Integrating Pulse Oximetry into the Routine Assessment of Young Infants at Primary Care Clinics in Karachi, Pakistan: A Cross-Sectional Study
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study characterizes the operational feasibility and parent/guardian acceptability of incorporating pulse oximetry into the routine clinical assessment of young infants in Pakistan.
September 2015
By: Connor A. Emdin, Fatima Mir, Shazia Sultana, Abdul Momin Kazi, Anita K.M. Zaidi, Michelle C. Dimitris, Daniel E. Roth
Hypoxaemia as a Measure of Disease Severity in Young Hospitalised Nigerian Children with Pneumonia: A Cross-Sectional Study
JOURNAL PUBLICATION | Published in South African Journal of Child Health, this study assesses the impact of hypoxemia on severity and outcome of pediatric pneumonia, showing its predictive value for hospitalization and death.
July 2015
By: Mohammed Bello Abdulkadir, Rasheedat Ibraheem, Abulrazaq Abdullahi Gobir, Wahab Babatunde Rotimi Johnson
Neonatal Admissions, Quality of Care and Outcome: 4 Years of Inpatient Audit Data from the Gambia’s Teaching Hospital
JOURNAL PUBLICATION | Published in Paediatric International Child Health, this study examines neonatal admissions at a hospital in The Gambia, identifying key mortality risk factors and recommending improved IPC strategies.
June 2015
By: Uduak A Okomo, Tida Dibbasey, Kalipha Kassama, Joy Lawn, Syed M.A. Zaman, Beate Kampmann, Stephen Howie, Kalifa Bojang
Signs of Pneumonia: Chest Indrawing
COURSE / TRAINING VIDEO | Chest indrawing is a sign of severe pneumonia. It means the child need to be treated immediately. This video highlights the key signs of chest indrawing in children.
June 2015
By: McCann Global Health
Signs of Pneumonia: Fast Breathing and Counting Breaths
COURSE / TRAINING VIDEO | Children with pneumonia breathe faster than normal. This video highlights the steps to properly count breaths for pneumonia diagnosis and when to seek medical attention.
June 2015
By: McCann Global Health
Pre- and Intra-Transport Neonatal Care Oxygen Saturation Hypoxemia Among Referred Neonate in a Tertiary Hospital in Nigeria
JOURNAL PUBLICATION | Published in American Journal of Respiratory and Critical Care Medicine, this study examined the potential morbidity attributable to quality of care received during neonatal transportation due to hypoxemia in Nigeria.
May 2015
By: Muhydeen A. Abdulraheem, Adebola E. Orimadegun, Oluwakemi Tongo
Adherence with National Guidelines in Hospitalized Patients with Community-Acquired Pneumonia: Results from the Capo Study in Venezuela
JOURNAL PUBLICATION | Published in Archivos de Bronconeumología, this study found that while empiric antibiotic therapy for hospitalized CAP patients in Venezuela was timely, adherence to other national guidelines was low.
April 2015
By: Gur Levy, Mario Perez, Benito Rodríguez, Ana Hernández Voth, Jorge Perez, Martin Gnoni, Robert Kelley, Timothy Wiemken, Julio Ramirez
Clinical Practices in the Hospital Care of Healthy Newborn Infant in Brazil
JOURNAL PUBLICATION | Published in Cad Saude Publica, this study highlighted poor compliance with optimal clinical practices in the care of healthy full-term newborns in Brazil, with widespread overuse of certain interventions.
August 2014
By: Maria Elisabeth Lopes Moreira, Silvana Granado Nogueira da Gama, Ana Paula Esteves Pereira, Antonio Augusto Moura da Silva, Sônia Lansky, Rossiclei de Souza Pinheiro, Annelise de Carvalho Gonçalves, Maria do Carmo Leal
Effect of Oximetry on Hospitalization in Bronchiolitis: A Randomized Clinical Trial
JOURNAL PUBLICATION | Published in JAMA, this study examined if Canadian infants with bronchiolitis who displayed artificially elevated oximetry measurements experience lower hospitalization rates compared with control infants.
August 2014
By: Suzanne Schuh, Stephen Freedman, Allan Coates, Upton Allen, Patricia C. Parkin, Derek Stephens, Wendy Ungar, Zelia DaSilva, Andrew R. Willan
Reducing Deaths from Severe Pneumonia in Children in Malawi from by Improving Delivery of Pneumonia Case Management
JOURNAL PUBLICATION | Published in PLoS One, this study evaluated the pneumonia case fatality rate following the implementation of a Child Lung Health Programme in Malawi to improve delivery of pneumonia case management.
July 2014
By: Robert Gie, Charles Mwansambo, Carl Lombard, Donald Enarson, Stephen Graham
Revised WHO Classification and Treatment of Childhood Pneumonia at Health Facilities
GUIDANCE | The purpose of this document is to provide a summary of WHO-approved pneumonia control recommendations and to assist national child health programs in revising their guidelines to conform to them.
June 2014
By: World Health Organization (WHO)
Integrated Management of Childhood Illness—Chart Booklet
TOOL | This chart booklet, which provides an overview of the integrated management of childhood illness, belongs to a set of distance learning courses from the World Health Organization (WHO).
March 2014
By: World Health Organization (WHO)
Oxygen and Pulse Oximetry in Childhood Pneumonia: Surveys of Clinicians and Student Clinicians in Cambodia
JOURNAL PUBLICATION | This study in Tropical Medicine & International Health surveyed Cambodian clinicians to better understand the availability of oxygen and pulse oximetry, barriers to use, and clinician perceptions and practices.
March 2014
By: Amy Sarah Ginsburg, Emily Gerth‐Guyette, Brenda Mollis, Michelle Gardner, Samnang Chham
Pulse Oximetry for Perioperative Monitoring: Cochrane Review
JOURNAL PUBLICATION | Published in Cochrane Database of Systematic Reviews, this review examined perioperative monitoring with pulse oximetry to identify adverse outcomes that might be prevented or improved by its use.
March 2014
By: Tom Pedersen, Amanda Nicholson, Karen Hovhannisyan, Andrew G. Smith, Sharon R. Lewis
Aftermath of a Clinical Trial: Evaluating the Sustainability of a Medical Device Intervention in Ghana
JOURNAL PUBLICATION | A randomized controlled trial recently demonstrated that CPAP effectively decreases respiratory rate in children presenting to Ghanaian district hospitals with respiratory distress.
February 2014
By: Patrick Wilson, Joshua C. Brooks, Easmon Otupiri, Rachel T. Moresky, Marilyn C. Morris
Accuracy of Pulse Oximetry in Children
JOURNAL PUBLICATION | Published in Pediatrics, this study found that pulse oximetry overestimates arterial oxygen saturation (SaO₂) in children, particularly in the hypoxemic range (76%-90%).
January 2014
By: Patrick Ross, Christopher Newth, Robinder Khemani
Evidence for Oxygen Use in the Hospitalized Patient: Is More Really the Enemy of Good?
JOURNAL PUBLICATION | Published in Respiratory Care, this paper emphasizes evidence for use with other health conditions for which oxygen is administered relies on anecdotal experiences, case reports, or small, underpowered studies.
October 2013
By: Thomas C. Blakeman
Prevalence and Predictors of Hypoxemia in Respiratory and Non-respiratory Primary Diagnoses Among Emergently Ill Children at a Tertiary Hospital in South Western Nigeria
JOURNAL PUBLICATION | This study investigated prevalence and predictors of hypoxemia in ALRI and non-ALRI according to age and primary diagnoses in emergently ill children in south western Nigeria.
September 2013
By: Adebola E. Orimadegun, Babatunde O. Ogunbosi, Shannon S. Carson
Perfil Dos Atendimentos Realizados Por Uma Unidade De Suporte Avançado Do Serviço De Atendimento Móvel De Urgência (Samu) Do Rio Grande Do Sul [Profile of the Services Provided by an Advanced Support Unit of the Mobile Emergency Care Service (SAMU) in Rio Grande do Sul]
JOURNAL PUBLICATION | This study describes the profile of care provided by a Mobile Emergency Care Service in Brazil, aiming to contribute to the planning and organization of mobile emergency services.
July 2013
By: Denise Casagrande, Bruna Stamm, Marinês Tambara Leite
Pulse Oximetry: Technology to Reduce Child Mortality in Developing Countries
JOURNAL PUBLICATION | This article in the Annals of Tropical Pediatrics reviews pulse oximetry, its technical basis, and its application to the medical management of childhood illness to reduce mortality in developing countries.
July 2013
By: Trevor Duke, Rami Subhi, David Peel, Bernard Frey
Determinants of Oxygen Therapy in Childhood Pneumonia in a Resource-Constrained Region
JOURNAL PUBLICATION | Published in ISRN Pediatrics, this study identifies key predictors of hypoxemia in rural Gambia, particularly grunting and cyanosis, and children with these signs should be given oxygen therapy.
June 2013
By: Bankole Peter Kuti, Samuel Ademola Adegoke, Stephen Howie, Oyeku Akibu Oyelami, Martin Ota
Ending Preventable Child Deaths from Pneumonia and Diarrhea by 2025: Global Action Plan for the Prevention and Control of Pneumonia and Diarrhea
GOVERNMENT POLICY / STRATEGY | The integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhea (GAPPD) proposes a cohesive approach to ending preventable pneumonia and diarrhea deaths.
June 2013
By: World Health Organization (WHO), UNICEF
Quality in Triage: Indicators in Patients with Respiratory Disease
JOURNAL PUBLICATION | Published in Pediatric Emergency Care, this retrospective, comparative study applied quality indicators in respiratory disease triage to all patients attending an emergency department in Paraguay.
June 2013
By: Silvina Elizabeth Lugo, Viviana Pavlicich
Decreasing Hospital Length of Stay for Bronchiolitis by Using an Observation Unit and Home Oxygen Therapy
JOURNAL PUBLICATION | Published in JAMA Pediatrics, this study demonstrates that implementing an OU-HOT protocol for bronchiolitis in children reduces hospital stays and healthcare costs, while maintaining patient safety.
May 2013
By: David Sandweiss, Michael Mundorff, Tracy Hill, Tom Greene, Seth Andrews, Tiffany Glasgow
Evaluation the Clinical Practices in Delivery Room in Brazil, 2011-2012
JOURNAL PUBLICATION | The aim of this study was to evaluate the clinical practices in delivery room in Brazil and identify if there are inequalities in healthy term newborn care immediately after birth.
May 2013
By: Maria do Carmo Leal, Ana Paula Esteves Pereira
Implementation of the World Health Organization Surgical Safety Checklist, Including Introduction of Pulse Oximetry, in a Resource-Limited Setting
JOURNAL PUBLICATION | Published in Annals of Surgery, this article explores the impact of implementing the WHO Surgical Safety Checklist and pulse oximetry in a resource-limited hospital.
April 2013
By: Alvin Kwok, Luke Funk, Ruslan Baltaga, Stuart Lipsitz, Alan Merry, Gerald Dziekan, Gheorghe Ciobanu, William Berry, Atul Gawande
2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guideline
JOURNAL PUBLICATION | This article describes the process for developing the ACCF/AHA practice guidelines for cardiovascular care to assist healthcare providers in clinical decision making.
January 2013
By: Patrick T. O’Gara, Frederick G. Kushner, Deborah D. Ascheim, Donald E. Casey, Mina K. Chung, James A. de Lemos, Steven M. Ettinger, James C. Fang, Francis M. Fesmire, Barry A. Franklin, Christopher B. Granger, Harlan M. Krumholz, Jane A. Linderbaum, David A. Morrow, L. Kristin Newby, Joseph P. Ornato, Narith Ou, Martha J. Radford, Jacqueline E. Tamis-Holland, Carl L. Tommaso, Cynthia M. Tracy, Y. Joseph Woo, David X. Zhao
Pocket Book of Hospital Care for Children: Guidelines for the Management of Common Childhood Illnesses
GUIDANCE | This pocket book for hospital care for children is one of a series of documents and tools that support the Integrated Management of Childhood Illness (IMCI).
January 2013
By: World Health Organization (WHO)
Predictors and Outcome of Hypoxemia in Severely Malnourished Children under Five with Pneumonia: A Case Control Design
JOURNAL PUBLICATION | Published in PLoS One, this study explored the predictors of hypoxemia in under-five children who were hospitalized for the management of pneumonia and severe acute malnutrition in Bangladesh.
January 2013
By: Mohammod Jobayer Chisti, Mohammed Abdus Salam, Hasan Ashraf, Abu S.G. Faruque, Pradip Kumar Bardhan, Abu Sadat Mohammad Sayeem Bin Shahid, K.M. Shahunja, Sumon Kumar Das, Tahmeed Ahmed
Cost-Effectiveness of Interventions for Chronic Obstructive Pulmonary Disease (COPD) Using an Ontario Policy Model
JOURNAL PUBLICATION | Published in Ontario Health Technology Assessment Series, this study found that COPD smoking cessation programs were cost-effective, while multidisciplinary care and pulmonary rehabilitation were also beneficial but costly.
December 2012
By: Kiran Chandra, Gordon Blackhouse, Bronwen R. McCurdy, M. Bornstein, Kaitryn Campbell, V. Costa, Jacob Franek, Kellee Kaulback, Lisa A. Levin, S. Sehatzadeh, Nancy Sikich, Marroon Thabane, Ron Goeree
New Signal Functions to Measure the Ability of Health Facilities to Provide Routine and Emergency Newborn Care
JOURNAL PUBLICATION | Published in PLoS Medicine, this article proposes maternal and newborn signal functions, focusing on delivery and postnatal care, which could be used to characterize both routine and emergency care.
November 2012
By: Sabine Gabrysch, Giulia Civitelli, Karen M. Edmond, Matthews Mathai, Moazzam Ali, Zulfiqar A. Bhutta, Oona M.R. Campbell
Degree of Observance of the WHO Surgical Safety Checklist
JOURNAL PUBLICATION | Published in Trauma Monthly, this study assessed the adherence to the WHO surgical safety checklist at hospitals in Tehran and found that overall observance was moderate.
October 2012
By: Abulreza Khorshidifar, Hamidreza Kadkhodaee, Zahra Zamen
An Audit of the Quality of Initial Trauma Resuscitation in a Regional Hospital
JOURNAL PUBLICATION | This study aimed to review the quality of initial trauma resuscitation in a regional hospital in South Africa and determine quality indicators to measure improvements after potential interventions.
