Magnitude and associated factors of failed spinal anesthesia in cesarean section at Addis Ababa governmental hospitals, Ethiopia.
| dc.contributor.advisor | Sitot, Mulualem | |
| dc.contributor.advisor | Tesfaye, Siryet (BSc, MSc in anesthesia). | |
| dc.contributor.author | Bekele, Zenebe | |
| dc.date.accessioned | 2020-03-23T08:38:12Z | |
| dc.date.accessioned | 2023-11-05T09:40:14Z | |
| dc.date.available | 2020-03-23T08:38:12Z | |
| dc.date.available | 2023-11-05T09:40:14Z | |
| dc.date.issued | 2019-06 | |
| dc.description.abstract | Background: Nowadays use of spinal anesthesia is the preferred anesthesia technique for cesarean section because it avoids air way related complication. But sometimes failed spinal anesthesia occurred and expose patient for pain and discomfort. Objective: To assess magnitude and associated factors of failed spinal anesthesia in a mother underwent cesarean section at Addis Ababa governmental hospitals, Ethiopia from December 2018- May 2019. Methods: An institutional based cross sectional study was conducted on 794 mothers who fulfilled inclusion criteria for elective and emergency cesarean section under spinal anesthesia at selected Addis Ababa governmental hospitals, Ethiopia from December 2018 – May 2019. Data collection methods include patient interview, chart review and observation of spinal anesthesia procedure were employed for data collection. Collected data were entered in Epi info version 7 and analyzed using SPSS version 20. Independent variables with the dependent variable were analyzed using logistic regression. A p-value of <0.05 was considered as cutoff point to test for statistically significant. Result: Magnitude of failed spinal anesthesia in this study was 15.2% (121/794). Experience of the anesthetist <1 (AOR 4.12, 95%CI, 2.47-6.90), patient position (AOR=14.43,95%CL; 2.6578.61) number of attempt > 1 (AOR;=9.26 , 95% CI; 5.69-15.01), bloody CSF (AOR=6.37, 95%CI; 2.90-13.96), BMI ≥30kgm 2 (AOR=2.03, 95%CI; 1.12-3.68) and dose of bupivacaine < 10mg (AOR; 2.72, 95% CI; 1.33-5.53) were significantly contributed for failed spinal anesthesia in this study. Conclusion and recommendation: Magnitude of failed spinal anesthesia in Addis Ababa governmental hospitals was high. Anesthesia professionals should know all possible factors and develop strategy to overcome the problem, and use of adjuvants should be a daily practice for anesthetist. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/21217 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Failed spinal anesthesia, cesarean section. | en_US |
| dc.title | Magnitude and associated factors of failed spinal anesthesia in cesarean section at Addis Ababa governmental hospitals, Ethiopia. | en_US |
| dc.type | Thesis | en_US |