Beginning in 1999, a partnership in anesthesia began between professors at the IU School of Medicine and at Moi University School of Medicine to assist in the modernization of anesthesia care and critical care at Moi University and Moi Teaching and Referral Hospital (MTRH).
In 1999 there were no functioning monitors in MTRH, and a lack of monitoring of vital signs during surgery. Postoperative recovery room procedures were non-existent, and there was no ability to administer postoperative critical care and ventilatory support. MTRH urgently needed education of anesthesiologists and anesthetists in the modern delivery of anesthesia, and the development of a sophisticated clinical engineering department to meet the demands of modern anesthesia practice.
Highlights of the anesthesia collaboration have included the procurement and shipping of modern anesthesia machines, procurement of ventilators to deliver postoperative ventilation, and the procurement of anesthesia monitors and ICU monitors. The development and education of clinical engineering at MTRH has also been encouraged, as well as the education of recovery room nurses, critical care nurses, anesthesiologists, anesthetists, and ancillary personnel. An existing building at MTRH was also renovated into a modern 6 bed ICU in 2006, and the program helped in the design of the Riley Mother and Baby Hospital's neonatal ICU.
Clinical efforts over the next few years will focus on the structure and implementation of a formal obstetrical anesthesia service. Efforts to raise funds for more ICU beds, for a Progressive Care Unit (PCU), and a burn unit will also take center stage.