August 2012
By: Nikki Allorto, Nivisha Parag, Damian Clarke
The Natural History of Community-Acquired Pneumonia in COPD Patients: A Population Database Analysis
JOURNAL PUBLICATION | Published in Respiratory Medicine, this study assesses longitudinal incidence rates for community-acquired pneumonia in chronic obstructive pulmonary disease (COPD) patients or risk factors for pneumonia onset.
August 2012
By: Hana Müllerova, Chuba Chigbo, Gerry W. Hagan, Mark A. Woodhead, Marc Miravitlles, Kourtney J. Davis, Jadwiga A. Wedzicha
Incorporating the World Health Organization Surgical Safety Checklist into Practice at Two Hospitals in Liberia
JOURNAL PUBLICATION | Published in Journal of the Joint Commission on Quality and Patient Safety, this study analyzes the impact of the WHO Surgical Safety Checklist on surgical care in Liberia.
June 2012
By: Christina Yuan, Denise Walsh, James Tomarken, John Shakpeh, Elizabeth Bradley
Effect of Moderate Elevation above Sea Level on Blood Oxygen Saturation in Healthy Young Adults
JOURNAL PUBLICATION | Published in Respiration, this study aimed to test the hypothesis that in healthy volunteers, normal arterial hemoglobin oxygen saturation at moderate altitude is lower than that at almost sea level.
March 2012
By: Shmuel Goldberg, Eadit Buhbut, Francis B. Mimouni, Leon Joseph, Elie Picard
Oxygen and Pulse Oximetry in Childhood Pneumonia: A Survey of Healthcare Providers in Resource-limited Settings
JOURNAL PUBLICATION | This study in Journal of Tropical Pediatrics surveyed clinicians in resource-limited countries to better understand the availability of oxygen and pulse oximetry, barriers to use, and clinician perceptions and practices.
December 2011
By: Amy Sarah Ginsburg, William C. Van Cleve, Mary I. W. Thompson, Mike English
Quality of Hospital Care for Sick Newborns and Severely Malnourished Children in Kenya: A Two-Year Descriptive Study in 8 Hospitals
JOURNAL PUBLICATION | As part of a larger study, this study—published in BMC Health Services Research—explored how well interventions supported better health services for neonatal illnesses and severe malnutrition in Kenya.
November 2011
By: David Gathara, Newton Opiyo, John Wagai, Philip Ayieko, Charles Opondo, Annah Wamae, Santau Migiro, Wycliffe Mogoa, Aggrey Wasunna, Fred Were, Grace Irimu, Mike English
Pulse Oximetry in Pediatric Practice
JOURNAL PUBLICATION | Published in Pediatrics, this review describes the physiologic principles and limitations of pulse oximetry, discusses normal values, and highlights its importance in common pediatric diseases.
October 2011
By: Sotirios Fouzas, Kostas N. Priftis, Michael B. Anthracopoulos
WHO Pulse Oximetry Training Manual
GUIDANCE | This manual describes how oximeters work and how to use them so that all anesthesia providers who are not experienced in using pulse oximetry.
September 2011
By: World Health Organization (WHO)
Oxygen Therapy in Acute Illness
COURSE / TRAINING VIDEO | This video highlights the considerations of administering oxygen therapy in acute illness.
June 2011
By: Influenza Training
Oxygen Therapy in Acute Illness – Section 1: How to Quickly Assess if Supplemental Oxygen is Needed
COURSE / TRAINING VIDEO | This video highlights the considerations of administering oxygen therapy in acute illness. This first session covers how to quickly assess if supplemental oxygen is needed.
June 2011
By: Influenza Training
Clinical Features Associated with Oxygen Use in Children Presenting to Emergency Care in Ibadan, Nigeria
JOURNAL PUBLICATION | Published in American Journal of Respiratory and Critical Care Medicine, this prospective cross-sectional study examined hypoxia in children and the decision to give oxygen in a Nigerian hospital.
May 2011
By: Babatunde O. Ogunbosi, Adebola E. Orimadegun, Shannon S. Carson
Accuracy of Symptoms and Signs in Predicting Hypoxaemia among Young Children with Acute Respiratory Infection: A Meta-Analysis
JOURNAL PUBLICATION | Published in International Journal of Tuberculosis and Lung Disease, this meta-analysis found that clinical symptoms alone are unreliable for predicting hypoxemia in children with acute respiratory infections.
March 2011
By: Linjie Zhang, Raul Mendoza-Sassi, José C. H. Santos, Joseph Lau
Nurse:Patient Ratio and Achievement of Oxygen Saturation Goals in Premature Infants
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood-Fetal and Neonatal Edition, this study examined the number of premature newborns assigned to NICU nurses and achievement of oxygen saturation goals.
March 2011
By: David W. Sink, Shelly Ann E. Hope, James I. Hagadorn
Integrated Management of Adolescent and Adult Illness District Clinician Manual: Hospital Care for Adolescents and Adults
GUIDANCE | This manual is written for clinicians working at the district hospital (first-level referral care) who diagnose and manage sick adolescents and adults in resource-constrained settings.
January 2011
By: World Health Organization (WHO)
Knowledge and Views of Paediatricians about Pulse Oximetry: A Nationwide Online Survey in Nigeria
JOURNAL PUBLICATION | Published in the African Journal of Respiratory Medicine, this study was carried out to determine the level of knowledge and competencies relating to the use of pulse oximetry for children.
January 2011
By: Adebola E. Orimadegun, Babatunde O. Ogunbosi, Felix Olukayode Akinbami
Oxygen Supplies for Hospitals in Papua New Guinea: A Comparison of the Feasibility and Cost-Effectiveness of Methods for Different Settings
JOURNAL PUBLICATION | This study in the Papua New Guinea Medical Journal reviews the methods for providing oxygen in Papua New Guinea.
December 2010
By: Trevor Duke, David Peel, Francis Wandi, Rami Subhi, Martin Saavu, Sens Matai
Prevalence of Undiagnosed Hypoxemia in Adults and Children in an Under-Resourced District Hospital in Zambia
JOURNAL PUBLICATION | Published in the International Journal of Emergency Medicine, this cross-sectional analysis of the prevalence of hypoxemia was conducted in Kapiri Mposhi, Zambia, at the 60-bed district hospital.
October 2010
By: Mark Foran, Roy Ahn, Joseph Novik, Kennedy Chilufya, Kasseba Katamba, Thomas Burke
WHO Recommendations on the Management of Diarrhea and Pneumonia in HIV-infected Infants and Children
GUIDANCE | These guidelines are part of a comprehensive set of normative documents for the prevention and treatment of common conditions affecting HIV-infected and -exposed infants and children.
September 2010
By: World Health Organization (WHO)
Nurses’ Compliance with Alarm Limits for Pulse Oximetry: Qualitative Study
JOURNAL PUBLICATION | Published in the Journal of Perinatology, this qualitative study explored nurses’ perceptions of what makes them compliant with alarm limits for pulse oximetry in preterm infants in Germany.
August 2010
By: Jonas Armbruster, Barbara Schmidt, Christian F. Poets, Dirk Bassler
Pediatric Anesthesia in Developing Countries: Experience in the Two Main University Hospitals of Benin in West Africa
JOURNAL PUBLICATION | Published in Paediatric Anaesthesia, this retrospective study examined the practice of pediatric anesthesia at two hospitals in Benin.
August 2010
By: Eugène Zoumenou, Séraphin Gbenou, Pamphile Assouto, Thomas Lokossou, Gervais Hounnou, Abdou Rhaman Aguemon, Martin Chobli
Patients’ Experience of Oxygen Therapy and Dyspnea: A Qualitative Study in Home Palliative Care
JOURNAL PUBLICATION | Published in Support Care Cancer, this study reported the prevalence and experience of dyspnea, pattern of oxygen use, and patients’ perceived benefits/burdens of oxygen therapy in home palliative care.
June 2010
By: Darin Jaturapatporn, Erica Moran, Chris Obwanga, Amna Husain
Global Oximetry: An International Anaesthesia Quality Improvement Project
JOURNAL PUBLICATION | Published in Anaesthesia, this article discusses the international anaesthesia quality improvement project focused on expanding the availability and use of pulse oximetry in hospitals across low-resource settings.
October 2009
By: Isabeau A. Walker, Alan Merry, Iain H. Wilson, Gretl A. McHugh, Ellen O’Sullivan, Gavin M. Thoms, Florian Nuevo, David K. Whitaker
Oxygen Concentrators for Use in Tropical Countries A Survey
JOURNAL PUBLICATION | Published in Journal of Clinical Engineering, this survey evaluates 11 oxygen concentrator models for use in tropical countries, identifying the most effective models based on performance, cost, etc.
October 2009
By: David Peel, Stephen Howie
Emergency Triage Assessment for Hypoxaemia in Neonates and Young Children in a Kenyan Hospital: An Observational Study
JOURNAL PUBLICATION | The study, published in the Bulletin of the World Health Organization, found that 6.4% of neonates and young children admitted to a Kenyan hospital had hypoxemia.
April 2009
By: Michael Mwaniki, D. James Nokes, James Ignas, Mwanajuma Ngama, Charles R.J.C. Newton, Kathryn Maitland, James A. Berkley
The Prevalence of Hypoxemia Among Ill Children in Developing Countries: A Systematic Review
JOURNAL PUBLICATION | In this review of studies of acute lower respiratory tract infection in The Lancet Infectious Diseases, the median prevalence of pneumonia hypoxemia requiring hospitalization was 13%, but prevalence varied widely.
April 2009
By: Rami Subhi, Matthew Adamson, Harry Campbell, Martin Weber, Katherine Smith, Trevor Duke
A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population
JOURNAL PUBLICATION | Published in The New England Journal of Medicine, this study found that implementing a 19-item Surgical Safety Checklist across eight hospitals worldwide reduced surgical mortality.
January 2009
By: Alex Haynes, Thomas Weiser, William Berry, Stuart Lipsitz, Abdel-Hadi Breizat, E. Patchen Dellinger, Teodoro Herbosa, Sudhir Joseph, Pascience Kibatala, Marie Carmela Lapitan, Alan Merry, Atul Gawande
Improved Oxygen Systems for Childhood Pneumonia: A Multihospital Effectiveness Study in Papua New Guinea
JOURNAL PUBLICATION | This study in The Lancet examines the effect of an improved oxygen system on death rate in children with pneumonia in Papua New Guinea.
November 2008
By: Trevor Duke, Francis Wandi, Merilyn Jonathan, Sens Matai, Magdalene Kaupa, Martin Saavu, Rami Subhi, David Peel
Childhood Pneumonia and Oxygen Treatment
JOURNAL PUBLICATION | This article in The Lancet reports that the implementation of oxygen therapy and monitoring systems can be a feasible cost-effective step forward, and can save lives.
August 2008
By: André M. Cantin
Implementing an Oxygen Programme in Hospitals in Papua New Guinea
JOURNAL PUBLICATION | Published in Annals of Tropical Paediatrics, this article examines the implementation of an oxygen programme in hospitals in Papua New Guinea to improve child survival rates.
March 2008
By: Sens Matai, David Peel, Francis Wandi, Merilyn Jonathan, Rami Subhi, Trevor Duke
Dark Skin Decreases the Accuracy of Pulse Oximeters at Low Oxygen Saturation: The Effects of Oximeter Probe Type and Gender
JOURNAL PUBLICATION | This study in Anesthesia and Analgesia looks at the relationship between skin pigment and oximeter accuracy in 36 subjects (19 males, 17 females) of a range of skin tones.
December 2007
By: John R. Feiner, John W. Severinghaus, Philip E. Bickler
Cumplimiento con las guías nacionales en pacientes hospitalizados con neumonía adquirida en la comunidad : Resultados del estudio CAPO en Argentina [Compliance with national guidelines in hospitalized patients with community-acquired pneumonia: Results of the CAPO study in Argentina]
JOURNAL PUBLICATION | Published in Medicina (Buenos Aires), this study assessed the adherence to national guidelines for community-acquired pneumonia care in Argentina.
April 2007
By: Diana Christensen, Carlos Luna, Jorge Martinez, Lucia Marzoratti, Alejandro Videla, Lautaro de Vedia, Jorge Corral, Guillermo Benchetrit, Maria Rodriguez, Carlos Victorio, Gustavo Lopardo, Paula Peyrani, Julio Ramirez
In Children Aged 2-59 Months with Pneumonia, which Clinical Signs Best Predict Hypoxaemia?
JOURNAL PUBLICATION | Published in Journal of Tropical Pediatrics, this article identifies clinical signs that predict hypoxemia in children with pneumonia, helping guide treatment decisions in low-resource settings.
October 2006
By: Philip Ayieko, Mike English
Oxygen and Retinopathy of Prematurity
JOURNAL PUBLICATION | This article in the Journal of Perinatology goes over retinopathy of prematurity, particularly the role of oxygen in the disease, and the recent advances in its diagnosis and treatment.
April 2006
By: Ola Didrik Saugstad
The Spectrum of Hypoxaemia in Children Admitted to Hospital in The Gambia, West Africa
JOURNAL PUBLICATION | Published in Tropical Medicine and International Health, this study investigated the prevalence and predictive value of hypoxia in ALRI and other acute infectious diseases in children in The Gambia.
March 2006
By: Sonja Junge, Ayo Palmer, Brian Greenwood, Kim Mulholland, Martin Weber
Effects of Skin Pigmentation on Pulse Oximeter Accuracy at Low Saturation
JOURNAL PUBLICATION | The study in the journal Anesthesiology showed that the three tested pulse oximeters overestimated arterial oxygen saturation during hypoxia in dark-skinned individuals.
April 2005
By: Philip E. Bickler, John R. Feiner, John W. Severinghaus
Delivery of Paediatric Care at the First-Referral Level in Kenya
JOURNAL PUBLICATION | Published in The Lancet, this study assessed pediatric care at district hospitals in Kenya, highlighting variability in care quality and resource availability.
