Browsing by Author "Alferid Fetiya"

Now showing 1 - 10 of 10
  • No Thumbnail Available
    Item
    Accuracy of Visual Estimation of Intraoperative Blood Loss compared to calculated blood loss and factor which affect it In Adult Patients on elective surgical patients at Tikur Anbesa Specialized teaching Hospital (TASH), Addis Ababa, Ethiopia, 2023/24.
    (Addis Ababa University, 2024-05) Hisho Abeba; Shami Amria; Alferid Fetiya
    Background: -Visual estimation of blood loss has been the most commonly used method and sometimes, the only method available for assessing intraoperative blood loss simply because it is easy, quick, and convenient. Accurate assessment of intraoperative blood loss is an important aspect of perioperative management of patients undergoing surgery where blood loss is often dispersed. Under estimation of bleeding can pose a danger to the patient’s recovery and sometimes also it can be a threat to life, especially when associated with hemodynamic instability (6-7).Over estimation of bleeding can lead to unnecessary blood transfusion, exposes the patient to needless risks such as infections, hemolytic and non hemolytic transfusion reactions(13).Improving visual estimation of blood loss is crucial step in management of surgical patients and decision of transfusing a patient should not always depend on estimation . Objective: - to asses accuracy Of visual estimation of intraoperative blood loss compared to calculated blood loss in adult patients on elective surgical patients at Tikur Anbesa Specialized Hospital (TASH), Addis Ababa, Ethiopia, 2023/24. Method: -institutional based prospective cross-sectional study was used from Jan to march 2024 the study was conducted in TASH on 243 patients .Data was collected by modified questionnaire. Data collection was done by anesthesiology resident, anesthetists and medical interns. Simple convenient sampling technique was used as sampling technique. Data was checked for completeness and data was entered cleaned and analyzed by SPSS 27.00 version statistical software. Descriptive analysis was done for socio demographic values. The absolute mean error was also compared .and factors that affect the accuracy of VEBL was assessed by multiple regression Result: visual estimation of blood loss is in accurate by average of 29.1 % from calculated blood loss .21.8 %( Anesthesia side) and 36.4 % (surgical side) among the factors amount of bleeding also had its own impact by ;for those bleeding < 500 ml absolute mean error is 136 ml ,for 501- 1000ml absolute mean error is 145, for 1001-1500 ml absolute mean error is 297 for 1501-2000ml absolute mean error is 265 and for those >2000 ml absolute mean error is 471 ml Key word VEBL Conclusion Visual estimation of blood loss is inaccurate and subjective. Both anesthesiologists and the surgical side underestimated based on visual estimation. However, anesthesiologists generally outperformed surgical teams in visually with their estimates being closer to the actual blood loss that was calculated blood loss from pre- and post-operative hematocrit values
  • No Thumbnail Available
    Item
    Assessment of Knowledge, Attitude and Practice of Gynecology and Obstetrics Residents about Pain Management of First Trimester Surgical Abortion via Suction and Curettage in Tikur Anbesa Specialized Hospital, Ghandi Memorial Hospital and Zewditu Memorial Hospital Addis Ababa, Ethiopia, 2017
    (Addis Ababa Universty, 2018-05) Tamrat Lina; Alferid Fetiya
    Background: First Trimester Surgical Abortions (FTSA) especially cervical dilation and suction aspiration are associated with pain. Researchers estimated that in Ethiopia, in 2008, as many as 103,140 of induced abortions were performed in health facilities. Between 2008 and 2014, the proportion of abortions occurring in facilities rose from 27% to 53%.There is no available data or guideline to know the pain management practice during first trimester abortions In Ethiopia. There is also lack of available study done to assess the level of knowledge, attitude and practice of physicians toward pain management practice during First Trimester Surgical Abortion. Objectives: The aim of this research is to assess knowledge, attitude and practice of Gynecology and Obstetrics Residents in the management of pain during First Trimester Surgical Abortion via Suction and curettage in TASH, GMH and ZMH. Methods: Multi center cross-sectional study in three hospitals (TASH, GMH and ZMH) was conducted during the month of October 2 – November 6, 2017 to assess knowledge, attitude and practice of GOR in the management of FTSA. A total of 62 residents participated in this study from a total population of 76. Structured, self-administered questionnaire was used to collect the data. The collected data was analyzed through SPSS version 20 software. Results: The proportion of residents who had good knowledge regarding pain management during first trimester surgical abortion was found to be only 11%. The residents who had good practice of pain management were 6.5% and there were 83.5% of residents who had favorable attitude regarding pain management. There was significant association between the knowledge of the respondents and attaching in TASH with (n=7) and P value of 0.004. Attitude index of the respondents has also significant association with year of residency with a p value of 0.0329. Conclusion and Recommendations: There was very low measured knowledge and attitude level of the physicians. And also the physicians own assessment of the suboptimal pain management practice of their hospital leads us to recommend further training on pain management options suitable for our setup.
