Browsing by Author "Indris Semira"

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    Assessment of knowledge, Attitude and Practice of Labor Analgesia among Obstetric Health Care Providers in Tikur Anbessa Specialized Hospital
    (Addis Ababa University, 2018-11) Indris Semira; Eshete Manekulh
    Background Despite the increased focus on pain management programs and the development of new standards for pain, assessment and treatment of labor pain is mostly abandoned specially in low and middle income countries. In Ethiopia there are few studies done in some regional states to assess attitude towards labor pain and utilization of labor analgesia, thus this thesis is conducted in one of the biggest and tertiary hospital found in the capital city of Ethiopia,A.A. Objectives To evaluate the knowledge and attitude of labor pain analgesia and to describe the practice of labor analgesia among obstetric health care providers at Tikur Anbessa Specialized Hospital. Method: cross-sectional study was conducted from AUGUST 1 to OCTOBOR 1, 2018 at Tikur Anbessa Specialized Hospital. Data was collected using structured questionnaire distributed to obstetric residents , Ansthesiology residents and midwifes. The collected data was coded and entered into EPI info version 7and analyzed by using SPSS version 20. Descriptive analysis was used. Result: This study found that majority (91%) of ansthesia and more than half(67%) of obstetric residents have good attitude towards labor analgesia, while majority(74%) of the midwifes found to have poor attitude.Althogh 80% of Ans residents have good knowledge towards labor pain management, only 49% of midwifes & 47% of obs residents found to have good knowledge about labor analgesia .majority of HCPs i.e 82% of midwifes, 69% of obs residents, 83% of ans residents was found to have good practice of labor analgesia. Conclusion & recommendation: The majority of healthcare providers understand that women suffer significant pain during labor and majority believe that labor pain relief is necessary However, when we see the general knowledge of HCPs, except Ans residents half of obs residents & half of the midwifes have poor knowledge about labor analgesia thus emphasis should be given to train all obstetric health care providers regarding safe , efficient and affordable labor analgesia
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    Incidence and Associated Factors of Emergence Delirium in Pediatric Patients Undergoing ENT Surgery at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia 2024 G.C
    (Addis Ababa University, 2024-05) Beshah Hanna; Ayele Blen; Indris Semira
    Background:Pediatric emergence delirium is a common phenomenon that occurs in children undergoing surgery under GA and is characterized by a brief period of disorientation, agitation and confusion upon waking up from anesthesia. Its duration is variable but is often self-limiting and typically resolves quickly but it can be distressing for both the child and their parents or caregivers as ED might be associated with severe adverse events, which might end up in the unintentional physical injury to the patient or personnel leading to prolongation of hospital stay and increased parental anxiety and dissatisfaction with perioperative care.This study aims to contribute to the current knowledge on ED in pediatrics undergoing ENT surgery, address knowledge gaps in its incidence and assess risk factors associated with it. Objective:To assess the incidence and associated factors of emergence delirium in pediatric patients undergoing ENT surgery under general anesthesia in TASH, Addis Abeba, Ethiopia. Method:An institutional-based prospective cross-sectional study was conducted from September 2023 to April 2024 G.C at TASH. During the study period 88 pediatric patients between the ages of 2 and 12 years, who have undergone elective ENT surgical procedures in the major OR were included in the study. Data was collected using a structured questionnaire by anesthetists and anesthesiology residents in the major OR and PACU. PAED scale was used to assess for ED and a PAED scale of 12 or more was taken as PED. Binary logistic regression analysis was performed to determine predictors of postoperative delirium in pediatric patients undergoing ENT surgery under general anesthesia. Results:The incidence of Pediatric emergence delirium in this study was 21.6%. Age (toddlers and preschoolers) (p-value 0.039, AOR=4.831; 95% CI:1.08,21.62), maladaptive behavior (p-value 0.003, AOR=12.16; 95% CI:2.278,64.91), premedication (p-value 0.043, AOR=0.11; 95% CI:0.013,0.928) and moderate to severe postoperative pain (p-value 0.005, AOR=11.05; 95% CI:2.058,59.34) were significantly associated with postoperative ED following ENT surgery. Conclusion:The incidence of ED in pediatric patients undergoing ENT surgery in TASH was found to be 21.6%. This study also highlights several factors emerging as significant predictors of ED with toddler and preschooler age group, preoperative maladaptive behaviors, lack of premedication and moderate to severe postoperative pain being highly associated with developing postoperative PED.
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    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
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    Preoperative Fasting Time and Reasons for Prolongation in Pediatric Patients Undergoing Elective Surgery in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
    (Addis Ababa University, 2024-05) Aregawi Yoseph; Indris Semira; Habulu Bonsa
    Background: Preoperatively all patients, including pediatric patients are ordered to fast for a specified duration in fear of perioperative aspiration. However, the risk of aspiration is recently being reported to be minimal and the actual duration of fasting in these patients is longer than the recommendations resulting in discomfort and possible metabolic derangements intraoperatively. Methods: An institution-based prospective cross-sectional questionnaire-based study was performed on 252 pediatric patients between the ages of 1 day to 12 years who are scheduled to undergo elective surgery at Tikur Anbessa Specialized Hospital. The parents or caregivers were asked the time and type of the last feeding of the child when the child came to the OR and further information was gathered from the patient chart. Parent’s level of information about NPO times and reasons behind any deviation from recommendation were also recorded. Data was collected using interviews and descriptive analysis with mean and standard deviation used followed by binary logistic regression used to identify associated factors in prolongation. Results: Two hundred fifty-two participants were included. The mean and SD of actual fasting times were 10.23 ±3.7 hours for clear fluids, 6.1±2.06 hours for breast milk and 12.39±2.8 hours for light food. 92.3% of children had prolonged actual fasting times to clear fluids above 2hours from recommendation while its 40% and 81% when it comes to breastmilk and light food,respectively. 30.2% of the parents blame inappropriate information and order delivered preoperatively by the treating team as the cause for their child fasting longer. Age of the child,and appropriateness of information delivered to the caregivers was found to significantly affect actual fasting times of children. Conclusion: Pediatric patients scheduled to undergo elective surgery are subjected to unnecessarily prolonged fasting times above the recommendation put forth by ASA which is found to be influenced by age of the child and appropriateness of information delivered to the caregiver
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    Prevalence and Associated Factors of Postoperative Shivering in Elective Patients Receiving General Anaesthesia and Spinal Anaesthesia at TASH major OR
    (Addis Ababa University, 2024-05) Kinfe Natnael; Indris Semira ; Habululu Bonsa
    Background: Transition out of the operating room is a very important period in terms of the occurrence of complications. And to promote the quality and safety advancements made in the operating room and better perioperative patient outcomes preventing these complications play a key role. Among these complications post operative shivering is the common one. So different studies were done to find out The size and elements linked to this complication showing that the impact of post operative shivering on post operative recovery. Objective: To explore the prevalence and Factors related to postoperative shivering inelective patients receiving general and spinal anesthesia Method: Institutional based Descriptive cross-sectional survey will be used. Result: in the study period a total of 326 patient who underwent elective surgery both under general and regional anesthesia in TASH major operating room were included and the prevalence of post operative shivering was 41.1%. And multivariate logistic analysis showed statistically significant correlation with hypothermia (AOR= 36.629, 95%CI :( 17.837-75.218) in PACU and duration of surgery more than 2 hours (AOR=4.332, 95%CI (1.332-14.083). Conclusion: due to its high prevalence of post operative shivering in this study in-cooperating both passive and active warming mechanisms as part of intraoperative management should be considered.