Features  |   June 2014
Lifebox: Train the Trainer
Author Affiliations
  • Berend Mets, M.B., Ch.B., Ph.D., FRCA
    Committee on Global Humanitarian Outreach
Article Information
Cardiovascular Anesthesia / Education / CPD / Respiratory System / Features
Features   |   June 2014
Lifebox: Train the Trainer
ASA Monitor 06 2014, Vol.78, 20-22.
ASA Monitor 06 2014, Vol.78, 20-22.
Did you know that 35 million operations take place each year without life-saving pulse oximeters?1  There is a global health crisis as a result of inadequate equipment and training to provide safe anesthesia to much of the developing world.
The ASA Committee on Global Humanitarian Outreach (GHO) is helping to address this crisis in low-income and resource-poor countries in collaboration with Lifebox and the ASA Charitable Foundation. The Lifebox Foundation www.lifebox.org is a not-for-profit entity with a vision of working for sustainable changes in perioperative practice that will raise safety and quality standards globally through key components of education, training and peer support. The founding organizations of Lifebox are the World Federation of Societies of Anaesthesiologists (WFSA), the Association of Anaesthetists of Great Britain and Ireland (AAGBI), and the Harvard School of Public Health and the Brigham and Women’s Hospital. Lifebox facilitates the distribution of pulse oximeters that exceeds the specifications developed by the World Health Organization (WHO) and WFSA for the most robust, high-quality and appropriate piece of equipment for a low-resource environment. The manufacturer, Acare Technology Co. Ltd, was selected as a result of a global tender in 2010 and delivers the oximeters at a unit cost of $250. The price includes delivery of the device and educational material to the country designated by the donor. Further, in utilizing the WHO Surgical Safety Checklist in conjunction with providing oximeters and training, death rates may be cut by half in the developing world.2  The GHO committee has committed to provide Lifebox-related education and training to Central American anesthesia providers over the next five years.3  In Latin America, 41 percent of operating theaters do not have pulse oximetry.
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