  • No Thumbnail Available
    Item
    Effect of Clinical Clerkship on Career Choice of Second Clinical Year Medical Students in Collage of Health Sciences at Addis Ababa University, Addis Ababa, Ethiopia
    (Addis Ababa University, 2021-11) Dagne Mihret; Tilahun Rahel ; Alferid Fetiya
    Background: Anaesthesiology is one of disproportionately affected medical specialty in providing adequate number of professionals,There aremisguided assumptions, perceptions and paucity of knowledge regarding this filed by medical students and also by General practitioners which might contribute to a Skewed career choices. To alleviate the gap in work force and quality of service Several studies have suggested thatProviding medical students with a structured clinical rotation provides an opportunity for students to learn a wealth of medical knowledge, procedural skills and to get a feel of what a career in anesthesiology involveswhich in turn influences their perception of anaesthesia and carrier choice. Objective:To explore the effect of a clinical clerkship on career choice in considering anesthesia of C II students attaching from March 19 2021-May 30 2021. Method: Institutional based Descriptive cross-sectional study is used at AAU School of health science. The source population is allCII medical students attached to anesthesia clerkship form March 19 2021-May 30 2021.Sample size was 149.Data was collected using a pre attachment and post attachment self-administered questionnaire. Descriptive statistics and bivariate logistic regressionmodel was used.Variables with a p-value <0.25 in bivariate logistic regression were nominated for multivariate logistic regression. Result: A total of 149 students participated in this study.100 (67.1%) were Males.On post attachment 49(32.9%) of the respondents considered anesthesia as a specialty butno one considered it as a first choice.Students with good clinical knowledge of anesthesia has 3.2 times more chance of choosing anesthesia as a career AOD=95 % CI 3.23 (1.32-7.94) with P value 0.01.Students with Good knowledge of the role of anesthesiologist has a high chance of choosing anesthesia as a career AOD = 95 % CI 39(5-306) with p value < 0.001. Conclusion:Good knowledge of the role of anesthesiologist and good clinical knowledge of anesthesia has a positive association with career choice.
