ObjectivesTo assess the patients’ awareness of their rights, associated factors and the practice of these rights by the medical team from the patients’ perspective at Tikur Anbessa Specialized Hospital.DesignAn institution-based prospective cross-sectional study was carried out.SettingThe research was conducted from January to May 2021 in a specialised hospital in central Ethiopia.Participants392 people who had elective surgery were included in this study; 217 men and 175 women responded. Systematic random sampling was employed to choose the research subjects, and K (skip interval) was calculated using the 3-month surgical waiting list at the hospital. Patients under the age of 18, those with severe illnesses, those who were not inpatients, and those who had diagnosable mental conditions were not eligible.Primary and secondary outcome measuresA structured questionnaire was administered in a face-to-face interview by trained data collectors after surgery at the surgical ward and analysed by using SPSS V.24. Bivariate and multivariable regression analyses were used to identify the associated factors. A p<0.05 was used to judge the significance of the association.ResultPatients’ awareness about their rights was 76%. Educational level, place of residency and the number of hospital admission were significantly associated with patients’ awareness. The majority (83.2%) of patients reported that health providers had poor practices regarding patient rights.ConclusionMost patients were unaware of most of their rights, and the majority of patients reported that healthcare providers did a poor job of protecting their patients’ rights. To advance the application and understanding of patient rights, access to various facilities, patient and healthcare provider education programmes, and patient rights information technology must be improved.
Background
Postanesthesia shivering is one of the potential complications of anesthesia which may increase patient morbidity. Various methods have been employed to control postoperative shivering. This study assessed the effectiveness of prophylactic low-dose intravenous ketamine and pethidine for postoperative shivering after general anesthesia.
Methods and materials:
This prospective cohort study recruited 76 ASA I and II patients aged 18–65 years old and underwent elective surgery under general anesthesia. The patients were grouped based on either ketamine 0.5mg/kg or pethidine 0.5 mg/kg having been administered by the anaesthetist in charge as a prophylaxis for postoperative shivering 20 minutes before completion of the surgery. The incidence and severity of postoperative shivering were compared between the two groups every 10 minutes until one hour postoperatively. The side effects of the study drugs were also compared between the two groups in the recovery room. Categorical data were analyzed with the Chi-Square test. Parametric and nonparametric data between the groups were analyzed using independent samples t-test and Mann-Whitney U test, respectively. A p-value of < 0.05 was considered statistically significant.
Results
The incidence of shivering between the ketamine and pethidine groups was 11(28.2%) and 14(35.9%), respectively (p = 0.467). The severity of shivering was not significantly different between the two groups (p = 0.893). The occurrence of nausea and vomiting and sedation attributed to the drugs was significantly less in the ketamine group (p < 0.05). PACU stay duration and occurrence of hallucinations among the groups were comparable. (p > 0.05)
Conclusion and Recommendation:
This study revealed administering low-dose IV ketamine (0.5mg/kg) 20 minutes before completion of surgery reduced postoperative shivering as nearly equally as pethidine. The study also showed clinically better outcomes in favor of ketamine since it was associated with fewer side effects. Thus, we recommend low-dose IV ketamine 20 minutes before completion of surgery under general anesthesia to prevent postoperative shivering.
Background: Postanesthesia shivering is one of the potential complications of anesthesia which may increase patient morbidity. Various methods have been employed to control postoperative shivering. This study assessed the effectiveness of prophylactic low-dose intravenous ketamine and pethidine for postoperative shivering after general anesthesia.Methods and materials: This prospective cohort study recruited 76 ASA I and II patients aged 18-65 years old and underwent elective surgery under general anesthesia. The patients were grouped based on either ketamine 0.5mg/kg or pethidine 0.5 mg/kg having been administered by the anaesthetist in charge as a prophylaxis for postoperative shivering 20 minutes before completion of the surgery. The incidence and severity of postoperative shivering were compared between the two groups every 10 minutes until one hour postoperatively. The side effects of the study drugs were also compared between the two groups in the recovery room. Categorical data were analyzed with the Chi-Square test. Parametric and nonparametric data between the groups were analyzed using independent samples t-test and Mann-Whitney U test, respectively. A p-value of <0.05 was considered statistically significant. Results: The incidence of shivering between the ketamine and pethidine groups was 11(28.2%) and 14(35.9%), respectively (p=0.467). The severity of shivering was not significantly different between the two groups (p=0.893). The occurrence of nausea and vomiting and sedation attributed to the drugs was significantly less in the ketamine group (p<0.05). PACU stay duration and occurrence of hallucinations among the groups were comparable. (p>0.05)Conclusion and Recommendation: This study revealed administering low-dose IV ketamine (0.5mg/kg) 20 minutes before completion of surgery reduced postoperative shivering as nearly equally as pethidine. The study also showed clinically better outcomes in favor of ketamine since it was associated with fewer side effects. Thus, we recommend low-dose IV ketamine 20 minutes before completion of surgery under general anesthesia to prevent postoperative shivering.
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