Browsing by Author "Melekamayhu Abateneh"

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    Assessment of Patient Satisfaction with Preoperative Anesthetic Evaluation and Assosated Factors at Menelik Referal Hospital Addis Ababa, Ethiopia
    (Addis Abeba University, 2016-06) Melekamayhu Abateneh; Admasu Woseneyeleh
    Background: Patient Satisfaction- refers to a state of pleasure or happiness with an action or service especially one that was earlier desired. Patient satisfaction is progressively appreciated measure of outcome for health care procedures and it was a measure of success in this hospitals. It was affected by anesthetist’s patient interaction, in the preoperative anesthetic evaluation. No prior study conducted in our setup. Objective: The purpose of this study was to evaluate inpatients’ satisfaction with preoperative anesthetic evaluation and associated factors at Menelik II Referral Hospital Addis Ababa Ethiopia. Methods- Institutional based cross sectional study was conducted at Menelik II Referral Hospital from Jan 6 to Feb 6, 2016, All patients who remained for elective surgery were included in the study period and interview 24 hours after operation. Data were collected using pretested standard questionnaires. All items in the structured questionnaire were scored on five point Likert scale. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Binary logistic regression was used to measure statistical significance between dependent and each independent variable. P-value 0.05 and 95%CI was used as cut off point. Results: Two hundred and seventy-five patients were operated upon under anesthesia during the study period. Of these, a total of 224 patients were included in this study with a response rate of 81.5 %, with the overall proportion of patients who said they were satisfied with anesthesia services was 72.3 %.the major factors that take patient dissatisfaction were 68.1% of patient explain anesthetist were not introduce him or herself to the patient, information on postoperative analgesia were 99.1% and postoperative nausea vomiting management were accounts 84.8%. Conclusion and recommendation: Patient satisfaction with anesthesia services was low 72.3 % in our setup compared with many previous studies, and females more dissatisfied 42.4 % than males 57.6 %.Factors that affected patient satisfaction negatively may be preventable or enhanced. Further study should be done and patient satisfaction give an emphasis
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    Bilateral Rectus Sheath Block as Post-Operative Analgesia for Patients Undergoing Midline Laparotomy in Minilk ii Referral Hospital, Addis Ababa, Ethiopia
    (Addis Ababa Universty, 2018-06) Kenna Peniel; Melekamayhu Abateneh
    Background: Midline laparotomy incision and other abdominal surgeries are associated with severe postoperative pain. Most experimental studies have showed significant reduction in pain intensity and total analgesia consumption in patients for whom bilateral rectus sheath block was done when compared to none interventional groups. Objectives: To assess the role of bilateral rectus sheath block as part of post-operative analgesia in patients that undergo midline laparotomy at Menelik II Referral Hospital. Methods: A prospective cohort study was done from December 25, 2017 to May 10, 2018 at Menelik II Referral hospital on sixty patients who came for midline abdominal laparotomy by using systematic random sampling technique. For analysis and interpretation, collected data were entered into Epi-data 3.1 and transported to the SPSS version 20. Homogeneity of categorical independent variables between the two groups were analyzed using Chi Square. The Manny Whitney test was used to compare median pain score and total analgesia consumption between the rectus sheath block group and control group. Statistical significance was stated at p value < 0.05 with a power of 80%. Result: There were a statistical significant difference among the groups depending on postoperative pain score measured by numeric rating scale (NRS) in the first 6 hours and total analgesia consumption within the 12 hours post-operatively. The median (inter quartile range) numeric rating scale score at the post anesthesia care unit was 0 (0-3) for treatment and 6 (2-8) for control group with p value of <0.001. Also, the 1st ,2nd ,4th and 6th postoperative hour numeric rating scale score was lower in statistically significant way between the two groups. The median 12-hour postoperative tramadol consumption was 0 mg and 75mg with p value of 0.022 for the rectus sheath group and control group, respectively. Conclusion and Recommendation: For surgeries done through midline laparotomy, adding bilateral rectus sheath block (BRSB) at the end of the operation with 0.25% bupivacaine is useful postoperative analgesia. Based on these, we recommend the use of BRSB for patients that undergo midline abdominal incision.