October 2004
By: Mike English, Fabian Esamai, Aggrey Wasunna, Fred Were, Bernhards Ogutu, Annah Wamae, Robert Snow, Norbert Peshu
Association between Clinically Abnormal Observations and Subsequent In-Hospital Mortality: A Prospective Study
JOURNAL PUBLICATION | Published in Resuscitation, the aim of this study was to determine the predictive value of selected abnormal clinical observations in a ward population for subsequent in-hospital mortality in Australia.
August 2004
By: Michael Buist, Stephen Bernard, Tuan V. Nguyen, Gaye Moore, Jeremy Anderson
Assessment of Inpatient Paediatric Care in First Referral Level Hospitals in 13 Districts in Kenya
JOURNAL PUBLICATION | Published in The Lancet, the study evaluated pediatric inpatient care in 13 Kenyan district hospitals, finding significant gaps in care practices and data quality.
June 2004
By: Mike English, Fabian Esamai, Aggrey Wasunna, Fred Were, Bernhards Ogutu, Annah Wamae, Robert Snow, Norbert Peshu
Effect of a Clinical Protocol on the Management of Acute Asthma in the Emergency Room of a University Hospital
JOURNAL PUBLICATION | Published in SciELO Brasil, the study found that a clinical protocol for acute asthma in the ER improved diagnostic assessments and adherence to recommended treatments.
April 2004
By: Pérsio Mariano da Rocha, Andréia Kist Fernandes, Fernando Nogueira, Suzie Kang, Eduardo Franciscatto, Thaís Millan, Cristine Hoffmann, Carísi Anne Polanczyk, Sérgio Saldanha Menna Barreto, Paulo de Tarso Roth Dalcin
Managing Newborn Problems: A Guide for Doctors, Nurses, and Midwives
GUIDANCE | This guide is designed to assist countries with limited resources in their efforts to reduce neonatal mortality and to ensure care for newborn babies facing complications of pregnancy and childbirth.
August 2003
By: World Health Organization (WHO), UNFPA, UNICEF, The World Bank
Predicting a Life-Threatening Disease and Death among Ambulance-Transported Patients with Chest Pain or Other Symptoms Raising Suspicion of an Acute Coronary Syndrome
JOURNAL PUBLICATION | Published in American Journal of Emergency Medicine, this study evaluated the prediction of life-threatening disease or death among transported patients with acute chest pain or other symptoms in Sweden.
November 2002
By: Johan Herlitz, Elisabeth Hansson, Eva Ringvall, Mia Starke, Björn W. Karlson, Lisbeth Waagstein
Oxygen Administration in Infants
JOURNAL PUBLICATION | This article in the Archives of Disease in Childhood. Fetal and Neonatal Edition lays out the main methods of oxygen administration to infants.
July 2002
By: Bernard Frey, Frank Shann
Hypoxaemia in Acute Respiratory and Non-Respiratory Illnesses in Neonates and Children in a Developing Country
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study explores hypoxemia in children with both ALRI and non-ALRI illnesses in Papua New Guinea.
February 2002
By: Trevor Duke, Anne J. Blaschke, S. Sialis, Joshua L. Bonkowsky
Epidemiology of Hypoxaemia in Children with Acute Lower Respiratory Infection
JOURNAL PUBLICATION | Published in the International Journal of Tuberculosis and Lung Disease, this study reviewed the prevalence and risk factors of hypoxemia in children under 5 with acute lower respiratory infections.
June 2001
By: Juan Lozano
Hypoxaemia in Children with Severe Pneumonia in Papua New Guinea
JOURNAL PUBLICATION | Published in International Journal of Tuberculosis and Lung Disease, this study explores hypoxemia severity in children with pneumonia in Papua New Guinea.
June 2001
By: Trevor Duke, Joyce Mgone, Dale Frank
Quality of Hospital Care for Seriously Ill Children in Less-Developed Countries
JOURNAL PUBLICATION | Published in The Lancet, this qualitative study assessed initial triage, emergency and inpatient care, staff knowledge and practices, and hospital support services in seven less-developed countries.
January 2001
By: Tom Nolan, Patria Angos, Antonio Jla Cunha, Shamim Ahmad Qazi, Eric A.F. Simões, Girgio Tamburlini, Martin Weber, Nathaniel F. Pierce
Clinical Predictors of Hypoxaemia in Gambian Children with Acute Lower Respiratory Tract Infection: Prospective Cohort Study
JOURNAL PUBLICATION | Published in BMJ, this prospective cohort study found that simple physical signs could predict hypoxemia in children with acute lower respiratory tract infections in The Gambia.
January 1999
By: Stanley Usen, Martin Weber, Kim Mulholland, Shabbar Jaffar, Anslem Oparaugo, Charles Omosigho, Richard A. Adegbola, Brian Greenwood
Domiciliary Liquid Oxygen versus Concentrator Treatment in Chronic Hypoxaemia: A Cost-Utility Analysis
JOURNAL PUBLICATION | Published in European Respiratory Journal, this trial shows that while liquid oxygen therapy is more costly than concentrator treatment, it provides substantial improvements in quality of life for chronic patients.
December 1998
By: Asa C. Andersson, Kerstin Ström, Håkan Brodin, M. Alton, Gunnar Boman, Per Jakobsson, A. Lindberg, Monica Uddenfeldt, Hallstein Walter, Lisa A. Levin
Contribution of Routine Pulse Oximetry to Evaluation and Management of Patients with Respiratory Illness in a Pediatric Emergency Department
JOURNAL PUBLICATION | Published in Annals of Emergency Medicine, this study showed that clinical evaluation alone was insufficient to detect low oxygen saturation in pediatric patients.
January 1995
By: Amy J. Maneker, Emory M. Petrack, Steven E. Krug
Home Treatment for Chronic Respiratory Insufficiency: The Situation in Europe in 1992. The European Working Group on Home Treatment for Chronic Respiratory Insufficiency
JOURNAL PUBLICATION | Published in the European Respiratory Journal, this study analyzes home treatment practices for chronic respiratory insufficiency across 13 European countries, identifying key differences in policy, equipment use, and patient supervision.
September 1994
By: Brigitte Fauroux, Peter Howard, Jean-François Muir
Hypoxaemia in Young Kenyan Children with Acute Lower Respiratory Infection
JOURNAL PUBLICATION | Published in BMJ, this study examines the prevalence and clinical predictors of hypoxemia in young children with acute respiratory infections in Kenya.
March 1993
By: Francis E. Onyango, Mark C. Steinhoff, Ezekiel M. Wafula, Susan Wariua, Josip Musia, Joseph Kitonyi
Routine Oximetry: A Fifth Vital Sign?
JOURNAL PUBLICATION | Published in Chest, this article makes the case for oxygen saturation (SpO2) measured by pulse oximetry as an essential fifth vital sign in all sick children.
August 1988
By: Thomas A. Neff
Oxygen Concentrator in a Remote Hospital in Zaire
JOURNAL PUBLICATION | Published in Tropical Doctor, this study looks at the use of oxygen concentrators in a remote hospital in Zaire, now the Democratic Republic of the Congo.
January 1985
By: Philip Wood
Blood Gas Analysis Essentials
COURSE / TRAINING VIDEO | This course covers crucial factors that determine oxygenation of blood in the lungs and oxygen transport and delivery to peripheral tissues.
By: MedMastery, Michael A. Grippi
COVID-19 Clinical Resources
GUIDANCE | These expert-vetted articles and infographics provide guidance on the clinical management of COVID-19 patients, ICU administration, procedures, supply chain issues, and treatment.
By: American College of Chest Physicians
Clinical Guidelines for Nursing: Oxygen Delivery
GUIDANCE | This guidance covers various clinical aspects of oxygen delivery, including patient assessment, indications for oxygen delivery, weaning, high- vs low-flow, etc.
By: Royal Children’s Hospital, Melbourne
Essential Emergency and Critical Care (EECC) Network
GUIDANCE | The EECC Network is an informal and independent global community-of-practice of clinicians, researchers, policymakers, and others interested in Essential Emergency and Critical Care.
By: EECC Network, Carl Otto Schell, Karima Khalid, Raphael K. Kayambankadzanja, Tim Baker
Global Anesthesia and Critical Care Learning Resource Center
REPOSITORY / TOOLKIT | The mission of this learning platform is to improve equity in peri-operative healthcare access through medical education, engaging discussions, remote mentorship, and building professional networks.
By: Stanford Medicine – Anesthesia Division of Global Health Equity
Implementation Toolkit for Small and Sick Newborn Care
REPOSITORY / TOOLKIT | This toolkit brings together knowledge, experiences, resources, and learnings for implementing small and sick newborn care services.
By: NEST360, UNICEF
Introduction to Pulse Oximetry
COURSE / TRAINING VIDEO | This course covers the history, development, and clinical application of pulse oximetry; how a pulse oximeter works; why it is critical to monitor oxygenation saturation; and caveats of pulse oximetry.
By: Medtronic
Lesotho: Oxygen and Critical Care
COURSE / TRAINING VIDEO | This course provides healthcare providers with an understanding of the role of oxygen therapy in critical care.
By: Stanford Medicine – Anesthesia Division of Global Health Equity, Partners in Health
Noninvasive Ventilation Masterclass
COURSE / TRAINING VIDEO | This course covers the indications for noninvasive ventilation, initiation and optimization, how to monitor patients, and how to wean them from it.
By: MedMastery
Open Critical Care
REPOSITORY / TOOLKIT | This site (currently in beta) aims to help healthcare workers in resource-variable settings find open-access, high-quality critical care learning resources–starting with respiratory care.
By: World Federation of Societies of Anaesthesiologists (WFSA), OpenPediatrics, LifeBox, University of California, San Francisco, Brigham and Women’s Hospital
Open Oximetry: Study Protocols
TOOL | This list provides research study protocols to maximize accuracy, equity, and comparability of data collected by oximeter performance studies worldwide.
By: Open Oximetry
Oxygen Encyclopedia
REPOSITORY / TOOLKIT | The OCC Encyclopedia contains articles written by OCC editors and partners. Soon users will be able to find answers to everything to know about oxygen in this open-access, peer-reviewed encyclopedia.
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Oxygen FAQ
TOOL | This webpage provides up-to-date, expert answers to frequently asked questions (FAQ) about oxygen supply systems, respiratory care and pulse oximetry written by OCC and collaborators.
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Procedure Manual: COVID-19 Resources
GUIDANCE | This resource guides through procedures unique to the adult progressive and critical care environment, including those performed by advanced practice nurses, in a step-by-step format.
By: American Association of Critical Care Nurses
Pulse Oximeter Frequently Asked Questions
TOOL | This frequently asked questions provides up-to-date, expert answers about oxygen supply systems, respiratory care, and pulse oximetry written by Open Critical Care and collaborators.
By: Open Oximetry
Seasonal Influenza: Clinical Management of Seasonal Influenza
COURSE / TRAINING VIDEO | This short, intermediate-level course is for frontline health workers caring for patients with suspected or confirmed seasonal influenza infection.
By: World Health Organization (WHO)
WHO: Oxygen
REPOSITORY / TOOLKIT | This website provides a one-stop shop for all oxygen resources compiled by WHO, including requirements of medicinal oxygen, components of an oxygen system, guidelines, factsheets, and more.
By: World Health Organization (WHO)
African Federation for Emergency Medicine (AFEM) Resources
REPOSITORY / TOOLKIT | AFEM’s resources are Africa-specific for clinical, nursing, and pre-hospital emergency care.
By: African Federation for Emergency Medicine (AFEM)
COVID-19 Respiratory Equipment
COURSE / TRAINING VIDEO | This course was developed due to the enormous emphasis placed on need for safe provision of oxygen to patients with COVID-19, but can be used for conditions beyond COVID-19.
By: World Health Organization (WHO)
COVID-19: Your Questions Answered
REPOSITORY / TOOLKIT | This toolkit provides answers to many questions related to COVID-19. The answers were curated from evidence-based literature and peer-reviewed resources.
By: Stanford Medicine – Anesthesia Division of Global Health Equity
Health Products Policy and Standards: Medical Use of Oxygen
GUIDANCE | This webpage highlights World Health Organization guidance and resources on the use of medical oxygen.
By: World Health Organization (WHO)
Medevis: Priority Medical Devices Information System
REPOSITORY / TOOLKIT | Medevis is an open access WHO electronic database on appropriate medical devices according to the levels of care, setting and intended health intervention.
By: World Health Organization (WHO)
Open Oximetry: Pulse Oximeters
TOOL | This resource provides a list of various makes and models of existing pulse oximeters.
By: Open Oximetry
Oxygen Supply Systems from Fritz Stephan GmbH
TOOL | This website provides the oxygen technology from Fritz Stephan GmbH – tailor-made ventilation solutions for premature infants, children, and adults.
By: Fritz Stephan GmbH
Oxygen Talks
PRESENTATION / WEBINAR | The Oxygen Talk is where the Oxygen Alliance invites experts to come and speak about an oxygen-related topic.
By: OpenO2 at the Global Health Informatics Institute, Oxygen Alliance
Oxygen Therapy Project
ARTICLE | UNICEF’s Oxygen Therapy Project, jointly with the World Health Organization, aims to provide governments with practical tools for building oxygen systems in their countries.
By: UNICEF
UCSF-CHESA Critical Care Facility Level Assessment Tool
TOOL | This assessment should be completed with input from healthcare providers with current, firsthand knowledge of the facility’s intensive care and oxygen infrastructure.
By: University of California, San Francisco
WHO Access to Oxygen Initiative
REPOSITORY / TOOLKIT | The WHO Access to Oxygen Initiative provides technical and operational support to Member States on solutions to enable a resilient oxygen ecosystem.
By: World Health Organization (WHO)
WHO Trainings for Medical Devices
COURSE / TRAINING VIDEO | As part of the COVID-19 response, WHO developed a series of training videos for medical equipment related to oxygen therapy.
By: World Health Organization (WHO)
Kenya Medical Oxygen Roadmap 2025-2030
GOVERNMENT POLICY / STRATEGY | The Kenya Medical Oxygen Roadmap is set to ensure equitable access to high-quality, sustainable, and affordable medical oxygen for all Kenyans by 2030.
May 2025
By: Kenya Ministry of Health
Oxygen Delivery Toolkit: Use Cases
TOOL | This series highlights country examples where tools from the Oxygen Delivery Toolkit helped stakeholders to plan, manage, and communicate the value of scaling up oxygen.
