INTERNATIONAL VOLUNTEER PROJECTS

 

Swati Patel, M.D.
Associate Clinical Professor
Chief, Pediatric Anesthesia

Barbara Van de Wiele, M.D.
Clinical Professor
Vice Chair for Clinical Affairs
Director, Neuroanesthesia

In April 2007, UCLA Anesthesiologists Barbara Van de Wiele and Swati Patel participated in a collaborative project involving medical professionals from UCLA and Shanghai Childrens Medical Center.   18 orphan children underwent surgery for treatment of neurologic disorders including hydrocephalus, tethered spinal cord, spina bifida and craniofacial abnormality.  Three international charity organizations - Global Neuro Rescue, Love Without Boundaries and The Sheperd's Crook Ministries sponsored the children's surgery.

Global Neuro Rescue
Global Neuro Rescue

Love Without Boundaries
Love Without
B
oundaries

Sheperd's Crook Ministries
The Sheperd's Crook Ministries
Dr. Jorge Lazareff, neurosurgeon, with patient
The Team
placing shunt
surgery

   

Victor Duval, M.D.
Assistant Clinical Professor

Edna Ma, M.D.
CA-3 Anesthesiology Resident


 

Victor Duval, M.D. and Edna Ma, M.D. (third year resident) joined a team of 500 medical experts in 25 specialties from India and abroad, including the United States, to volunteer their expertise in the 33rd annual Eye, Dental, Medical and Surgical Camp which takes place for over 20 days each January in Bidada, Kutch, India.  Doctors typically see over 30,000 patients during this amazing medical camp which is sponsored by Shree Bidada Sarvodaya Trust (http://www.bidada.com/).  This year over 2,000 patients underwent operations.  Drs. Duval and Ma participated in this event during the first two weeks of January 2007, working primarily on approximately 23 strabismus cases performed by Dr. Ashish M. Mehta, M.D., pediatric ophthalmologist at Kaiser in Orange County.  They report that in India, people with Strabismus are often discriminated against.  There is a suspicion that these individuals are of lower intelligence and their future prospects are, therefore, poor.  Being part of a team that allowed patients to have the strabismus repaired, thus not only improving the patient’s vision, but also being instrumental in altering their life course, proved to be very rewarding for Victor and Edna.  They state that, “every physician should consider mission work sometime during their career.  The experience was enlightening and introspection is inevitable.”  Both doctors are planning on participating in further volunteer medical missions.  Please see the article on the medical camp in The Indian Express newspaper for further information.

Drs. Ma, Mehta and OR personnel
Dr. Edna Ma placing spinal
Drs. Duval, Ma and Mehta
Dr. Ma and patient

   

Mary A. Keyes, M.D.
Clinical Professor
Director, JSEI Operating Rooms

A team of specialists which included plastic surgeons, anesthesiologists, nurses, dentists, child life specialists, pediatricians, speech pathologists, medical record staff and medical photographers went to Qujing, China in Yunnan Province in September, 2006 to work on children with cleft lips and palates.  169 patents successfully underwent surgical repair.


Lorraine Lubin, M.D.
Assistant Clinical Professor of Anesthesiology and Pediatrics
Division, Cardiac Anesthesia
Pediatric Clinical Care


ICHF

Pediatric Cardiac Anesthesia with the International Children’s Heart Foundation (ICHF)
Enugo, Nigeria Mission, June 2003
Lima, Peru Mission, Jan
uary 2004

This group travels throughout the world providing congenital heart repairs approximately 12 times a year or 1 mission per month.  There are opportunities for participation for anesthesiologists, OR and ICU nurses, perfusionists, surgeons, intensivists and biomechanical engineers.  A web site is available at http://babyhearts.com/.  A schedule of missions and contact info is available on the web site along with information and photos of previous missions.

My participation with this group included a mission to Enugo, Nigeria (University of Nigeria Teaching Hospital) where the Kano Foundation sponsored 15 operations.  During this mission, a new site was created (please see photos).  I have also worked with the team in Lima, Peru where we performed heart surgeries at El Salude del Nino Hospital.  Each mission is approximately two weeks and travel expenses and hotel accommodations are provided by ICHF.  Work with this group is fast-paced and requires considerable experience with anesthesia for congenital heart surgery and pediatric cardiology.


 

Barbara Van de Wiele, M.D.
Clinical Professor
Director, Division of Neurosurgical Anesthesiology

Vice Chair for Clinical Affairs

Swati Patel, M.D.
Assistant Clinical Professor
Chief, Division of Pediatric Anesthesia

Global Neuro RescueGlobal Neuro Rescue
Pediatric Foundation of Guatemala

Guatemala City, Guatemala
Hospital del Nino Jesus

Global Neuro Rescue is a UCLA based non-profit organization dedicated to improving the lives of children and adults with neurologic disease. These goals are promoted through research, education and volunteer medical missions to developing nations. UCLA Department of Anesthesiology faculty and residents have participated in volunteer medical missions sponsored and co-sponsored by Global Neuro Rescue, including traveling to Latin America (Guatamala - September 2002, March 2003 and February 2004; Santa Domingo - January 2004) and Eastern Europe (Bucharest, Romania 2003). UCLA Department of Anesthesiology faculty Dr. Eduardo Rubinstein, Dr. Swati Patel, Dr. Barbara Van de Wiele and residents (Dr. Peter Liang and Dr. Victor Duval) have participated in prior volunteer medical missions. Additional information about Global Neuro Rescue is available at http://www.globalneurorescue.com. There are opportunities for anesthesiologist, anesthesiology residents, OR and ICU nurses and intensivists to participate in future missions.