  • No Thumbnail Available
    Item
    Incidence and Risk Factors of Delayed Emergence in Surgical Patients Following General Anesthesia at Tikur Anbesa Specialized Hospital, Addis Ababa, Ethiopia, 2024
    (Addis Ababa University, 2024-06) Sebsbie Tesfaye; Alferid Fetiya; Hulala Faiza
    Background: Delayed awakening can lead to various challenges in perioperative care, such as prolonged hospital stays, increased healthcare costs, unexpected ICU admissions, reduced patient satisfaction, and hindered postoperative care activities. However, there is scarce research on this topic in our study area. Objective: To evaluate the incidence as well as risk factors of delayed awakening among patients undergoing surgery under general anesthesia at Tikur Anbesa Specialized Teaching Hospital. Methods: A hospital-based cross-sectional study was conducted, involving 317 patients who underwent surgery under general anesthesia at Tikur Anbesa Specialized Teaching Hospital from May 1, 2023, to May 10, 2024. Data were collected and entered using epi info version 7 and analyzed using SPSS version 27 after data cleaning. The association between categorical variables was assessed using correlation and logistic regression. Odds ratios were calculated to determine the associations through binary and multivariable logistic regressions. Results: Out of the 317 patients included in the study, 31.2% experienced delayed awakening after surgery. Multivariable logistic regression analyses indicated that smoking (AOR=0.056, 95% CI:0.005-0.638), presence of medical comorbidity,premedication (AOR= 0.087,95% CI: 0.023-0.333), intraoperative crystalloid administration >3L for adult patients(AOR =9.810 ,95% CI:2.78-34.613), presence of intraoperative hypotension(AOR= 0.148 ,95% CI: 0.056-0.393), type opioid at induction, duration of surgery ≥220minutes(AOR =5.815 , 95% CI:1.477-22.893),duration of anesthesia ≥230minutes(AOR= 0.244 ,95% CI :0.066-0.905), moderate surgical risk classification(AOR= 0.089 ,95% CI :0.018-0.426) and severe surgical risk classification (AOR=0.049, 95% CI: 0.007-0.321) were the independent risk factors found to have a significant association with delayed awakening (P<0.05). Conclusion: Although it was single-center study, the number of patients experiencing delayed awakening is substantial, and it has significant implications, including prolonged hospital stays,increased healthcare costs, and adverse patient outcomes. It is clinically necessary to take early countermeasures against such significant various risk factors to reduce the occurrence of delayedawakening, and to improve the prognosis of patients. Multi-center studies are necessary to determine the true impact on clinical patient outcomes and its economic impact to the national level
  • No Thumbnail Available
    Item
    Incidence of Adverse Event and Associated Factor During Intrahospital Transport of Critically Ill Patient in ICU at TASH, Dec 2024-Feb 2025G.C,Prospective Observational Study
    (Addis Ababa University, 2025-05-10) Getu Addisu; Alferid Fetiya
    Intra-hospital transport of critically ill patients is a vital component of intensive care unit (ICU) operations, necessary for various diagnostic, therapeutic, or procedural interventions. Despite its critical role, this process can introduce significant risks, including adverse events such as changes in vital signs, procedural complications, or deterioration in patient’s condition
  • No Thumbnail Available
    Item
    Knowledge and Practice of Anesthesia Providers on Exposure to Inhalational Anesthetic Agents in TikurAnbesa Specialized Hospital, Addis Ababa, Ethiopia, 2020.
    (Addis Abeba University, 2020-11) Atsbha Yirgalem; Alferid Fetiya ; Seifu Robel
    Background: Inhalational exposure is common among the different health care providers,especially in anesthesia care providers. Anesthesia providers have failed to identify personal protective equipments.Knowledge related to occupational hazard prevention among theseproviders was also low. Objective: To assess the Knowledge and practice of Anesthesia Providers on Exposure to Inhalational Anesthetic Agents in Tikur Anbessa Specialized Hospital. Methods: A hospital based cross-sectional quantitative study was conducted among 114 available anesthesia providers in TASH, from 1 to 30 September 2020. Data was collected using a structured self-administered questioner. Collected data was analyzed using spss version 26 and presented with frequencies and percentages. For association between categorical variablesPearson chi square and logistic regression was used. Result: Out of 132 anesthesia care providers we were able to collect data in 114(86.36 % of the total population) participants. Although all feel exposed to inhalational anesthetics, Only 64(56.1%) of the participants scored above the mean for knowledge on exposure to inhalational anesthetics. Being female anesthesia care provider was strongly associated with good knowledge score on the risks of inhalational anesthetics. Only 63(55.3%) of the anesthesia care providershave good practice in applying strategies to reduce exposure to inhalational anesthetic agents. There was no strongly associated factor with practice of the anesthesia provider. Conclusion: The knowledge on exposure to inhalational anesthetics agents and the practice inapplying the strategies to minimize exposure to inhalational agents in the Operating theatre is good. Being female anesthesia care provider was associated with better knowledge on the risksof exposure to inhalation anesthetics. Standard procedures of prevention of inhalational anesthetics should be implemented by TASH.The standards can be given as a form of training for anesthesia care providers and also put as a protocol by the department.