March 2025
By: PATH
The African Critical Illness Outcomes Study (ACIOS): A Point Prevalence Study of Critical Illness in 22 Nations in Africa
JOURNAL PUBLICATION | Published in The Lancet, this prospective study examined all inpatients >18 years to assess the co-primary outcomes of critical illness and 7-day mortality in acute hospitals across Africa.
March 2025
By: African Critical Illness Outcomes Study (ACIOS) Investigators
WHO Virtual Workshop Series for Developing National Medical Oxygen Scale-Up Plans
PRESENTATION / WEBINAR | WHO hosted a virtual workshop series to introduce practical and applicable knowledge for Member States and partners to expand on or develop costed national oxygen scale-up plans.
March 2025
By: World Health Organization (WHO)
Effectiveness of a Short-Term Oxygen Therapy Training Program in Liberia during and after COVID-19
JOURNAL PUBLICATION | Published in Frontiers in Public Health, this study evaluates the implementation of a short-term respiratory care training to rapidly build health worker capacity during the COVID-19 response in Liberia.
February 2025
By: Mark B. Luke, Moses Ziah 2nd, Lily Zhi Ning Lu, Michael D. Davis, Samson Arzoaquoi, Eva Drucker, Foday Kanneh, Gorbee G. Logan, Moses Massaquoi
Global Access to Medical Oxygen: Embedding Nursing Involvement
JOURNAL PUBLICATION | Published in The Lancet Global Health, this paper emphasizes engaging local champions (like nurses), providing them with knowledge and resources, and then empowering them to act to ensure sustainable change.
February 2025
By: Di Brown, Dires Birhanu, Michael Lauri, Obse Lubo, Patrick Kimutai Too, Keshni Naidu, Vinitha Ravindran, Mary Samor
Spotlight Brief: Patient and Caregiver Testimonials
INFORMATION BRIEF | Published in The Lancet Global Health, these testimonials share the experiences of patients and their caregivers and shaped the recommendations of The Lancet Global Health Commission on Medical Oxygen Security.
February 2025
By: The Lancet Global Health
The Epidemiology and Impact of Hypoxemia in Sub-Saharan Africa: Prevalence, Practices, and Outcomes
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this study determines the prevalence, clinical care, and outcomes for hospitalized hypoxemic adults in Kenya, Malawi, and Rwanda.
February 2025
By: Innocent Sulani, Lauren A. Onofrey, Letizia Trevisi, Abigail Beane, B. Jason Brotherton, Jeanine Condo, Dingase Dula, Eugene Wesley Ely, Swati Goel, Stephen Gordon, Rashan Haniffa, Bethany Hedt-Gauthier, Alexandra Medline, Carolyne Njoki, Peter Oduor, George Otieno, Jamie Rylance, Theogene Twagirumugabe, Nathalie Umutoni, Doris Lorette Uwamahoro, Sky Vanderburg, Wangari Waweru-Siika, Elisabeth D. Riviello
Oxygen Therapy in Preterm Infants: Past, Present and Future
JOURNAL PUBLICATION | Published in Pediatrics and Child Health, this review article focuses on the difficulties of titrating oxygen therapy in preterm infants and provides recommendations for best practice based on up-to-date evidence.
January 2025
By: Sanoj K.M. Ali, Peter A. Dargaville, Samir Gupta
Automated Oxygen Administration versus Manual Control in Acute Cardiovascular Care: A Randomised Controlled Trial
JOURNAL PUBLICATION | Published in Heart, this study aimed to compare standard manual oxygen administration with automated oxygen administration (AOA) using the O2matic device.
December 2024
By: Ida Arentz Taraldsen, Johannes Grand, Jasmin Dam Lukoschewitz, Ekim Seven, Ulrik Dixen, Morten Petersen, Laura Rytoft, Marie Munk Jakobsen, Ejvind Frausing Hansen, Jens Dahlgaard Hove
Introduction to Oxygen Systems
COURSE / TRAINING VIDEO | Developed by WHO, this training provides an introduction to oxygen systems, including the oxygen ecosystem, quality assurance and quality control, improving the safety of medical oxygen systems, etc.
December 2024
By: World Health Organization (WHO)
India’s Medical Oxygen Management National Guidelines
GUIDANCE | This guideline serves as a useful and practical guide in the selection of optimal medical oxygen source modalities, usage, administration, and conservation of medical oxygen as well as safety aspects.
November 2024
By: India Ministry of Health and Family Welfare
Medical Oxygen Ecosystem Capacity Assessment for Kenya
REPORT | This report analyzes data collected via facility assessments to provide a snapshot of the medical oxygen ecosystem from 113 health facilities in seven counties across Kenya.
November 2024
By: PATH, Kenya Ministry of Health
Medical Oxygen Ecosystem Capacity Assessment for Senegal
REPORT | This report analyzes and presents data collected during facility assessments in 14 provinces across Senegal, by service ward, to provide a snapshot of the country’s oxygen ecosystem.
November 2024
By: PATH
Medical Oxygen Ecosystem Capacity Assessment for Tanzania
REPORT | The purpose of this assessment is quantifying the Tanzania’s capacity to produce, distribute, and utilize medical oxygen. Results demonstrate that oxygen production covers only 20% of estimated oxygen need.
November 2024
By: PATH, Tanzania Ministry of Health, Community Development, Gender, Elderly and Children
Medical Oxygen Ecosystem Capacity Assessment for the Democratic Republic of the Congo
REPORT | This report analyzes data collected through facility assessments from 340 health facilities in 26 provinces across DRC to provide a snapshot of their medical oxygen ecosystem.
November 2024
By: PATH
Direct and Indirect Household Costs of Care of Children under 5 Years Old Attending Integrated Management of Childhood Illness Consultations at Primary Healthcare Centres in Burkina Faso, Guinea, Mali, and Niger: A Cross-Sectional Costing Study Nested in the Longitudinal AIRE Project 2021-2022
JOURNAL PUBLICATION | Published in medRxiv, this study assesses household out-of-pocket costs for children under-5 receiving IMCI consultations in four African countries.
October 2024
By: Honorat Agbeci, Richard Bakyono, Amadou Oury Touré, Adama Coulibaly, Zineb Zair, Mactar Niome, Adama Hema, Sorry Keita, Lucie Peters-Bokol, Gildas Boris Hedible, Désiré Neboua, Sarah Louart, Valérie Zombré, Dieney Fadima Kaba, Amadou Sidibe, Hannatou Souleymane Abarry, Anthony Cousien, Sandrine Busiere, Franck Lamontagne, Valéry Ridde, Sophie Desmonde, Valériane Leroy
What Were the Challenges and Needs Before Implementing Routine Pulse Oximetry in IMCI Consultations at Primary Health Centres in West Africa? Baseline Site Assessment of the Operational AIRE Project, 2020
JOURNAL PUBLICATION | Published in medRxiv, this study describes AIRE project intervention sites in Burkina Faso, Guinea, Mali, and Niger and measures their capacity to offer IMCI-care prior to project implementation.
October 2024
By: Gildas Boris Hedible, Gildas Anago, Severin Lenaud, Désiré Neboua, Zineb Zair, Abdoul Guaniyi Sawadogo, Sarah Louart, Valérie Zombré, Dieney Fadima Kaba, Amadou Sidibe, Hannatou Souleymane Abarry, Sandrine Busiere, Marine Vignon, Franck Lamontagne, Valéry Ridde, Valériane Leroy
Tuberculosis is Associated with Chronic Hypoxemia among Kenyan Adults (CHAKA): A Case-Control Study
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this study aimed to quantify the association between potential risk factors and chronic hypoxemia among adults hospitalized in Kenya.
August 2024
By: Neelima Navuluri, Peter S. Kussin, Joseph R. Egger, Elcy Birgen, Sylvia Kitur, Nathan M. Thielman, Alice Parish, Cynthia L. Green, Mark M. Janko, Lameck Diero, Kara Wools-Kaloustian, David K. Lagat, Loretta G. Que
Unmasking the Contributing Factors to Oxygen Disruption Events in the Inpatient Environment and Emergency Department
JOURNAL PUBLICATION | Published in Patient Safety, this study examines the contributing factors and context of oxygen disruption–related patient safety event reports in the inpatient setting and provides solutions.
July 2024
By: Lucy Bocknek, Deanna-Nicole Busog, Raj Ratwani, Katharine Adams, Rebecca Jones, Seth Krevat
The Effectiveness of Community Health Worker Training, Equipping, and Deployment in Reducing COVID-19 Infections and Deaths in Rural Western Kenya: A Comparison of Two Counties
JOURNAL PUBLICATION | Published PLoS Global Public Health, this study measures the effectiveness of deploying trained and equipped CHWs in reducing COVID-19 infections and deaths in two counties in rural Western Kenya.
March 2024
By: Neema Kaseje, Kennedy Oruenjo, Dan Kaseje, Marcel Tanner, Andy Haines
Variability of Oxygen Requirements in Critically Ill COVID-19 Patients
JOURNAL PUBLICATION | Published in the Journal of Global Health, this sub-analysis of the COVID-19 Critical Care Consortium database assesses the oxygen consumption requirements of COVID-19 patients admitted to intensive care units.
February 2024
By: Lisa Smith, Samuel Huth, Alexander Rothkopf, Nicole White, Gianluigi Li Bassi, Jacky Suen, John Fraser
Third Delay in Care of Critically Ill Patients: A Qualitative Investigation of Public Hospitals in Kenya
JOURNAL PUBLICATION | Published in BMJ Open, this exploratory qualitative study identifies delays in delivery of care to critically ill patients and possible ways to address these delays in four public Kenyan hospitals.
January 2024
By: Onesmus O. Onyango, Jacob McKnight, Carl Otto Schell, Tim Baker, Elibariki Mkumbo, John Maiba, Karima Khalid, Mike English, Jacquie Oliwa
Standardized Trauma Intake Form with Clinical Decision Support Prompts Improves Care and Reduces Mortality for Seriously Injured Patients in Non-Tertiary Hospitals in Ghana: Stepped-Wedge Cluster Randomized Trial
JOURNAL PUBLICATION | Published in the British Journal of Surgery, this study examines the effectiveness of a standardized trauma intake form for improving key performance indicators in initial trauma care in Ghana.
October 2023
By: Adam Gyedu, Barclay T. Stewart, Emmanuel Nakua, Peter Donkor
COVID-19 Tele-Education Series Resource Library
REPOSITORY / TOOLKIT | This resource library, managed by Assist International, provides various tools and resources on COVID-19 treatment and care, including surgical care, oxygen therapy, infection control, and resource planning.
August 2023
By: Assist International
Ethiopian Medical Oxygen Roadmap II (2022-2027)
GOVERNMENT POLICY / STRATEGY | Their second iteration, this oxygen roadmap provides a comprehensive approach to overcome prevailing bottlenecks and improve access to medical oxygen, diagnostics, and hypoxemia management.
August 2023
By: Ethiopia Federal Ministry of Health
WHO O2CoV2: Oxygen Requirements and Respiratory Support in Patients with COVID-19 in Low-and-Middle Income Countries—Protocol for a Multicountry, Prospective, Observational Cohort Study
JOURNAL PUBLICATION | Published in BMJ Open, this study aims to describe the requirements and use of oxygen at the facility and patient level of approximately 4,500 patients with COVID-19 in 30 countries.
August 2023
By: Pryanka Relan, Srinivas Murthy, John C. Marshall, Sylvie Chevret, Yaseen M. Arabi, Wangari Waweru-Siika, Sara Dominguez Rodriguez, Pauline Convocar, Janet Diaz
Lesotho’s National Medical Oxygen Strategy and Scale-Up Plan (2023-2028)
GOVERNMENT POLICY / STRATEGY | Under the four interdependent strategic objectives, this strategy provides policy and implementation framework for scaling up medical oxygen within the system in Lesotho.
July 2023
By: Lesotho Ministry of Health
Patient Experience with Chronic Obstructive Pulmonary Disease: A Nationally Representative Demonstration Study on Quality and Cost of Healthcare Services
JOURNAL PUBLICATION | Published in Frontiers in Public Health, this study attempted to investigate the journey of patients with COPD in the healthcare system using nationally representative data in Iran.
June 2023
By: Seyyed-Hadi Ghamari, Farnam Mohebi, Mohsen Abbasi-Kangevari, Besharat Rahimi, Naser Ahmadi, Yousef Farzi, Shahedeh Seyfi, Nazila Shahbal, Mitra Modirian, Mehrdad Azmin, Hossein Zokaei, Maryam Khezrian, Roya Sherafat, Mohammad-Reza Malekpour, Shahin Roshani, Negar Rezaei, Mohammad Javad Fallahi, Maryam Haddadzadeh Shoushtari, Zahra Akbaripour, Shahab Khatibzadeh, Saeid Shahraz
Zambian National Medical Oxygen Strategic Plan (2022–2026)
GOVERNMENT POLICY / STRATEGY | The Zambian National Medical Oxygen Strategic Plan 2022–2026 provides strategic direction for ensuring the supply of safe medical oxygen needed to manage clients with respiratory conditions, including COVID-19.
May 2023
By: Zambia Ministry of Health
A Comparison of Four Epidemic Waves of COVID-19 in Malawi: An Observational Cohort Study
JOURNAL PUBLICATION | Published in BMC Infectious Diseases, this study compares four epidemic waves of COVID-19 in Malawi and explores the relationship between viral lineage and outcomes for adult COVID-19 patients.
February 2023
By: Catherine Anscombe, Samantha Lissauer, Herbert Thole, Jamie Rylance, Dingase Dula, Mavis Menyere, Belson Kutambe, Charlotte van der Veer, Ndaziona Banda, Samson Kwazizira Mndolo, Kelvin Mponda, Chimota Phiri, Jane Mallewa, Mulinda Nyirenda, Grace Banda-Katha, Henry Mwandumba, Stephen Gordon, Kondwani Jambo, Jennifer Cornick, Nicholas Feasey, Kayla Barnes, Ben Morton, Philip Ashton
What are the Risk Factors for Death among Children with Pneumonia in Low- and Middle-Income Countries? A Systematic Review
JOURNAL PUBLICATION | Published in the Journal of Global Health, this review aimed to identify the most important risk factors for mortality among children aged under ten years with pneumonia.
