Anaesthesia and Anaesthesiology

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Browsing Anaesthesia and Anaesthesiology by Subject "Anesthesia,postoperative shivering ,patient"

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    Proposal on research topic on prevalence and associated factor of postoperative shivering in patient receiving GA and SA in TASH.
    (Addis Abeba University, 2020-06) Tesfa, Taye
    Background:On the current era great emphasis is being given on improving quality of patient care. This motive includes conducting clinical study to know procedure and treatment associated outcome and complication. One of this complication is post anesthesia shivering which has deleterious effect several aspects of patient outcomes. The cause of shivering isincompletely understood. So, it is important to know the overall magnitude and major contributing factors for post anesthesia shivering for better health care. Objective: To assess the magnitude and associated factors of post anesthesia shivering inTikur anbesa specialized hospital, Addis Ababa, Ethiopia from October 01 – November 1, 2019. Methods: Institutional based cross-sectional study design was conducted from Oct 01- Nov1, 2019. A systematic random sampling method was employed to select 160 study subjects. Apre-tested structured questionnaire was used to collect data. Postoperative axillarytemperature was recorded every 5min for total of 20mintes. Result: The overall incidence of post-anesthesia shivering was 46.9%. From this majority ofpatients (52.2%) had grade 3 shivering. In multiple logistic regression analysis, being femalepatient (AOR= 2.003, 95% CI: 1.038, 3.940; p=0.03), spinal anesthesia (AOR= 2.885, 95% CI: 1.433, 5.810; P=0.0031) and body temperature less than 360C (AOR= 36.293, 95% CI: 11.808, 111.554;p=0.001) were considered associated factors of PAS. Conclusion and recommendation:In conclusion therewas overall high incidence of PAS, (46.9) which, necessitate close intraoperative temperature monitoring and institution of active warming. The relative high incidence of PAS on those patients operated under SA (62.9)