Guatemala and Santo Domingo

Romania

Samuel Wald, M.D.
Assistant Clinical Professor
Director Residency Program

 

Thousand Smiles FoundationThe 1,000 Smiles Foundation is a non-profit organization focused on care of the less fortunate children in Mexico and Costa Rica who suffer from lack of dental care and from maxillo-facial deformities such as cleft palate. This group of volunteers has been working since 1985. Since that time, Thousand Smiles or Mil Sonrisas in Spanish, has treated more than 1,000 children with life-enhancing cleft lip/palate surgeries. More than 10,000 children have received general dental treatment, orthodontics, otorhinolaryngology services as well as hearing and speech therapy. There is no charge to the children's families for these services.

Thousand Smiles works in Ensenada, Mexico; Juarez, Mexico and in Costa Rica. Their website is www.thousandsmiles.org


Jordon D. Miller, M.D.
Associate Professor
Co-Director Malignant Hyperthermia Program

There have been two visits of the UCLA medical team to Armenia, March 14-18, 2004 and Nov. 11-18, 2004. During these visits, the team consisting of Dr. Akira Ishiyama ENT, Diane Sennott, RN (Head nurse UCLA ENT), Salpy Akaragian, RN, MN, FIAN, Stanton Jones, MS (audiologist UCLA ) and an anesthesiologist (March - Dr. Denise Parker, November - Dr. Jordan Miller) worked with their counterparts in Armenia to develop a self sustaining program to perform cochlear implants and other complex hearing related surgeries. The anesthesia team was faced with the special requirements for facial nerve monitoring which was a new concept for the Armenian team. Obstacles to practice are similar in many non-English speaking countries, translation is slow and not always immediately available. This becomes particularly evident when there is an emergency. Drugs are in unfamiliar concentrations, some are not available and the packaging is frequently in unreadable characters. Compromises based on financial and cultural differences may lead to changes in our practice and one must reassess ones practice to see what is unsafe and what is just "our way of doing things".

Armenian International Medical Fund
Ultimate goal: Establish a regional cochlear implant
center in Erebouni Medical Center, Yerevan, Armenia
for the NIS countries and Russia (former Soviet
Union). Make Armenia known as the leader of health
care in the region.

For more information contact Chairperson Salpy Akaragian at NSSA@mednet.ucla.edu.


A modern anesthesia machine in use on a paient.
Where is the soda lime? What changes need to be made to the anesthetic to make sure the patient's carbon dioxide is normal? Is there anything wrong with using halothane? is the absence of a working oxygen analyzer a risk if the patient is on just oxygen? Doesn't the pulse oximeter serve the same role?


Neostigmine 0.05% 1 ml ampoules.
The usual dose of neostigmine for reversal of neuromuscular block is 20-70 ug/kg. What is the concentration? How much will you use? Are you sure?

 

To see more images from the November 2004 Armenian visit, click here to view a PowerPoint presentation

 

 

 


Erica J. Zima, CRNA, MSN
UCLA Department of Anesthesiology

In April 2005, Erica Zima participated in an educational project in Eritrea, Africa.  Eritrea has a severe shortage of qualified anesthesia providers.  The project was sponsored by Health Volunteers Overseas, an organization that works to improve quality and accessibility to health care in developing nations through training and education.  Erica taught in an intensive nurse anesthesia training program developed by a local anesthetist.  Additional information about this project and the sponsoring organizationand volunteer opportunities is available at http://www.hvousa.org/.  You can view a PowerPoint presentation on Health Volunteers Oversees entitled "Stories of Africa".


Mary A. Keyes
Clinical Professor

Judith E. Brill
Professor of Clinical Pediatrics and Anesthesiology

Drs. Mary A. Keyes, Judith Brill, both Anesthesiologists, Dr. Ken Wilson, Canadian Plastic Surgeon, and Lam Nguyen, student volunteer, participated in an Operation Smile mission to Quang Nam, Vietnam, June 2005.  During this mission, 162 patients with cleft lips and palates underwent surgical repair by an international group of 40 volunteers which included plastic surgeons, anesthesiologists, pediatricians, dentists and child life specialists.

Dr. Judith Brill, Lam Nguyen, Dr. Mary Keyes and Dr. Ken Wilson

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Pages created and maintained by Sara Faulds and Barbara Van de Wiele, MD
Last Updated: November 8, 2007