Posted by Jennifer Guo
We have recently deployed a new I-Stat machine that was donated by Abbott Laboratories. With this technology, we aim to further expand the reach and quality of our laboratory, already the highest quality laboratory in the entire region. Our overall goal, as with any device we deploy, is to develop and test models of delivery in areas affected by poverty, war, and isolation. In piloting the I-Stat as an essential tool in resource-deprived areas with nascent health systems, we are focusing on monitoring potassium among severely malnourished children. Following an initial pilot phase, we have begun implementing the following additional programs with the machine:
- Blood tests among post-operative cardiac surgery patients receiving community-based care
- Tests to evaluate acute dyspnea who may have chronic obstructive pulmonary disease, congestive heart failure, or pneumonia in a setting where X-Ray services are less widely available
- Hematologic tests to assess patients with severe hepatic derangements secondary to viral hepatitis
- Sodium and potassium monitoring in patients receiving medications in the course of community-based care for cardiac conditions
- Physiological monitoring for the management of severe sepsis, renal failure, meningitis, and pneumonia
- Rapid tests of blood status in post-partum hemorrhage patients
Lab technician Santosh using the new i-Stat Machine
Dear Mr. Duncan Maru,
Greetings.
I would like to comment about the i-Stat machine which your hospital have acquired and you have mentioned in the following way ” With this technology, we aim to further expand the reach and quality of our laboratory, already the highest quality laboratory in the entire region. ”
Few years back i wasa Medical Officer in the ENT DEPARTMENT, Bir Hospital, Kathmandu and there were many equipments donated by variousorganisations but after some years they were just kept in the store room, my view or comment is that instaed of getting i-Stat machine we should have gone for other simple equipments or devices sine these types of patients
( Blood tests among post-operative cardiac surgery patients receiving community-based care
Tests to evaluate acute dyspnea who may have chronic obstructive pulmonary disease, congestive heart failure, or pneumonia in a setting where X-Ray services are less widely available
Hematologic tests to assess patients with severe hepatic derangements secondary to viral hepatitis
Sodium and potassium monitoring in patients receiving medications in the course of community-based care for cardiac conditions
Physiological monitoring for the management of severe sepsis, renal failure, meningitis, and pneumonia
Rapid tests of blood status in post-partum hemorrhage patients )
are very rare in Accham district.
Please don’t mind.
It’s good news that you have or are in the process of aquiring the Bayalpata hospital premises from the Nepal government but when you open a 15-bedded hospital, then you shall be needing an ANAESTHETIST for the surgeries, kindly can you tell me that when there is shortage of Anaesthetist in big hospital like Kanti Children’s hospital in Kathmandu (where there is only 1 Anaesthetist at present ), then from where it’s possible in Accham.
Please don’t think that i am of negative thinking but i think that like your 5-bedded clinicat present in sanfebagar you should try to open many such clinics in various parts of Accham which i think shall be more productive and beneficial to the poor and unreachable people of Accham.
You are indeed doing a very good job or good thing which even the RICHEST among the Acchamis enjoying here in Kathmandu couldn’t do. I really appreciate you and Dr.Thapa.
Take care and Bye.