Magnitude and associated factors of Tracheal Intubation related adverse events in Pediatric Surgery at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia; 2019/20: Crosssectional Study
| dc.contributor.advisor | Gebayehu, Geresu(BSc, MSc) | |
| dc.contributor.advisor | Getachew, Lemlem(BSc,MSc) | |
| dc.contributor.author | Garbessa, Bayisa | |
| dc.date.accessioned | 2020-11-15T07:25:22Z | |
| dc.date.accessioned | 2023-11-05T09:39:51Z | |
| dc.date.available | 2020-11-15T07:25:22Z | |
| dc.date.available | 2023-11-05T09:39:51Z | |
| dc.date.issued | 2020-06 | |
| dc.description.abstract | Background: Tracheal intubation is a rapid, simple, safe and non-surgical technique to achieve airway patency, protects the lungs from aspiration and permits leak free ventilation during ventilation while surgery is undergo. But it may associate with adverse events. Determining its magnitude and associated factors are paramount in making smooth tracheal intubation. Objective: To assess magnitude and associated factors of tracheal intubation related adverse events in Pediatric surgery at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia Methods: Institutional based cross sectional study was conducted among 310 pediatric patients who underwent surgery from December 30, 2019 to February 30, 2020 at TASH Addis Ababa, Ethiopia. Systematic random sampling technique was used for selecting the study participants. Prepared questionnaire was used for data collection. Variables that were found to be (p value of < 0.25) on binary logistic regression entered into a multivariable logistic regression analysis to identify independent predictors of tracheal intubation related adverse events. Level of statistical significance was declared at p-value less than 0.05. Result: During the study period, 310 intubations occurred in pediatric patients who underwent operation room for pediatric surgery intubations were eligible for the study. In our study the overall incidence of trachea intubation related adverse events among pediatrics patients who underwent surgery was 36.5 %. Output of multivariable logistic regression revealed that, being neonate (AOR of 4.134(1.266-13.498), emergency surgery (AOR of 3.392(1.415-8.132), difficult intubation (AOR of 4.083(1.017-7.501)), intubation without using premedication (AOR of 1.759(1.452-10.83)), intubation without using muscle relaxant (AOR of 1.811(1.103-8.142)) and trachea intubation attempted more than three (AOR 3.921(2.164-7.396)) were as independent predictors of trachea intubation related adverse events Conclusion and recommendations: The incidence of trachea intubation related adverse effect in pediatric surgical patients is high. Being neonate, presence of difficult intubation, intubation without using medication and paralytic drugs, emergency surgery, and multiple attempt of intubation might be the predictors of tracheal intubation related adverse events. Anesthetist should consider these factors during trachea intubation. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/23268 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Magnitude, Trachea intubation related adverse events, Tikur Anbessa Specialized Hospital, Addis Ababa, Pediatric, Endotracheal intubation, operation room, and patient factors. | en_US |
| dc.title | Magnitude and associated factors of Tracheal Intubation related adverse events in Pediatric Surgery at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia; 2019/20: Crosssectional Study | en_US |
| dc.type | Thesis | en_US |