Browsing by Author "Mekonnen,Hailemariam"

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    Incidence of OF Laryngospasm and Associated Factors Among Pediatric Patients Who Undergo Surgery in Tikur Anbessa Specialized and Menelik Hospitals, Addis Ababa, Ethiopia,2023/2024: A Prospective Cross-Sectional Study.
    (Addis Ababa University, 2024-05) Mekonnen,Hailemariam; Tesfay,Birhane(Ass.Prof.); Ayele,Blen (Ass.Prof.)
    Background: Laryngospasm is a reflex closure of the upper airway caused by a spasm in the glottis muscle, which can lead to imminent respiration. Laryngospasm can happen at any stage of anesthesia. Laryngospasm causes increased morbidity and death as a result of hypoxia and hypercapnia. However, there has been little research into laryngospasm incidence and associated variables among children patients undergoing general anesthesia in Ethiopia. Objective: To assess the associated factors of laryngospasm and its incidence among pediatric patients who undergo surgery under general anesthesia in Tikur Anbessa specialized and Menelik referral hospitals from November 1, 2023 to May 1, 2024. Method: An institutional based cross-sectional study was conducted among pediatric patients who underwent surgery under general anesthesia in Tikur Anbessa specialized hospital and Menelik referral hospital, from November 1, 2023 to May 1, 2024. A consecutive sampling technique was utilized to recruit the study participants and data collected using a structured questionnaire. Data was entered in to SPSS software version 26 for analysis. A binary logistic regression model was fitted to assess the association between the outcome and predictor variables. A P-value less than 0.05 was used to declare statistical significance. Finaly, the results were reported in words, tables and graphs. Result: The laryngospasm incidence was 12.8% with 95% CI= (9-16). The majority of the incidents, 84.1% occurred during emergence phase of GA. The common triggering factors identified were multiple airway attempt (AOR: 13.71, [95% CI= 5.745-32.744]), inadequate depth of anesthesia (AOR: 7.814, 95% CI= 2.746-22.239]). The complications of laryngospasm identified were desaturation in 41(93.2%), bradycardia in 11(25%), inspiratory stridor in 24(54.5%), decreased air entry in 35(79.5%), increased inspiratory effort in 31(70.4%), paradoxical breathing in 25(56.8%), cyanosis in 1(2.3%), and pulmonary aspiration in 1(2.3%) of the cases. Conclusion and recommendation: Laryngospasm is mainly associated with multiple airway attempt, inadequate depth of anesthesia, and upper respiratory tract infection. It is recommended to maintain adequate depth of anesthesia, decrease the number of airway attempts, optimize those with upper respiratory tract infections unless the surgery is urgent.