Report of CardioStart’s 3rd Mission to
Kathmandu University / Dhulikhel Hospital
Dhulikhel, Nepal
June 10-18th, 2016
Mission Snapshot
Mission Location: Dhulikhel, Nepal
Number of Surgeries: 5
Number of Volunteers: 11
Accomplishments: Returned to support the growing the cardiac surgery program for adults established in November, 2015. Created a step-down unit for post-surgical patients.
Mission Details
On June 10th, 2016 a small but driven team of 10 CardioStart International volunteers traveling from Nigeria, Pakistan, Malta, the United Kingdom and the United States came together to assist the people of Nepal.
A father brings his daughter to Kathmandu University
for evaluation of a heart problem.
This was CardioStart’s third visit to Kathmandu University hospital in Dhulikhel, Nepal. Our first mission to help initiate the cardiac surgery program in May of 2015 overlapped with the devastating earthquake and aftermath that claimed more than 9000 lives. The CardioStart team partnered with the clinicians of Dhulikhel Hospital in the earthquake relief efforts throughout the Kathmandu Valley and at the primary hospital, which served as a major center to which casualties from most of eastern Nepal were directed.
![Outdoor hospital at Kathmandu University in Dhulikhel after the earthquake.](http://cardiostart.org/wp-content/uploads/2016/11/image3-300x172.jpg)
A makeshift outdoor hospital at Kathmandu University in Dhulikhel after the earthquake.
In June, CardioStart returned for the first of two 2016 teaching missions to Dhulikhel to progress and advance the cardiac program through education, skill transfer, and further partnership with the clinicians at Kathmandu University. This small group had defined & aggressive goals for a short period of time, but we were pleased to be able to accomplish them together with the team at Dhulikhel:
GOAL 1: REINVIGORATE THE PROGRAM AND STAFF
GOAL 2: RECOVER PATIENTS EXPEDITIOUSLY & WITH A HIGH STANDARD OF CARE
GOAL 3: CREATE A POST-OPERATIVE STEP-DOWN UNIT
A free-standing telemetry monitoring unit was created to allow the transition of patients smoothly and safely from the ICU. This allowed the operative schedule to be optimized, without needing to cancel surgeries for new patients because of a build-up of postoperative patients in the ICU.
![image7](http://cardiostart.org/wp-content/uploads/2016/11/image7-300x263.jpg)
Two postoperative patients in the step-down unit walk with therapists for exercise.
GOAL 4: FURTHER DEVELOP EDUCATIONAL EFFORTS IN ALL AREAS
With CardioStart representatives in Anesthesia, Perfusion, Operating Room nursing, ICU nursing, Surgery & Cardiology, we were able to provide targeted education and skill transfer in all major areas of the cardiovascular service line. Additionally, a well-attended symposium was held by our CardioStart Cardiologist and Echocardiographer to learn and practice trans-esophageal echo techniques. Clinicians from anesthesia, cardiology, and surgery found this hands-on practical session beneficial to advance their scope of practice for patients.
GOAL 5: ESTABLISH OUR COMMITMENT TO COLLABORATE
CardioStart is privileged to partner with this talented and dedicated local team. We re-emphasized our ongoing commitment to support and collaborate with Kathmandu University/ Dhulikhel Hospital to assist in development of their program until it becomes a successful and self-sustaining source of cardiovascular care that is desperately needed for the people of Nepal.
PATIENTS
Patients after surgery greet the team with “Namaste”, a reverent gesture of thanks in Nepalese culture meaning “The light in me honors the light in you.”
CardioStart Team:
ACKNOWLEDGEMENTS
CardioStart International wishes to extend their sincere thanks and appreciation to:
- Edwards LifeSciences Foundation / Thoracic Surgery Foundation / Society of Thoracic Surgeons for grant support through the “Every Heartbeat Matters” initiative
- Edwards LifeSciences Inc. for equipment and medical disposables donations
- Medtronic / ATS for donation of heart valves and cardiothoracic disposables
- Scanlan Inc., for surgical instrument availability and donations
- Abbott Point of Care for I-Stat equipment and disposables
- AmeriCares Medical Outreach Program for equipment, medications, and medical disposables donation through the “Safe Surgery Initiative” program
- ThedaCare Appleton Medical Center for medication, surgical supplies, and disposable materials donation
- Amy Lauth Foundation, Roanoke, VA for logistical help in Tampa, Florida and container expenses (scheduled for August 2016)
- John Tylee Wilson and the J Tylee Wilson Family Foundation
- Joe and Brenda Adeeb
- Ashley and Will Slagle
- Maguire & colleagues from CardioStart ReSale Thrift Foundation, Oregon, for their donation for database and general fund support
- Janine Henson, Charlotte Kozlin & Nadine Nuchovich for CardioStart Office Administration & Logistics
- All of the generous donors and volunteers who have supported our programs in Nepal and worldwide.
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