Use of a portable oxygen concentrator and its effect on the overall functionality of a remote field medical unit at 3650 meters elevation

Background: The supply of oxygen is a complex issue in disaster situations and snowbound mountainous areas. Innovative solutions are required for safe anesthesia practice; one such innovation is a small portable oxygen concentrator for oxygen therapy in remote austere environment. We conducted this study to ascertain the economy achieved by employing this equipment to improve functionality of a surgical unit in an austere environment.

[1]  Susan M Steele,et al.  Peripheral Nerve Block Techniques for Ambulatory Surgery , 2005, Anesthesia and analgesia.

[2]  Madhav Gautam,et al.  The oxygen concentrator is a suitable alternative to oxygen cylinders in Nepal , 2002, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[3]  J. Litch,et al.  Oxygen concentrators for the delivery of supplemental oxygen in remote high-altitude areas. , 2000, Wilderness & environmental medicine.

[4]  R. Greengrass,et al.  Regional anesthesia for ambulatory surgery. , 2000, Anesthesiology clinics of North America.

[5]  Y. Donchin,et al.  Trauma anesthesia for disasters. Anything, anytime, anywhere. , 1991, Critical care clinics.

[6]  F. Bonanno,et al.  Ketamine in war/tropical surgery (a final tribute to the racemic mixture). , 2002, Injury.

[7]  A. Gawande,et al.  Casualties of war--military care for the wounded from Iraq and Afghanistan. , 2004, The New England journal of medicine.

[8]  K. Grathwohl,et al.  Critical care in the austere environment: Providing exceptional care in unusual places , 2008, Critical care medicine.

[9]  G. Schneider Oxygen supply in rural africa: a personal experience. , 2001, The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease.

[10]  N. H. Metcalfe Military influence upon the development of anaesthesia from the American Civil War (1861–1865) to the outbreak of the First World War , 2005, Anaesthesia.

[11]  R. Gie,et al.  Implementation of an oxygen concentrator system in district hospital paediatric wards throughout Malawi. , 2008, Bulletin of the World Health Organization.

[12]  Adanto R. D'Amore,et al.  Air Force expeditionary medical support unit at the Houston floods: use of a military model in civilian disaster response. , 2005, Military medicine.

[13]  P. Roberts Patterns of injury in military operations , 2002 .

[14]  R. Eltringham,et al.  Anaesthesia equipment for resource‐poor environments , 2007, Anaesthesia.

[15]  D. Peel,et al.  Field trial of oxygen concentrators in upper Egypt , 1996, The Lancet.

[16]  P. J. Owens,et al.  Challenges of international disaster relief: use of a deployable rapid assembly shelter and surgical hospital. , 2005, Disaster management & response : DMR : an official publication of the Emergency Nurses Association.

[17]  N. Mcguire Monitoring in the field. , 2006, British journal of anaesthesia.

[18]  B. Paix,et al.  Anaesthesia in a Disaster Zone: A Report on the Experience of an Australian Medical Team in Banda Aceh following the ‘Boxing Day Tsunami’ , 2005, Anaesthesia and intensive care.

[19]  K. Grathwohl,et al.  Organizational characteristics of the austere intensive care unit: The evolution of military trauma and critical care medicine; applications for civilian medical care systems , 2008, Critical care medicine.

[20]  R. Adegbola,et al.  Beyond good intentions: lessons on equipment donation from an African hospital. , 2008, Bulletin of the World Health Organization.

[21]  Adi Leiba,et al.  A Multidisciplinary Field Hospital as a Substitute For Medical Hospital Care in the Aftermath of an Earthquake: The Experience of the Israeli Defense Forces Field Hospital in Duzce, Turkey, 1999 , 2005, Prehospital and Disaster Medicine.

[22]  P. Simpson,et al.  The ‘Permox’ oxygen concentrator , 1985, Anaesthesia.

[23]  S. Charuluxananan,et al.  Anesthesia for Indian Ocean tsunami‐affected patients at a southern Thailand provincial hospital , 2006, Acta anaesthesiologica Scandinavica.