Respiratory Care |

Effect of “Arab Spring” on Newly Started Home Ventilation Service in Libya FREE TO VIEW

Khalid Gaber, CCP; Sobha Paly, BSN; Shawg Najem, MBChB
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Benghazi University, Benghazi, Libya

Chest. 2014;145(3_MeetingAbstracts):546A. doi:10.1378/chest.1801634
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SESSION TITLE: Respiratory Support Posters

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: A newly established home ventilation service (HVS) was suddenly interrupted due to breakout of liberation war in Libya. We describe the outcome of 3 patients disconnected from their hospital unit for 8 months

METHODS: HVS started in Benghazi in 2010, initially involving 3 patients living 5, 240 and 300 kilometres away from supervising centre. Prior to patient initial hospital discharge, minimum of 2 family members per patients were trained on the use of home ventilators by supervising team. Contingency plans were made which included open hospital admission self referral system. All ventilators used had battery life of 7 hours. Additional equipments including ambu-bag and suction machines were provided to all patients. Patients were advised to have spare electric generator at home. In February 2011 liberation war broke-out and hospital HVU transformed into casualty unit. Patient-unit contact, including phone calls was lost

RESULTS: All patients managed well at home except one requiring 7 days local hospital admission for UTI. Despite tracheostomy tubes were not replaced for 8 months, no ventilator or respiratory tract related issues were reported. The main challenge to families was repeated electricity failure. One generator had to be replaced. All patients were a live one year after war end and restarting HVS

CONCLUSIONS: Proper family training and electric generator provision were proven pivotal in keeping lives of patients on home ventilators during wartime

CLINICAL IMPLICATIONS: In societies where electricity supply could be an issue, electricity generator provision should be considered as part of HVS package.

DISCLOSURE: The following authors have nothing to disclose: Khalid Gaber, Sobha Paly, Shawg Najem

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