February 2023
By: Chris Wilkes, Mohamed Bava, Hamish Graham, Trevor Duke
Ghana’s National Medical Oxygen Policy
GOVERNMENT POLICY / STRATEGY | This policy establishes the framework and lay the foundation for a national strategy for scaling-up production, availability, access, and use of medical oxygen across Ghana.
January 2023
By: Ghana Ministry of Health
Therapeutics and COVID-19: Living Guideline
GUIDANCE | The WHO Therapeutics and COVID-19: living guideline contains the most up-to-date recommendations for the use of therapeutics in the treatment of COVID-19.
January 2023
By: World Health Organization (WHO)
What you Need to Know about Stillbirths: Answers to Common Questions about this Tragic Loss of Life
ARTICLE | This webpage provides answers to key questions about stillbirths.
January 2023
By: UNICEF
Eswatini’s National Medical Oxygen Operational Plan (2023-2025)
GOVERNMENT POLICY / STRATEGY | The overarching objective of this operational plan is to improve access to medical oxygen for all people in Eswatini and ensure effective use to save lives by the year 2025.
December 2022
By: Eswatini Ministry of Health
NEST360 Newborn Technology Landscape
REPORT | This NEST360 report outlines a compendium of newborn healthcare technologies, both commercially available and in development, suitable for use in resource-limited settings.
December 2022
By: NEST360
Digital Health Initiatives in Transforming Healthcare Delivery During Pandemic Outbreak
JOURNAL PUBLICATION | Published in NeuroQuantology, the study examines how Kerala’s eHealth project, incorporating telemedicine and digital health tools, supported healthcare during the pandemic.
November 2022
By: Kunnathodi Ayisha, C.P. Ayoob
Strengthening Oxygen Data Management Systems: Zambia Oxygen Data Dashboard Report
REPORT | This report provides survey results related to use of Zambia’s oxygen data dashboard, which demonstrates many were aware of the dashboard, but most did not use it regularly.
November 2022
By: PATH
Analysis of the Renewed European Medical Device Regulations in the Frame of the Non – EU Regulatory Landscape during the COVID Facilitated Change
JOURNAL PUBLICATION | Published in Journal of Pharmaceutical Sciences, this review evaluates the updated European Medical Device Regulations and their global impact, emphasizing stricter compliance requirements post-COVID-19.
October 2022
By: S.P. Yamini Kanti, Ildikó Csóka, Lívia Adalbert, Orsolya Jójárt-Laczkovich
Management and Safe Use of Medical Devices
GUIDANCE | The WHO developed a technical series to expand the expertise in medical devices to support member states to ensure improved access, quality and use of medical products and technologies.
August 2022
By: World Health Organization (WHO)
Augmenting Oxygen Management Capacity through Upskilling—A Success Story from Lok Nayak Jai Prakash Hospital, New Delhi
INFORMATION BRIEF | This success story highlights the importance of upskilling and capacity strengthening of internal technicians and healthcare service providers within a hospital in India
July 2022
By: PATH, Reaching Impact, Saturation, and Epidemic Control (RISE) project
Strengthening Oxygen Utilization and Respiratory Care Ecosystems (SOURCE) Project
INFORMATION BRIEF | This factsheet offers an overview of the Strengthening Oxygen Utilization and Respiratory Care Ecosystems (SOURCE) project to support countries to equitably improve oxygen access.
July 2022
By: PATH
NEST360 Qualified Technologies
TOOL | The NEST360 qualified technologies are a list of newborn care technologies best suited for use in low-resource setting hospitals, including being effective, affordable, rugged, and simple to use.
June 2022
By: NEST360
Tanzania’s National Medical Oxygen Scale-Up Plan
GOVERNMENT POLICY / STRATEGY | This plan aims to ensure availability, accessibility, and affordability of quality medical oxygen therapy to meet universal health coverage in the country.
June 2022
By: Tanzania Ministry of Health, Community Development, Gender, Elderly and Children
Knowledge, Attitude, and Practice of Health Professionals for Oxygen Therapy Working in South Gondar Zone Hospitals, 2021: Multicenter Cross-Sectional Study
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study aimed to assess the knowledge, attitude, and practice of health professionals towards oxygen therapy.
May 2022
By: Basazinew Chekol Demilew, Agegnehu Mekonen, Agazhe Aemro, Nakachew Sewnet, Banchiayehu Alebachew Hailu
Standards of Inpatient Care during Acute Exacerbation of COPD in a Tertiary Care Hospital, Karachi, Pakistan
JOURNAL PUBLICATION | Published in the Rawal Medical Journal, this study evaluates the quality of care of patients with acute exacerbation of COPD and the change in practice after educational program and recommendations.
April 2022
By: Saima Akhter, Sadhna Priya, Naseem Ahmed, Nadeem Rizvi
Thoracic Society of Australia and New Zealand Position Statement on Acute Oxygen Use in Adults: “Swimming between the Flags”
JOURNAL PUBLICATION | Published in Respirology, this update to the Thoracic Society of Australia and New Zealand (TSANZ) guidance on acute oxygen therapy is a brief and practical resource for health workers.
April 2022
By: Adrian Barnett, Richard Beasley, Catherine Buchan, Jimmy Chien, Claude S. Farah, Gregory King, Christine F. McDonald, Belinda Miller, Maitri Munsif, Alex Psirides, Lynette Reid, Mary Roberts, Natasha Smallwood, Sheree Smith
Anesthesia Facility Assessment Tool
TOOL | This questionnaire supports the creation of a data set to help evaluate national capacity for anesthesia care and to provide guidance for improving or maintaining safe anesthesia standards.
March 2022
By: World Federation of Societies of Anaesthesiologists (WFSA)
Assessment Report on the Availability of Oxygen and Biomedical Equipment in Health Facilities: DRC Facility Survey Report
REPORT | This report summarizes observations from the collected data of a biomedical equipment survey and is intended to help global and national stakeholders understand COVID-19 treatment capacity in DRC.
March 2022
By: PATH
COVID-19 Case Management Webinar Series: COVID-19 in Children and Young Persons
PRESENTATION / WEBINAR | This webinar focuses on key elements to consider in the clinical management of mild, moderate, or severe COVID-19 in children and young persons.
March 2022
By: World Health Organization (WHO)
Every Last One: Compassionate, Comprehensive Healthcare Powered by Scalable Oxygen and Digital Solutions
PRESENTATION / WEBINAR | This presentation outlines the activities of The Luke Commission in improving comprehensive health services in Eswatini, including efforts to scale up COVID-19 vaccination and strengthening oxygen delivery.
March 2022
By: The Luke Commission
Prevalence of Hypoxemia in Children with Pneumonia in Low-income and Middle-income Countries: A Systematic Review and Meta-analysis
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study presents an estimated number of children who are admitted to hospital due to pneumonia with hypoxemia annually.
March 2022
By: Ahmed Ehsanur Rahman, Aniqa Tasnim Hossain, Harish Nair, Mohammod Jobayer Chisti, David H. Dockrell, Shams El Arifeen, Harry Campbell
Helmet-based Positive Pressure Ventilation is a Solution for COVID-19 Treatment
GUIDANCE | This website provides useful information to clinicians about helmet use for noninvasive ventilation in patients who have respiratory distress as a complication of COVID-19.
February 2022
By: Helmet-based Ventilation Inc
Review on People’s Trust on Home Use Medical Devices during COVID‑19 Pandemic in India
JOURNAL PUBLICATION | Published in Health and Technology, this article aims to create awareness about commonly used medical devices during the COVID-19 pandemic and to survey trust in home usable devices in India.
February 2022
By: Garima Saini, Vikas Budhwar, Manjusha Choudhary
Working Conditions in Primary Healthcare During the COVID-19 Pandemic: An Interview Study with Physicians in Sweden
JOURNAL PUBLICATION | Published in BMJ Open, the aim of this study was to explore how the COVID-19 pandemic changed the working conditions of physicians in Swedish primary healthcare.
February 2022
By: Hanna Fernemark, Janna Skagerström, Ida Seing, Kristina Schildmeijer, Per Nilsen
Care, Cleaning, and Disinfection of Pulse Oximeters and Patient Monitor Devices
TOOL | This poster is intended for healthcare workers, biomedical engineers, and staff in charge of caring, cleaning, decontaminating, and sterilizing respiratory equipment like pulse oximeters and patient monitors.
January 2022
By: World Health Organization (WHO)
Preparing Hospitals’ Medical Oxygen Delivery Systems for a Respiratory “Twindemic”
ARTICLE | Published in JAMA Network, this editorial posits how best to prepare hospitals’ medical oxygen delivery ecosystems for health emergencies.
January 2022
By: Melissa Suran
Resources and Geographic Access to Care for Severe Pediatric Pneumonia in Four Resource-limited Settings
JOURNAL PUBLICATION | This study (published in American Journal of Respiratory and Critical Care Medicine) sought to identify healthcare facilities that were adequately resourced to manage severe pediatric pneumonia.
January 2022
By: Suzanne M. Simkovich, Lindsay J. Underhill, Miles A. Kirby, Mary E. Crocker, Dina Goodman, John P. McCracken, Lisa M. Thompson, Anaité Diaz-Artiga, Adly Castañaza-Gonzalez, Sarada S. Garg, Kalpana Balakrishnan, Gurusamy Thangavel, Ghislaine Rosa, Jennifer L. Peel, Thomas F. Clasen, Eric D. McCollum, William Checkley
Care, Cleaning, and Disinfection of Respiratory Equipment in Sterile Services Department
TOOL | This collection of posters are intended for healthcare workers, biomedical engineers, and staff in charge of caring, cleaning, decontaminating, and sterilizing respiratory medical equipment in health facilities.
December 2021
By: World Health Organization (WHO)
Checklists for Care, Cleaning, Disinfection, and Sterilization of Respiratory Devices
TOOL | This collection of posters are intended for healthcare workers, biomedical engineers, and staff in charge of caring, cleaning, decontaminating, and sterilizing respiratory medical equipment in health facilities.
December 2021
By: World Health Organization (WHO)
Medical Equipment Related to Oxygen Therapy – Cleaning Task Sequence
TOOL | This collection of posters are intended for healthcare workers, biomedical engineers, and staff in charge of caring, cleaning, decontaminating, and sterilizing respiratory medical equipment in health facilities.
December 2021
By: World Health Organization (WHO)
Oxygen Systems Strengthening as an Intervention to Prevent Childhood Deaths due to Pneumonia in Low-Resource Settings: Systematic Review, Meta-Analysis, and Cost-effectiveness
JOURNAL PUBLICATION | Published in BMJ Global Health, this paper reviews evidence on the effectiveness of strengthening oxygen systems on mortality for children with pneumonia to populate estimates in the Lives Saved Tool.
December 2021
By: Felix Lam, Angela Stegmuller, Victoria B. Chou, Hamish Graham
Oxygen Management among Infants in Neonatal Units in Sub-Saharan Africa: A Cross-Sectional Survey
JOURNAL PUBLICATION | Published in the Journal of Perinatology, this study provides more comprehensive data on the management of oxygen supplementation in neonates in sub-Saharan Africa.
November 2021
By: Scott Herrod, Alex Stevenson, Yvonne E Vaucher, Scott R. Lambert, Sherwin J. Isenberg, Vivien L. Yap, V. Chinyere Ezeaka, Waldemar A. Carlo
The Impact of Pulse Oximetry on Diagnosis, Management, and Outcomes of Acute Febrile Illness in Low-income and Middle-income Countries: A Systematic Review
JOURNAL PUBLICATION | Published in BMJ Global Health, this article systematically reviewed studies of any design comparing one group where pulse oximetry was used and at least one group where it was not.
November 2021
By: Rusheng Chew, Meiwen Zhang, Arjun Chandna, Yoel Lubell
The World Federation of Societies of Anesthesiologists Minimum Capnometer Specifications 2021—A Guide for Healthcare Decision Makers
JOURNAL PUBLICATION | The World Federation of Societies of Anesthesiologists (WFSA) has developed the “WFSA—Minimum Capnometer Specifications 2021”, which are published in Anesthesia & Analgesia.
November 2021
By: Adrian W. Gelb, Robert J. McDougall, Julian Gore-Booth, Phoebe-Anne Mainland
Madagascar’s National Strategic Plan for Oxygen Therapy (2021-2023)
GOVERNMENT POLICY / STRATEGY | This strategic plan for oxygen therapy aims to achieve 100% oxygen coverage at each level of the health system in Madagascar, through autonomy of oxygen production at the regional level.
September 2021
By: Madagascar Ministry of Public Health
Pulse Oximetry Adoption and Oxygen Orders at Pediatric Admission over 7 Years in Kenya: A Multihospital Retrospective Cohort Study
JOURNAL PUBLICATION | Published in BMJ, this study characterizes the adoption and explores specific clinical and patient factors that might influence pulse oximetry and oxygen use in LMICs over time.
September 2021
By: Timothy Tuti, Jalemba Aluvaala, Samuel Akech, Ambrose Agweyu, Grace Irimu, Mike English
The COVID-19 Oxygen Crisis: How Did We Get Here? Part 1. The Emergence of a Virus
ARTICLE | Published on Gas World, this article explores oxygen supply chain shortages that ultimately failed to prevent the loss of many thousands of lives.
September 2021
By: Rob Cockerill
The COVID-19 Oxygen Crisis: How Did We Get Here? Part 2. The Healthcare State-of-Play
ARTICLE | Published on Gas World, this articles provides an overview of lessons learned from past epidemics and the interplay between political playbooks and pandemic preparedness.
September 2021
By: Rob Cockerill
Unmet Need of Essential Treatments for Critical Illness in Malawi
JOURNAL PUBLICATION | Published in PLOS One, this study suggests a quality-of-care gap that may negatively affect COVID-19 outcomes and recommends a focus on quality of essential care in the COVID-19 response.
September 2021
By: Raphael K. Kayambankadzanja, Carl Otto Schell, Isaac Mbingwani, Samson Kwazizira Mndolo, Markus Castegren, Tim Baker
Using a Human-Centred Design Approach to Develop a Comprehensive Newborn Monitoring Chart for Inpatient Care in Kenya
JOURNAL PUBLICATION | Published in BMC Health Services Research, this article describes the approach to co-design a newborn monitoring chart in Kenya using human-centered design, as a means to reduce neonatal mortality.
