Assessment of Confidence and Knowledge level of Perioperative fluid administration among post graduate surgical trainees in Tikur Anbesa Specialized Hospital.
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Date
2019
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Addis Ababa University
Abstract
Background: Intravenous fluid therapy is an integrated and lifesaving part of the treatment
of patients undergoing surgery. It continues to be heavily relied upon in the modern management
of general surgical patients, with nearly universal use in the perioperative period.
Objective: The objective of this study was to determine the confidence level of surgical
postgraduate residents in prescribing perioperative fluid for the management of patients, whether
they feel like they have achieved adequate training in their undergraduate program and if they
actually have adequate knowledge regarding this topic.
Method: It was an institution based descriptive cross-sectional study using a self-administered
questionnaire. The data was collected using pretested questionnaire, which was used in other
researches. The collected data was entered and analyzed using SPSS version 24.
Result: Even though the confidence level for the respondents were no satisfactory there seems
to be a slightly elevated degree of confidence level despite a lower level of knowledge. There was
a clear preference to use NS for resuscitation with higher level of confidence with less confidence
to use potassium supplement. There was also a less than satisfactory knowledge regarding
electrolyte requirements of the body and composition of body fluids by the respondents.
Recommendation: A prospective studies about trends of practice would be helpful to have
objective data for analysis of adverse outcomes which are attributed to inappropriate prescription
of perioperative fluids. After this it would be wise to come up with local guidelines and
educational interventions to address perioperative fluid management.
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Keywords
Perioperative fluid administration