Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
What is necessary to provide good care for         persons with SB and H?     Operative care / hospital set up           D...
Hospitals treating NTD children in Tanzania                               BUGANDO                                Hydom Chr...
NTD Rx CENTRESMOI hydrocephalus seriesMOI receives patients from all overthe country                                      ...
Why only few hospitals in Tz are involved in SB/H treatment?
Prerequisite for SB/H good treatment outcome at the hospital settings: Patient selection Proper pre operative work-up SMAR...
Prerequisite for SB/H good treatment outcome at the hospital settings:  Patient selection Proper pre operative work-up   ...
Prerequisite for SB/H good treatment outcome at the hospital settings: Patient selection  Proper pre operative work-up   ...
Prerequisite for SB/H good treatment outcome at the hospital settings: Patient selection Proper pre operative work-up  SM...
 SMART treatment guidelines and proper surgical procedure     Repair achieved in one stage operation         Pre surgery...
 SMART treatment guidelines and proper surgical procedure   Sometimes repair requires multistage operations             ...
 SMART treatment guidelines and proper surgical procedure   Multidisciplinary approach in coordination sometimes is requ...
Prerequisite for SB/H good treatment outcome at the hospital settings:            • Intensive care set up, treatment guide...
Prerequisite for SB/H good treatment outcome at the hospital settings:                   • Established engagement with col...
Suggestions?
Upcoming SlideShare
Loading in …5
×

Operative care at_the_hospital_shabani

412 views

Published on

Published in: Health & Medicine
  • Be the first to comment

Operative care at_the_hospital_shabani

  1. 1. What is necessary to provide good care for persons with SB and H? Operative care / hospital set up Dr H. K. Shabani MD PhD FCS Neurosurgeon, Muhimbili Orthopedic Institute
  2. 2. Hospitals treating NTD children in Tanzania BUGANDO Hydom Christian Health Centre (Luth Ref Hosp) Seliani hosp KCMC MOI 2005 todate. (Ω 200 patients) Muhimbili Medical Centre ?; CCBRT 1996-2005 (Ω 102 patients)
  3. 3. NTD Rx CENTRESMOI hydrocephalus seriesMOI receives patients from all overthe country MKOA 40 30 20 1000 km Frequency 10 0 do a m si ki ar m m ru ta a iri kn a pw z ru i ta ra ng m ya w go bo be tw do ds m zn a us vu ng ng kw ja an or an a id m ar h m ro ma z a o a a a MKOA
  4. 4. Why only few hospitals in Tz are involved in SB/H treatment?
  5. 5. Prerequisite for SB/H good treatment outcome at the hospital settings: Patient selection Proper pre operative work-up SMART treatment guidelines and proper surgical procedure Proper post-operative follow-up and in-patient care Right time for discharge and organized outpatient follow up plan
  6. 6. Prerequisite for SB/H good treatment outcome at the hospital settings:  Patient selection Proper pre operative work-up Late VS Early presentation Nutritional status SMART treatment guidelines and proper surgical procedure Co morbidity ( pneumonia, septicemia etc) Proper post-operative follow-up and in-patient care Right time for discharge and organized outpatient follow up plan
  7. 7. Prerequisite for SB/H good treatment outcome at the hospital settings: Patient selection  Proper pre operative work-up • Lab facility including staff • Imaging facility – ultrasound/ CT scan SMART treatment guidelines and proper surgical procedure • Consent for surgery Proper post-operative follow-up and in-patient care • Teamwork – anesthetist, surgeon, Right time for discharge and organized outpatient follow up plan theatre nurse, supporting staffs etc • Theatre facility
  8. 8. Prerequisite for SB/H good treatment outcome at the hospital settings: Patient selection Proper pre operative work-up  SMART treatment guidelines and proper surgical procedure • Updating surgical treatment guidelines in order to Proper post-operative follow-up and in-patient care minimize VP shunt infections, and to ensure good outcome Right time for discharge and organized outpatient follow up plan • CME to ensure quality care
  9. 9.  SMART treatment guidelines and proper surgical procedure  Repair achieved in one stage operation Pre surgery Post surgery 8/12 old 2yr old Occipital encephalocoele
  10. 10.  SMART treatment guidelines and proper surgical procedure  Sometimes repair requires multistage operations ? Cosmesis CSF leak Pre surgery Post surgery #1 #2 etc Frontoethmoidal encephalocoele
  11. 11.  SMART treatment guidelines and proper surgical procedure  Multidisciplinary approach in coordination sometimes is required Thoracic SB and TEV child
  12. 12. Prerequisite for SB/H good treatment outcome at the hospital settings: • Intensive care set up, treatment guidelines Patient selection • Committed supporting staff and collaborating care professionals • Wound care Proper pre•operative work-up Nutrition SMART treatment guidelines and proper surgical procedure  Proper post-operative follow-up and in-patient care Right time for discharge and organized outpatient follow up plan
  13. 13. Prerequisite for SB/H good treatment outcome at the hospital settings: • Established engagement with collaborating team e.g. Patient selection physiotherapy, club foot clinic, CBR worker etc • Proper counseling ensures good follow up Proper pre operative work-up SMART treatment Database management to ensure Rx continuation / • guidelines and proper surgical procedure evaluation and dissemination Proper post-operative follow-up and in-patient care  Right time for discharge and organized outpatient follow up plan
  14. 14. Suggestions?

×