September 2021
By: Naomi Muinga, Chris Paton, Edith Gicheha, Ibukun-Oluwa Omolade Abejirinde, Lenka Benova, Mike English, Marjolein Zweekhorst
WHO Pakistan Biomedical Equipment Survey
REPORT | This report highlights an assessment of biomedical equipment in Pakistan, especially focusing on oxygen supply systems.
September 2021
By: World Health Organization (WHO)
2020 Year in Review: Mechanical Ventilation During the First Year of the COVID-19 Pandemic
JOURNAL PUBLICATION | This narrative review published in Respiratory Care systematically analyzes whether COVID-19–associated respiratory failure is essentially ARDS, with perhaps a somewhat different course of presentation.
August 2021
By: Richard Kallet
NEST360 Clinical Job Aid: Acare Suction Pump
TOOL | This clinical job aid from NEST360 provides an overview of an Acare suction pump, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
NEST360 Clinical Job Aid: AirSep Oxygen Concentrator
TOOL | This clinical job aid from NEST360 provides an overview of an AirSep oxygen concentrator, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
NEST360 Clinical Job Aid: Aspeed Suction Pump
TOOL | This clinical job aid from NEST360 provides an overview of an Aspeed suction pump, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
NEST360 Clinical Job Aid: Bubble CPAP
TOOL | This clinical job aid from NEST360 provides an overview of a bubble CPAP device.
August 2021
By: NEST360
NEST360 Clinical Job Aid: Canta Oxygen Concentrator
TOOL | This clinical job aid from NEST360 provides an overview of a Canta oxygen concentrator, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
NEST360 Clinical Job Aid: Flow Splitter
TOOL | This clinical job aid from NEST360 provides an overview of a flow splitter, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
NEST360 Training Videos
COURSE / TRAINING VIDEO | These NEST360 training videos demonstrate model-specific equipment setup, use, and maintenance and are used as training aids in clinical and technical training.
August 2021
By: NEST360
Barriers to Access for MNCH Medical Devices: Landscape Review of Existing Evidence
REPORT | This report outlines the results of a rapid desk research exercise on maternal, neonatal, and child health (MNCH) medical devices and the challenges/barriers they face.
July 2021
By: PATH
Oxygen and Mortality in COVID-19 Pneumonia: A Comparative Analysis of Supplemental Oxygen Policies and Health Outcomes across 26 Countries
JOURNAL PUBLICATION | Published in Frontiers in Public Health, this study examined whether variation in national oxygen guidelines had any association with COVID-19 mortality rates looking at the 29 worst-affected countries.
July 2021
By: Fatma Mansab, Harry Donnelly, Albrecht Kussner, James Neil, Sohail Bhatti, Daniel K. Goyal
WHO Technical Consultation on Oxygen Access Scale Up for COVID-19
GUIDANCE | WHO convened a consultation, held over four meetings, with groups that have proven experience implementing oxygen scale up activities to accelerate oxygen access at the country level.
July 2021
By: World Health Organization (WHO)
Challenges of Hospital Oxygen Management during the COVID-19 Pandemic in Rural Nepal
JOURNAL PUBLICATION | This article in American Society of Tropical Medicine and Hygiene argues the imperative to consider scalable, sustainable approaches to providing oxygen to those in greatest need at a policy level.
June 2021
By: Navin Bhatt, Shristi Nepal, Richard J. Pinder, Don Eliseo Lucero-Prisno III, Shyam Sundar Budhathoki
Biomedical Equipment for COVID-19 Case Management: Zambia COVID-19 Treatment Facility Survey Report
REPORT | This report summarizes observations from the collected data of a biomedical equipment survey and is intended to help global and national stakeholders understand COVID-19 treatment capacity in Zambia.
May 2021
By: PATH
COVID-19 Global Oxygen Needs and Solutions
PRESENTATION / WEBINAR | This WHO webinar highlights the challenges and solutions in the systems response for oxygen in COVID-19 clinical settings.
May 2021
By: World Health Organization (WHO)
Complimentary Scenarios for COVID-19 Preparedness
TOOL | To assist in preparing staff and teams, Laerdal Medical and partners have created a set of free scenarios to better address COVID-19.
May 2021
By: Laerdal Medical
Neonatal Mortality in Kenyan Hospitals: A Multisite, Retrospective, Cohort Study
JOURNAL PUBLICATION | Published in BMJ Global Health, this study analyzes neonatal mortality in Kenyan hospitals, identifying major risk factors and calling for improved prenatal and neonatal care to reduce mortality.
May 2021
By: Grace Irimu, Jalemba Aluvaala, Lucas Malla, Morris Ogero, George Mbevi, Mary Waiyego, Caroline Mwangi, Fred Were, David Gathara, Ambrose Agweyu, Samuel Akech, Mike English
Patient Care and Clinical Outcomes for Patients with COVID-19 Infection Admitted to African High-care or Intensive Care Units (ACCCOS): A Multicenter, Prospective, Observational Cohort Study
JOURNAL PUBLICATION | The African COVID-19 Critical Care Outcomes Study aimed to determine which resources, comorbidities, and critical care interventions are associated with mortality in African critically ill COVID-19 patients.
May 2021
By: The Lancet
Respiratory Care Order Set (Protocol) Templates
TOOL | These respiratory care order set templates cover the key principles for respiratory care for both adult and pediatric patients.
May 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Anesthesia Pocket Reference
TOOL | This pocket guide contains quick reference for airway management, common induction and sedation agents and more.
April 2021
By: Open Critical Care, University of California, San Francisco, Sustaining Technical and Analytic Resources (STAR) project
Assessing the Medical Oxygen Ecosystem: Tools from National to Primary Healthcare Levels
TOOL | This collection of tools is a resource to support meaningful assessments and better target effective interventions for those who are building the oxygen ecosystem.
April 2021
By: Meeting Targets and Maintaining Epidemic Control (EpiC) project
Assessment Report on the Availability of Oxygen and Biomedical Equipment in Health Facilities: City Province of Kinshasa, DRC, Facility Survey Report
REPORT | This report summarizes observations from the collected data of a biomedical equipment survey and is intended to help global and national stakeholders understand COVID-19 treatment capacity in Kinshasa, DRC.
April 2021
By: PATH
Biomedical Equipment for COVID-19 Case Management: Senegal Facility Survey Report
REPORT | This report summarizes observations from the collected data of a biomedical equipment survey and is intended to help global and national stakeholders understand COVID-19 treatment capacity in Senegal.
April 2021
By: PATH
COVID-19 Webinar by AIIMS, Delhi: Treatment Protocols for COVID-19
PRESENTATION / WEBINAR | This video by the All India Institute Of Medical Sciences (AIIMS), New Delhi discusses the update on current medical management of COVID-19, including for oxygen therapy.
April 2021
By: All India Institute Of Medical Sciences, New Delhi
NEST360 Technical Scenario: Pulse Oximeter
TOOL | This tool from NEST360 provides a technical scenario for a pulse oximeter.
April 2021
By: NEST360
The Oxygen Series
PRESENTATION / WEBINAR | This webinar series highlights the diagnosis and therapy for hypoxemia, both pediatric and adult.
April 2021
By: Assist International, Stanford Medicine – Anesthesia Division of Global Health Equity
WHO’s Science in 5 on COVID-19 : Medical Oxygen
PRESENTATION / WEBINAR | Science in 5 series – Episode #33 / Medical oxygen is an essential medicine in the treatment of COVID-19.
April 2021
By: World Health Organization (WHO)
NEST-ED Clinical Module: Suction Pump
GUIDANCE | This NEST-ED Clinical Module has been prepared to help healthcare staff and students understand when and how to use suction pumps in newborn care.
March 2021
By: NEST360
NEST360 Clinical Scenario: Continuous Positive Airway Pressure
TOOL | This tool from NEST360 provides a clinical scenario for continuous positive airway pressure (CPAP).
March 2021
By: NEST360
NEST360 Clinical Scenario: Oxygen Concentrator and Flow Splitter
TOOL | This tool from NEST360 provides a clinical scenario for oxygen concentrator and flow splitter.
March 2021
By: NEST360
NEST360 Clinical Scenario: Suction Pump
TOOL | This tool from NEST360 provides a clinical scenario for suction pumps.
March 2021
By: NEST360
Preguntas: Presentación y Encuesta Sobre Terapias con O2 [Questions: Presentation and Survey on Oxygen Therapies]
TOOL | This reference note provides answers to key questions related to providing oxygen therapy as a treatment for COVID-19.
March 2021
By: Open Critical Care
Red de Aprendizaje para la Respuesta a la COVID-19 en América Latina: Guías Prácticas Para Ventilación Mecánica en Pacientes Diagnosticados con Neumonía por COVID-19 [Learning Network for Response to COVID-19 in Latin America: Practical Guidelines for Mechanical Ventilation in Patients Diagnosed with COVID-19 Pneumonia]
PRESENTATION / WEBINAR | This webinar aims to address the proper management of mechanical ventilation in ARDS due to COVID-19, including ICU basics, intubation and airway management, and more.
March 2021
By: Health Policy Plus project, Meeting Targets and Maintaining Epidemic Control (EpiC) project, Sustaining Technical and Analytic Resources (STAR) project
STAR-UCSF Webinar: Optimizing the Impact of Oxygen Scale Up
PRESENTATION / WEBINAR | Experts from the USAID STAR-UCSF COVID-19 Technical Advisory Group present a webinar and question and answer on optimizing the impact of oxygen scale up.
March 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Gaps in COPD Guidelines of Low- and Middle-Income Countries: A Systematic Scoping Review
JOURNAL PUBLICATION | Published in Chest, this study systematically reviewed national COPD guidelines, focusing on worldwide availability, content, context, and quality gaps that may hamper effective implementation.
February 2021
By: Aizhamal Tabyshova, John R. Hurst, Joan B. Soriano, William Checkley, Erick Wan-Chun Huang, Antigona C. Trofor, Oscar Flores-Flores, Patricia Alupo, Gonzalo Gianella, Tarana Ferdous, David Meharg, Jennifer Alison, Jaime Correia de Sousa, Maarten J. Postma, Niels H. Chavannes, Job F.M. van Boven
Red de Aprendizaje para la Respuesta a la COVID-19 en América Latina: Guías Prácticas Para Terapia con Oxígeno Previo a Intubación en Pacientes con Neumonía COVID-19 [Learning Network for the Response to COVID-19 in Latin America: Practical Guidelines for Oxygen Therapy Prior to Intubation in Patients with COVID-19 Pneumonia]
PRESENTATION / WEBINAR | This webinar focuses on case management and common clinical difficulties within the evaluation of hypoxemia, low-flow oxygen therapy, prone positioning, and noninvasive mechanical ventilation.
February 2021
By: Health Policy Plus project, Meeting Targets and Maintaining Epidemic Control (EpiC) project, Sustaining Technical and Analytic Resources (STAR) project
Systemic Oxygen Utilization in Severe COVID-19 Respiratory Failure: A Case Series
JOURNAL PUBLICATION | Published in the Indian Journal of Critical Care Medicine, the objective of this study was to examine systemic oxygen utilization in a case series of patients with this disease.
February 2021
By: Rajeev K. Garg, Tara Kimbrough, Wajahat Lodhi
Biomedical Equipment for COVID-19 Case Management: Malawi Facility Survey Report
REPORT | This report summarizes observations from the collected data of a biomedical equipment survey and is intended to help global and national stakeholders understand COVID-19 treatment capacity in Malawi.
January 2021
By: PATH
Liberia Oxygen Assessment
REPORT | CHAI supported the Liberia Ministry of Health to conduct an assessment of select facilities to understand current availability of oxygen equipment, as well as facility readiness to provide oxygen therapy.
January 2021
By: Liberia Ministry of Health, Clinton Health Access Initiative (CHAI)
Not All Pulse Oximeters Are Created Equal: Addressing Skin Pigmentation in Pulse Oximetry
PRESENTATION / WEBINAR | This video presentation features a panel of pulse oximetry experts sharing essential information on how pulse oximetry works, including that Masimo SET® pulse oximetry is not limited by skin pigmentation.
January 2021
By: Masimo
Pragmatic Recommendations for the Management of Acute Respiratory Failure and Mechanical Ventilation in Patients with COVID-19 in Low- and Middle-income Countries
JOURNAL PUBLICATION | This article in the American Journal of Tropical Medicine and Hygiene outlines pragmatic recommendations for acute respiratory failure and mechanical ventilation in severe COVID-19 patients in LMICs.
January 2021
By: Ary Serpa Neto, William Checkley, Chaisith Sivakorn, Madiha Hashmi, Alfred Papali, Marcus J. Schultz
Response to Oxygen Therapy Using Oxygen Concentrators Run off Solar Power in Children with Respiratory Distress in Remote Primary Health Facilities in Papua New Guinea
JOURNAL PUBLICATION | Published in Tropical Doctor, this prospective observational study looked at the use of oxygen concentrators using solar power in remote health facilities of Papua New Guinea.
January 2021
By: Francis Pulsan, Trevor Duke
Oxygen and COVID-19: UNICEF’s Global, Rapid, and Multi-faceted Approach
ARTICLE | UNICEF is working with governments and partners to find the best solutions to scale up oxygen for each unique country context.
November 2020
By: UNICEF
WHO Priority Medical Devices List for the COVID-19 Response and Associated Technical Specifications
TOOL | This document describes the medical devices required for the clinical management of COVID-19, selected and prioritized according to the latest available evidence and interim guidelines.
November 2020
By: World Health Organization (WHO)
Tackling the COVID-19 Pandemic: The Bangladesh Perspective
JOURNAL PUBLICATION | Published in Journal of Public Health Response, this study describes the response of Bangladesh to tackle the COVID-19 pandemic, particularly given its limited resources.
October 2020
By: Md Taimur Islam, Anup Kumar Talukder, Md Nurealam Siddiqui, Tofazzal Islam
WHO Technical Consultation on Oxygen Scale Up
PRESENTATION / WEBINAR | WHO convened a consultation, held over four meetings, with groups that have proven experience implementing oxygen scale up activities to accelerate oxygen access at the country level.
October 2020
By: World Health Organization (WHO)
Oxygen Therapy, Awake Self Positioning, and Noninvasive Ventilation: Lessons from Respiratory ICU
PRESENTATION / WEBINAR | This is the first lecture in the CMC Vellore COVID Public Lecture Series (COVID PULSE).
