Browsing by Author "Habulu Bonsa"

Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    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
  • No Thumbnail Available
    Item
    The Prevalence and Associated Factor of Burn out among Anesthesia Providers in TASH.
    (Addis Ababa University, 2019-11) Habulu Bonsa; Kinfe Mahder; Tilahun Rahel
    Background: Burnout is a prolonged response to chronic emotional and interpersonal stressors on the job. It has three components: emotional exhaustion which is sense of physical and emotional exhaustion, depersonalization which is revealed through attitudes of emotional detachment from people to whom the professional should care for and co-workers and low personal accomplishment where work loses its meaning and became burden. Objectives: the aim of this study is to determine the prevalence of burnout among the anesthesia providers and to know the risk factors associated to it. Methodology: we are going to assess the prevalence and associated risk factor of burnout with standard questionnaire that was administered to the participant of the research. The questionnaire has two components the socio-demographic variables and standard MBI-HSS which has 22 question which has 9 EE, 5 DP, 8PA subcomponents. Results: of 128 eligible anesthesia providers 119 responded making the response rate 92.9%. The overall burnout is 16% among anesthesia providers and gender, level of education and professional work experience is significantly associated to burnout. Multiple regression was done for those significant at the level of p value < 0.05 revealed that being male is risky with odds ratio of 5.25 with 95% CI [1.06- 26.1]. Conclusion and recommendation: This research has shown us the anesthesia providers are at high emotional exhaustion scale which unless further measure is taken to prevent and stop the level of burnout, it has great impact on the patient safety and hospital productivity in general.