  • No Thumbnail Available
    Item
    Knowledge, Practice of Hand Hygiene and Associated Factors with Noncompliance of Hand Hygiene Among Anesthesia Providers Working in TASH Operating Rooms.
    (Addis Abeba University, 2020-12) Mahmud Mohammed; Indris Semira ; Alferid Fetiya
    Background: Hand hygiene is an important measure that can be taken by the anesthesia providers to prevent and control infection in the operating room. The identification of several risk factors associated with poor hand hygiene compliance is also of extreme importance. Objective: The objective of this study was to assess the knowledge, practice of hand hygiene and the associated factors with the non-compliance of hand hygiene among anesthesia providers working at TASH operating rooms. Method: Institutional based cross-sectional study design was used. The study was conducted at Tikur Anbessa Specialized Hospital which is found in Addis Ababa Arada sub city. The study population were all Anesthesia providers working in TASH operating rooms and data was collected using self-administered questionnaire from all Anesthesia providers and the data was entered and analysed using SPSS version 26. Results: A Total of 101 study participants filled the questionnaires with a response rate of 100%.The overall assessment of knowledge showed that the majority (60.4%) of the respondents had good knowledge where as 39.6% of the respondents had poor knowledge regarding hand hygiene. Regarding the practice of HH, it was found out that 35.6% of the respondents had good practice while 64.4% of the respondents had poor practice of hand hygiene. Among the identified factors for non-compliance to HH, it was found out that 78.2% of the respondents mentioned that being too busy was the most important factor for being non-compliant to HH. Conclusions: The overall hand hygiene compliance among the anesthesia providers working inTASH were found to be poor even though their overall knowledge level was found to be above average
  • No Thumbnail Available
    Item
    Patterns of Admission and Mortality of Patients Admitted to Surgical Intensiv Care of Tikur Anbesssa Specialized Teaching Hospital
    (Addis Abeba University, 2014-08) Alferid Fetiya; Assefu Manekuleh
    CCritical patient have been admitted to SICU throughout the year since its establishment in the yr. However there is no study up to date that was done to determine admission pattern and outcome of patients. With only six beds at hand and establishment of the new ICU, it’s essential to know which patients are being admitted and their outcomes. Thus the aim of this study is to describe type of patient admitted to SICU of TASTH and their outcome.