September 2020
By: Christian Medical College (CMC) Vellore
Technical Review of Oxygen Supply
REPORT | This report provides a summary of the oxygen supply in Kenya, specifically looking at county capacity, quality of service, and country administration, operations, and safety.
August 2020
By: Kenya Ministry of Health
Assessing the Hospital Surge Capacity of the Kenyan Health System in the Face of the COVID-19 Pandemic
JOURNAL PUBLICATION | This study from PLOS One assessed surge capacity of the Kenyan health system in terms of general hospital and intensive care unit beds during the COVID-19 pandemic.
July 2020
By: Edwine W. Barasa, Paul O. Ouma, Emelda A. Okiro
COVID-19 Health Facility Readiness Assessment: Oxygen Availability
REPORT | This assessment took stock of the readiness status of health facilities to respond to the COVID-19 pandemic, including an assessment of oxygen supply and delivery systems.
July 2020
By: Kenya Ministry of Health
Good Data Is Critical to Equitably Improve Oxygen Access: A Call to Action to Fill Data Gaps and Ensure Every Breath Counts
ARTICLE | Availability of oxygen is not currently a standard health system indicator. The EBC coalition has been working to improve the way oxygen and key pneumonia-related indicators are collected and reported.
July 2020
By: Clinton Health Access Initiative (CHAI), Karolinska Institutet, Murdoch Children’s Research Institute, PATH, Center for Public Health and Development Kenya, Every Breath Counts (EBC) coalition, Felix Lam, Carina King, Hamish Graham, Lisa Smith, Bernard Olayo
Summary Findings of the Inventory Assessment for Biomedical Equipment for COVID-19 Case Management in Ethiopia
REPORT | An inventory assessment was conducted in Ethiopia in all public and functional COVID-19 treatment facilities to understand the readiness and capacity of these facilities for COVID-19 case management.
July 2020
By: Ethiopia Federal Ministry of Health, Clinton Health Access Initiative (CHAI)
Biomedical Engineering Session Library
COURSE / TRAINING VIDEO | This training series provides biomedical professionals with remote training, and a platform for discussion and sharing of best practices in caring for COVID-19 patients within low-resource settings.
June 2020
By: Assist International
Ethical Considerations for Emergency Care During COVID-19 in Africa
GUIDANCE | This document aims to clarify the ethical considerations inherent to the COVID-19 pandemic and the provision of emergency care in resource-constrained settings.
June 2020
By: African Federation for Emergency Medicine (AFEM)
Maintaining Essential Health Services during the COVID-19 Outbreak
GUIDANCE | This page provides different resources to maintain preventive and curative services while also meeting the demand for care of COVID-19 patients.
June 2020
By: World Health Organization (WHO)
The Burden and Risks of Pediatric Pneumonia in Nigeria: A Desk‐Based Review of Existing Literature and Data
JOURNAL PUBLICATION | Published in Pediatrics Pulmonology, the study aimed to quantify the regional burden and risks of pediatric pneumonia in Nigeria, and specifically the states of Lagos and Jigawa.
June 2020
By: Agnese Iuliano, Zeus Aranda, Tim Colbourn, Imaria Agwai, Solomon Bahiru, Ayobami A. Bakare, Rochelle Ann Burgess, Christine Cassar, Funmilayo Shittu, Hamish Graham, Adamu Isah, Eric D. McCollum, Adegoke G. Falade, Carina King
COVID-19 Respiratory Care Response Coordination Project
INFORMATION BRIEF | This factsheet outlines the COVID-19 Respiratory Care Response Coordination project to support countries in the development of a comprehensive respiratory care strategy for COVID-19 and beyond.
May 2020
By: PATH
Coronavirus Disease (COVID-19) Technical Guidance: Patient Management
GUIDANCE | This guidance document is intended for clinicians caring for COVID-19 patients during all phases of their disease (i.e. screening to discharge).
May 2020
By: World Health Organization (WHO)
Updated Containment Plan for Large Outbreaks – Novel Coronavirus Disease 2019 (COVID-19)
GUIDANCE | This plans lays out containment strategies for India for the COVID-19 pandemic under different transmission scenarios.
May 2020
By: India Ministry of Health and Family Welfare
ARDS, COVID-19, and Pronation Therapy
GUIDANCE | This page includes resources to help understand the benefits of the procedure and see how pronation therapy can be done safely.
April 2020
By: American Association of Critical Care Nurses, Linda Bell
COVID-19 Resources: Summary of Recommendations on the Management of Patients with COVID-19 and ARDS
TOOL | This poster provides a summery of the recommendations on the management of patients with COVID-19 and acute respiratory distress syndrome.
April 2020
By: Society of Critical Care Medicine
COVID-19 Webinar by AIIMS, Delhi: ICU and Ventilation Strategy
PRESENTATION / WEBINAR | This webinar by the All India Institute Of Medical Sciences (AIIMS), New Delhi discusses care protocols in the intensive care unit and ventilation strategies for COVID-19 patients.
April 2020
By: All India Institute Of Medical Sciences, New Delhi
COVID-19 Webinar by AIIMS, Delhi: Mechanical Ventilation
PRESENTATION / WEBINAR | This webinar by the All India Institute Of Medical Sciences (AIIMS), New Delhi discusses the modes of ventilation and management strategy as well as weaning from the ventilator and extubation.
April 2020
By: All India Institute Of Medical Sciences, New Delhi
Essential Care of Critical Illness Must not be Forgotten in the COVID-19 Pandemic
JOURNAL PUBLICATION | Published in The Lancet, a conceptual framework is proposed that illustrates the need for hospital readiness and good quality clinical practice for the identification and care of critically ill patients.
April 2020
By: Tim Baker, Carl Otto Schell, Dan Brun Petersen, Hendry R. Sawe, Karima Khalid, Samson Kwazizira Mndolo, Jamie Rylance, Daniel F McAuley, Nobhojit Roy, John C. Marshall, Lee A. Wallis, Elizabeth Molyneux
Guidance Document on Appropriate Management of Suspect/Confirmed Cases of COVID-19
GUIDANCE | This document outlines standard operating procedures to ensure optimal utilization of available resources in India, thereby providing appropriate care to all the COVID-19 patients.
April 2020
By: India Ministry of Health and Family Welfare
SEARO-IMAI Oxygen Survey at District and Regional Hospitals
TOOL | This guide and Excel tool should be used to administer the SEARO-IMAI oxygen survey at district and regional hospitals.
April 2020
By: Regional Office for the World Health Organization’s South-East Asia Region (WHO-SEARO)
Status of Oxygen Monitoring in Four Selected Special Care Newborn Units in India
JOURNAL PUBLICATION | Published in Indian Pediatrics, this study aimed to investigate the status of oxygen monitoring in special newborn care units delivering a model program for retinopathy of prematurity.
April 2020
By: Shalinder Sabherwal, Clare Gilbert, Allen Foster, Praveen Kumar
Emergency and Critical Care Services in Malawi: Findings from a Nationwide Survey of Health Facilities
JOURNAL PUBLICATION | Published in the Malawi Medical Journal, this study assesses the availability of resources for emergency and critical care in Malawi using data from the Service Provision Assessment.
March 2020
By: Raphael K. Kayambankadzanja, Andrew Likaka, Samson Kwazizira Mndolo, Grace Mayamiko Chatsika, Eric Umar, Tim Baker
Severe Acute Respiratory Infections Treatment Centre: Interim Guidance
GUIDANCE | This practical manual outlines how to set up and manage a severe acute respiratory infection (SARI) treatment center and a SARI screening facility in healthcare facilities.
March 2020
By: World Health Organization (WHO)
Severe Acute Respiratory Infections Treatment Centre: Practical Manual to Set up and Manage a SARI Treatment Centre and a SARI Screening Facility in Healthcare Facilities
GUIDANCE | This is the first edition of the practical manual to set up and manage a severe acute respiratory infection (SARI) treatment center and a SARI screening facility in healthcare facilities.
March 2020
By: World Health Organization (WHO)
Standard Operating Procedures for Case Management and Infection, Prevention, and Control
GUIDANCE | The purpose of this document is to provide clinical guidance to clinicians working in Tanzania during the COVID-19 pandemic.
March 2020
By: Tanzania Ministry of Health, Community Development, Gender, Elderly and Children
The Prevalence of Hypoxemia among Pediatric and Adult Patients Presenting to Healthcare Facilities in Low- and Middle-income Countries: Protocol for a Systematic Review and Meta-analysis
JOURNAL PUBLICATION | Published in Systemic Reviews, this study aims to fill a key evidence gap by providing comprehensive estimates of hypoxemia prevalence.
March 2020
By: Felix Lam, Rami Subhi, Jason Houdek, Kate Schroder, Audrey Battu, Hamish Graham
Hypoxemia in Hospitalized Children and Neonates: A Prospective Cohort Study in Nigerian Secondary-level Hospitals
JOURNAL PUBLICATION | This study in eClinical Medicine evaluates the epidemiology of hypoxemia and oxygen use in hospitalized neonates and children in Nigeria.
November 2019
By: Hamish Graham, Ayobami A. Bakare, Adejumoke I. Ayede, Oladapo B. Oyewole, Amy Gray, David Peel, Barbara McPake, Eleanor Neal, Shamim Ahmad Qazi, Rasa Izadnegahdar, Trevor Duke, Adegoke G. Falade
Exploratory Meeting to Review New Evidence for Integrated Management of Childhood Illness (IMCI) Danger Signs
REPORT | In order to identify questions for future research for IMCI, pneumonia research experts, epidemiologists, and child health specialists from a range of countries participated in a convening in September 2018.
October 2019
By: World Health Organization (WHO)
Social Start-up Africa: Pneumonia e-jacket
TOOL | Brian Turyabagye is a Ugandan engineer and a co-inventor of a ‘biomedical smart jacket’ which detects pneumonia faster than a doctor.
October 2019
By: CGTN Africa
We Are All Serving the Same Ugandans’: A Nationwide Mixed-Methods Evaluation of Private Sector Surgical Capacity in Uganda
JOURNAL PUBLICATION | Published in PLoS One, this study describes a nationwide mixed-methods evaluation of private and private-not-for-profit surgical capacity in Uganda, conducted in partnership with the Ministry of Health.
October 2019
By: Katherine Albutt, Gustaf Drevin, Rachel R. Yorlets, Didacus Namanya, Mark Shrime, Peter Kayima
The “Just Right” Amount of Oxygen: Improving Oxygen Use in a Rwandan Emergency Department
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this study determines if some oxygen overuse in a Rwandan emergency department might coexist with oxygen shortages and underuse for other patients.
September 2019
By: Tori Sutherland, Victor Moriau, Joseph M. Niyonzima, Lise Kabeja, Theogene Twagirumugabe, Noah Rosenberg, Olivier F. Umuhire, Daniel S. Talmor, Elisabeth D. Riviello
When the Tank Is Running Low: Oxygen Targets to Improve Patient Care, Reduce Waste, and Increase Availability
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this study assessed a simple education and monitoring intervention to improve care for hypoxemic patients in a Rwandan resource-constrained emergency department.
September 2019
By: Kristina E. Rudd, Hendrik J.F. Helmerhorst
Severe Outcomes Associated with Respiratory Viruses in Newborns and Infants: A Prospective Viral Surveillance Study in Jordan
JOURNAL PUBLICATION | Published in BMJ Open, this study assesses virus-specific hospitalization rates, risk factors for illness severity, and seasonal trends in children hospitalized with acute respiratory infections in Jordan.
May 2018
By: Najwa Khuri-Bulos, Lindsey Lawrence, Bhinnata Piya, Li Wang, Christopher Fonnesbeck, Samir Faouri, Asem Shehabi, Sten Vermund, John Williams, Natasha Halasa
The Effect of Implementation Strength of Basic Emergency Obstetric and Newborn Care (BEmONC) on Facility Deliveries and the Met Need for BEmONC at the Primary Health Care Level in Ethiopia
JOURNAL PUBLICATION | Published in BMC Pregnancy and Childbirth, this study examined the impact of a package of interventions to 134 health centers, covering 91 rural districts of Ethiopia.
May 2018
By: Gizachew Tadele Tiruneh, Ali Mehryar Karim, Bilal Iqbal Avan, Tewabech Gebrekiristos Wereta, Deepthi Wickremasinghe, Zinar Nebi Keweti, Zewditu Kebede, Wuleta Aklilu Betemariam
Mortality and Morbidity in Acutely Ill Adults Treated with Liberal versus Conservative Oxygen Therapy (IOTA): A Systematic Review and Meta-Analysis
JOURNAL PUBLICATION | Published in The Lancet, this study systematically reviewed the efficacy and safety of liberal versus conservative oxygen therapy in acutely ill adults.
April 2018
By: Derek K. Chu, Lisa H.Y. Kim, Paul J. Young, Nima Zamiri, Saleh A. Almenawer, Roman Jaeschke, Wojciech Szczeklik, Holger J. Schünemann, John D. Neary, Waleed Alhazzani
Effect on Pediatric Hospital Mortality of a Multifaceted Intervention to Improve the Quality of Hospital Care for Children in Rwanda: A Time Series Analysis
JOURNAL PUBLICATION | Published in Pediatrics, this study demonstrates that the ETAT+ intervention significantly reduced hospital mortality among children under five in Rwanda.
January 2018
By: Celestin Hategeka, Lisine Tuyiseng, Michael Law
Safe Surgery for All: Early Lessons from Implementing a National Government-Driven Surgical Plan in Ethiopia
JOURNAL PUBLICATION | Published in World Journal of Surgery, this article describes surgical system reform by the Ethiopian Federal Ministry of Health and the preliminary results of implementation of the SaLTS program.
December 2017
By: Daniel Burssa, Atlibachew Teshome, Katherine Iverson, Olivia Ahearn, Tigistu Ashengo, David Barash, Erin Barringer, Isabelle Citron, Kaya Garringer, Victoria McKitrick, John Gerard Meara, Abraham Mengistu, Swagoto Mukhopadhyay, Cheri Reynolds, Mark Shrime, Asha Varghese, Samson Esseye, Abebe Bekele
A Nationwide Structure for Valid Long-Term Oxygen Therapy: 29-year Prospective Data in Sweden
JOURNAL PUBLICATION | Published in International Journal of Chronic Obstructive Pulmonary Disease, this study analyzed 29 years of data on long-term oxygen therapy (LTOT) in Sweden.
