Magnitude and associated factors of early postoperative hypoxemia in pediatric patients undergoing elective surgery under general anesthesia at Tikur Anbesa specialized hospital ,Ethiopia,2019/20.

dc.contributor.advisorAdmassu, Wosenyeleh(MSC IN ACA)
dc.contributor.advisorGetachew, Lemlem(B.SC. M.SC. Lecturer in Anesthesia)
dc.contributor.authorKetema, Rebka
dc.date.accessioned2020-12-23T07:12:30Z
dc.date.accessioned2023-11-05T09:39:52Z
dc.date.available2020-12-23T07:12:30Z
dc.date.available2023-11-05T09:39:52Z
dc.date.issued2020-06
dc.description.abstractIntroduction: Hypoxemia is defined as a low amount of oxygen in our blood. Early postoperative hypoxemia leads to cellular ischemia which may delay recovery and complications are associated with significant cost and mortality implications for patients. Objectives: The objectives of the study was to determine the magnitude and associated factors of hypoxemia in pediatric patients aged 1-14 years who undergone surgery under general anesthesia in Tikur Anbessa specialized hospital from October 26, 2019 to February 26, 2020 G.C. Method: Institutional based cross sectional study was conducted at Tikur Anbessa specialized Hospital, Addis Ababa, Ethiopia data was collected from October 26/2019 to February 26, 2020 using a pre-tested questionnaire starting from preoperative period to postoperative period in PACU. After sample size was calculated and systematic random sampling technique applied, 229 patients included in the study. The data was entered to Epi Info version 7.2.1 and analyzed by SPSS version 22 software performing descriptive statistics, bivariate and multivariate logistic regression. Result: The incidence of early postoperative hypoxemia is found to be 44.5%. Muscle relaxant use has a 3.13 times [AOR=3.13; 95% CI: (1.13-8.64)] and not using premedication has 10 times [AOR=10.93; 95% CI: (4.74-25.21) more risk for developing early post-operative hypoxemia. Duration of surgery greater than an hour has 4.6 times [AOR=4.68; 95 % CI: (2.01-10.89)] and duration of anesthesia greater than an hour has 11 times [AOR=11.29; 95% CI: (3.96-32.19)] risk for early post-operative hypoxemia. Conclusion and recommendation: The magnitude of early postoperative hypoxemia is high. Some of the identified factors were muscle relaxant use, duration of surgery and anesthesia greater than an hour therefore it’s important to give attention for patients undergoing long surgical procedures and for patients who took muscle relaxants.en_US
dc.identifier.urihttp://etd.aau.edu.et/handle/123456789/24306
dc.language.isoen_USen_US
dc.publisherAddis Abeba Universityen_US
dc.subjectAnesthesia,postoperative hypoxemia ,pediatric patients,elective surgeryen_US
dc.titleMagnitude and associated factors of early postoperative hypoxemia in pediatric patients undergoing elective surgery under general anesthesia at Tikur Anbesa specialized hospital ,Ethiopia,2019/20.en_US
dc.typeThesisen_US

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