  • No Thumbnail Available
    Item
    Prevalence and Associated Factors of Unplanned Postoperative Admissions to SICU among Postoperative Adult Surgical Intensive Care Unit Patients atTikur Anbesa Specialized Teaching Hospital
    (Addis Ababa University, 2019-11) Getachew Adane; Alferid Fetiya; Shimeles Rediet
    Introduction: Postoperative admission to the intensive care unit (ICU) is commonly planned and regarded as an important component to a safe and effective pathway for prevention, early recognition and timely management of life-threatening complications occurring in the immediate postop period.(1) Frequently, post-operative intensive care Unplanned ICU Admission(UIA) is required in an unplanned manner due to complications related to anesthesia or surgery or underlying illnesses unmasked during procedures.(9) Unplanned ICU admission (UIA) is associated with a negative outcome like increased medical costs, length of hospital stay and mortality(2) and has been shown to be an important safety measure of anesthesia and surgical care.(3) There are currently no data available on Unplanned Intensive Care Admissions in Ethiopia. I undertook this prospective review of postoperative admissions to the Intensive Care Unit of the Tikur Anbesa Specialized Teaching Hospital to know the prevalence and associated factors of unplanned intensive care admissions. Materials and Methods: This prospective cross-sectional study was conducted in the intensive care unit of Tikur Anbesa Specialized Hospital from April to October 2019. A special form was designed and filled for those patients who admitted unplanned to the intensive care within 48 hours of surgical procedures. All patients admitted to the SICU within 48 hours after operation were included. Ward admissions to the ICU (after 48 hours postoperative admission surgery), ICU admissions directly from the emergency department and Patients who were already admitted to the intensive care unit before surgery were excluded. Objective: The aim of this study is to identify the prevalence and associated factors of unplanned postoperative intensive care unit admissions. Results: From April 1 to October 31, 2019, a total of 110 patients were admitted to the surgical ICU after surgery; Of these, 87 patients (79.1%) were of the planned ICU admission group, and 23 patients (20.9%) were of the unplanned ICU admission group. The main reason for ICU admission were due to cardiovascular disturbance 6(26.1%) and for monitoring after resuscitations 6 (26.1%) followed by for respiratory events 4(17.4%). With adjusted multivariate analysis revealed that anesthesia given by anesthesiology residents (p=0.015, AOR=2.222, 95%confidence interval 1.472-20.556) and surgical time of more than four hours (p =0.024, AOR 2.145, 95% CI 0.177-25.992) were independent predictor factors. Conclusion: This study shows an association of longer surgical time and anesthesiology residents with unplanned ICU admission after surgery.
  • No Thumbnail Available
    Item
    Validation of Amharic Version of Confusion Assessment Method for Intensive Care Unit (CAM-ICU) among Patients Admitted to ICU at two Centers in Addis Ababa, Ethiopia: A Cross-sectional prospective study
    (Addis Ababa University, 2024-05) Tesfaye Mahlet; Alferid Fetiya; Hulala Faiza
    Background: Confusion Assessment Method for Intensive Care Unit (CAM-ICU) is a widely accepted, easily available, and quick tool for assessment of delirium in ICU. Globally, multiple studies had been conducted to cross culturally translate and validate the tool in order to make it fit to the local setting. However, to the best of the author knowledge, it has not been cross- culturally translated and validated into Amharic language. Therefore this study aims to bridge the gap. Objective: The study aimed to assess the Validity of Amharic Version of Confusion Assessment Method for Intensive Care Unit (CAM-ICU) among patients admitted to adult ICU in two centers in Addis Ababa, Ethiopia. Method and materials: Institution based prospective cross-sectional study was conducted at theintensive care unit of Tikur Anbessa specialized hospital and Menelik-II hospital. A total of 132 eligible patients were included in the study. Data were collected by Nurses and resident physician using Google form from 1-December-2023 to 30-April-2024. Data analysis was done using to SPSS V.27. Descriptive analyses were done using frequency and percentage for categorical variables and mean with standard deviation for continuous variables. Reliability,inter-rater reliability (k), and acceptability of the tool was assessed. Result: Translation to Amharic version was done by group of experts including anesthesiologists, psychiatrists, language experts, and the primary investigator ensuring content and face validity. A total of 132 patients participated in this study with a response rate of 95.65%. The Amharic version of CAM-ICU had high acceptance (100%), good reliability (Cronbach’s alpha=0.718), and substantial inter-rater agreement (k=0.762). 11(8.3%) and7(5.3%) patients were diagnosed with delirium by doctors and nurses respectively using CAM-ICU Amharic. Moreover, 7(5.3%) patients were diagnosed with delirium concurrently by both physicians and nurses. Conclusion: Amharic version of CAM-ICU is an acceptable, valid, and reliable tool to assess delirium in ICU. Utilization of CAM-ICU Amharic in clinical practice after provision of proper training would enable better detection of delirium in ICU.