October 2017
By: Magnus Ekström, Zainab Ahmadi, Hillevi Larsson, Tove Nilsson, Josefin Wahlberg, Kerstin Ström, Bengt Midgren
Treatment Outcomes after Implementation of an Adapted WHO Protocol for Severe Sepsis and Septic Shock in Haiti
JOURNAL PUBLICATION | Published in Journal of Critical Care, this study describes patient outcomes before and after implementation of an adapted WHO severe sepsis protocol at a community hospital in Haiti.
October 2017
By: Alfred Papali, T. Eoin West, Avelino C. Verceles, L. Nathalie Colas, Carl H. Jean-Francois, Devang M. Patel, Nevins W. Todd, Michael T. McCurdy
Severity of Pneumonia in Under 5-Year-Old Children from Developing Countries: A Multicenter, Prospective, Observational Study
JOURNAL PUBLICATION | Published in The American Journal of Tropical Medicine and Hygiene, this study aimed to evaluate the microbiological agents linked with hypoxemia in hospitalized children with pneumonia from developing countries.
July 2017
By: Thomas Bénet, Valentina Sanchez Picot, Shally Awasthi, Ashish Bavdekar, Anand Kawade, Annick Robinson, Mala Rakoto-Andrianarivelo, Maryam Sylla, Souleymane Diallo, Graciela Russomando, Wilma Basualdo, Florence Komurian-Pradel, Hubert Endtz, Philippe Vanhems, Gláucia Paranhos-Baccalà
Quality of Acute Asthma Care in Two Tertiary Hospitals in a State in South Western Nigeria: A Report of Clinical Audit
JOURNAL PUBLICATION | Published in the Nigerian Medical Journal, this study aimed to audit the quality of acute asthma care in two tertiary hospitals in a state in the southwestern region of Nigeria.
November 2016
By: Olufemi Desalu, Adekunle O. Adeoti, Olarinde Jeffrey Ogunmola, Joseph Olusesan Fadare, Tolutope Fasanmi Kolawole
Standard of Inpatient Care during Exacerbation in Territory Care Hospital, Pakistan; A Completed Audit Cycle
JOURNAL PUBLICATION | Published in The European Respiratory Journal, this study evaluated the quality of care of patients with acute exacerbation of COPD and evaluated the change in practice after an educational program.
September 2016
By: Saima Akhter, Nadeem Rizvi, Shaista Ghazal
Predictors of In-Hospital Mortality and Length of Stay in Community-Acquired Pneumonia: A 5-Year Multi-Centre Case Control Study of Adults in a Developing Country
JOURNAL PUBLICATION | Published in Transactions of the Royal Society of Tropical Medicine and Hygiene, this study investigated predictors of in-hospital mortality and length of stay among adults with CAP in Nigeria.
August 2016
By: Michael O. Iroezindu, Godsent C. Isiguzo, Emmanuel I. Chima, Godwin C. Mbata, Kenneth I. Onyedibe, Cajetan C. Onyedum, Obiageli J. John-Maduagwu, Leo E. Okoli, Ekenechukwu E. Young
Interagency List of Priority Medical Devices for Essential Interventions for Reproductive, Maternal, Newborn and Child Health
TOOL | This list highlights the medical devices required to provide the essential reproductive, maternal, newborn and child health interventions defined by existing WHO guidelines and publications.
June 2016
By: World Health Organization (WHO)
Home Oxygen Therapy Reduces Risk of Hospitalisation in Patients with Chronic Obstructive Pulmonary Disease: A Population-Based Retrospective Cohort Study, 2005-2012
JOURNAL PUBLICATION | Published in BMJ Open, this study evaluated the effect of home oxygen therapy (HOT) on hospital admissions in chronic obstructive pulmonary disease (COPD) patients.
November 2015
By: Kyoung Hee Cho, Young Sam Kim, Chung Mo Nam, Tae Hyun Kim, Sun Jung Kim, Kyu-Tae Han, Eun-Cheol Park
Hospital Treatment Costs and Factors Affecting These Costs in Community-Acquired Pneumonia
JOURNAL PUBLICATION | Published in Turkish Thoracic Journal, this study examines the treatment costs of community-acquired pneumonia and the factors influencing hospital expenses in Türkiye.
July 2015
By: Haitian Children’s Institute, Fatma Tokgöz Akyıl, Armağan Hazar, İpek Erdem, Murat Yalçınsoy, İlim Irmak, Umut Sabri Kasapoğlu
Oxygen Therapy for Lower Respiratory Tract Infections in Children between 3 Months and 15 Years of Age
JOURNAL PUBLICATION | Published in Cochrane Database of Systematic Reviews, this review determines the effectiveness and safety of oxygen delivery methods in the treatment of LRTIs and defines pediatric indications for oxygen.
December 2014
By: Maria Ximena Rojas-Reyes, Claudia Granados Rugeles, Laura Patricia Charry-Anzola
Uganda Hospital and Health Centre Iv Census Survey 2014
REPORT | This Service Availability and Readiness Assessment (SARA) in 2014 provides reliable information on health service availability and readiness to support efforts to improve service delivery in Uganda.
June 2014
By: Uganda Ministry of Health, World Health Organization (WHO)
A Quantitative Analysis of Surgical Capacity in Santa Cruz, Bolivia
JOURNAL PUBLICATION | Published in Journal of Surgical Research, this study found significant disparities in surgical capacity between urban and rural areas in Santa Cruz, Bolivia.
November 2013
By: Abraham Markin, Roxana Barbero, Jeffrey Leow, Reinou Groen, Evan Skow, Keith Apelgren, Benedict Nwomeh
Pulse Oximeters—Premarket Notification Submissions [510(k)s]: Guidance for Industry and Food and Drug Administration Staff
GUIDANCE | The U.S. Food and Drug Administration has developed this guidance document to assist industry in preparing premarket notifications (510(k)s) for pulse oximeters.
March 2013
By: U.S. Food and Drug Administration (FDA)
Ambulatory Home Oxygen: What is the Evidence for Benefit, and Who Does It Help?
JOURNAL PUBLICATION | Published in Respiratory Care, this review focuses on our current knowledge of the end points for supplemental oxygen at home, such as mortality, and highlights areas for future research.
January 2013
By: Gerard J. Criner
Uganda Service Availability and Readiness Assessment (SARA) 2012
REPORT | This Service Availability and Readiness Assessment (SARA) from 2012 assists the health sector in assessing and monitoring service readiness and capacity at district and health facility levels.
January 2013
By: Uganda Ministry of Health, World Health Organization (WHO)
Guidelines for Essential Trauma Care
GUIDANCE | These guidelines seek to set achievable standards for trauma treatment services which could realistically be made available to almost every injured person in the world, including for respiratory care.
June 2012
By: World Health Organization (WHO)
The Effect of Staff and Community Education on Oxygen Uptake by Paediatric Patients in a Rural Hospital in Malawi
JOURNAL PUBLICATION | Published in Archives of Childhood Disease, this study assessed the impact of a twofold brief education intervention on the use of oxygen therapy at a rural hospital in Southern Malawi.
May 2012
By: Christopher Edwards
Rwandan Surgical and Anesthesia Infrastructure: A Survey of District Hospitals
JOURNAL PUBLICATION | Published in the World Journal of Surgery, this survey assessed surgical and anesthesia infrastructure in Rwanda as part of a larger study examining low-income African countries.
August 2011
By: Michelle Notrica, Lisa Knowlton, K.A. Kelly McQueen
The Functioning of Oxygen Concentrators in Resource-Limited Settings: A Situation Assessment in Two Countries
JOURNAL PUBLICATION | Published in the International Journal of Tuberculosis and Lung Disease, the study describes oxygen concentrator functioning in Malawi and Mongolia as a primary source of oxygen treatment for children.
May 2011
By: Sophie La Vincente, David Peel, Susanne Carai, Martin Weber, Penny Enarson, Ellubey Maganga, Gochoo Soyolgerel, Trevor Duke
The Impact of Increasing Oximetry Usage in India: A Pilot Study
JOURNAL PUBLICATION | Published in Indian Journal of Anaesthesia, this paper reports on pilot work undertaken in four hospitals in one Indian State to increase patient safety during anesthesia and surgery.
May 2011
By: Gretl A. McHugh, Brian J. Pollard, Sarla Hooda, Gavin M. Thoms
An Evaluation of Oxygen Systems for Treatment of Childhood Pneumonia
JOURNAL PUBLICATION | Published in BMC Public Health, this review found that improving oxygen systems could significantly reduce childhood pneumonia mortality but faces challenges in affordability and sustainability.
April 2011
By: Alastair Catto, Lina Zgaga, Evropi Theodoratou, Tanvir Huda, Harish Nair, Shams El Arifeen, Igor Rudan, Trevor Duke, Harry Campbell
Strengthening Care for the Injured: Success Stories and Lessons Learned from around the World
REPORT | The goal of this publication is to share some of the valuable lessons learned by those working on different but overlapping aspects of trauma care worldwide.
April 2010
By: World Health Organization (WHO)
Safe Surgery Checklist
TOOL | The WHO Surgical Safety Checklist was developed after extensive consultation aiming to decrease errors and adverse events and increase teamwork and communication in surgery.
July 2009
By: World Health Organization (WHO)
Oxygen for Treatment of Severe Pneumonia in The Gambia, West Africa: A Situational Analysis
JOURNAL PUBLICATION | Published in The International Journal of Tuberculosis and Lung Disease, this study assessed national oxygen availability and use in 12 health facilities in The Gambia.
May 2009
By: Sarah Hill, Ousman Njie, Momodou Sanneh, Mariatou Jallow, David Peel, Malick Njie, Martin Weber, Philip Hill, Richard A. Adegbola, Stephen Howie
WHO Guidelines for Safe Surgery: Safe Surgery Saves Lives
GUIDANCE | These guidelines provide the knowledge for operational teams to work together effectively to minimize life-threatening complications to surgical patients.
April 2009
By: World Health Organization (WHO)
When Should Oxygen Be Given to Children at High Altitude? A Systematic Review to Define Altitude-Specific Hypoxaemia
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study aimed to define normal oxygen saturation and to estimate the threshold of hypoxemia for children permanently living at different altitudes.
January 2009
By: Rami Subhi, Katherine Smith, Trevor Duke
Rwanda Service Provision Assessment Survey 2007
REPORT | The 2007 Rwanda Service Provision Assessment (RSPA) assessed the strengths and weaknesses of the infrastructure and systems supporting health services in the country.
September 2008
By: Rwanda Ministry of Health, Demographic and Health Surveys (DHS) program
Challenges to Improving Case Management of Childhood Pneumonia at Health Facilities in Resource-Limited Settings
JOURNAL PUBLICATION | Published in Bulletin of the World Health Organization, this review identifies challenges in improving pneumonia case management in resource-limited settings.
May 2008
By: Stephen Graham, Mike English, Tabish Hazir, Penny Enarson, Trevor Duke
Clinical Assessment and Treatment in Paediatric Wards in the North-East of the United Republic of Tanzania
JOURNAL PUBLICATION | Published in Bulletin of the World Health Organization, a study in north-east Tanzania found poor clinical assessment practices in pediatric wards.
February 2008
By: Hugh Reyburn, Emmanuel Mwakasungula, Semkini Chonya, Ib Bygbjerg, Anja Poulsen, Raimos Olomi
Hypoxemia Among Children in Rural Hospitals in Papua New Guinea: Epidemiology and Resource Availability-A Study to Support a National Oxygen Programme
JOURNAL PUBLICATION | This study in the Annals of Tropical Pediatrics examined the incidence of hypoxemia, its geographical distribution, epidemiological determinants, and resource availability in several regions of the country.
December 2006
By: Francis Wandi, David Peel, Trevor Duke
The Impact of the Danish Oxygen Register on Adherence to Guidelines for Long-Term Oxygen Therapy in COPD Patients
JOURNAL PUBLICATION | Published in Respiratory Medicine, this study aimed to evaluate the impact of The Danish Oxygen Register on chronic obstructive pulmonary disease (COPD) patients.
February 2006
By: Thomas Ringbaek, Peter Lange
Worldwide Perspective of the Quality of Care Provided to Hospitalized Patients with Community-Acquired Pneumonia: Results from the CAPO International Cohort Study
JOURNAL PUBLICATION | Published in Seminars in Respiratory and Critical Care Medicine, this study evaluates the quality of care provided to hospitalized patients with community-acquired pneumonia (CAP) from 36 hospitals in 14 countries.
December 2005
By: Julio Ramirez
The Thai Anesthesia Incidents Study (Thai Study) of Anesthetic Outcomes: Anesthetic Profiles and Adverse Events
JOURNAL PUBLICATION | Published in the Journal of the Medical Association of Thailand, the purpose of this study was to survey patients, surgical, anesthetic profiles, and determine factors related to adverse events.
November 2005
By: Somrat Charuluxananan, Yodying Punjasawadwong, Suwannee Suraseranivongse, Oranuch Kyokong, Thitima Chinachoti, Thavat Chanchayanon, Mali Rungreungvanich, Somboon Thienthong, Chomchaba Sirinan, Oraluxna Rodanant
Randomized Comparison of Oxygen Mask Treatment vs. Nasal Continuous Positive Airway Pressure in Dengue Shock Syndrome with Acute Respiratory Failure
JOURNAL PUBLICATION | Published in the Journal of Tropical Pediatrics, this prospective randomized study compared the effectiveness of oxygen treatment by face mask vs. nasal CPAP for pediatric patients with Dengue Shock Syndrome.
December 2002
By: Bach Van Cam, Do Thanh Tuan, Lise Fonsmark, Anne Poulsen, Nguyen Manh Tien, Ha Manh Tuan, Erik Deichmann Heegaard
Long Term Domiciliary Oxygen Therapy in Chronic Hypoxic cor pulmonale Complicating Chronic Bronchitis and Emphysema: Report of the Medical Research Council Working Party
JOURNAL PUBLICATION | Published in The Lancet, this article describes a controlled trial of long-term domiciliary oxygen therapy has been carried out in three centres in the United Kingdom.
March 1981
By: The Lancet