Publications by authors named "Girmay Fitiwi Lema"

Unlabelled: In resource-limited settings, providing anaesthesia services to paediatric patients at the operation theatre needs to be considered and optimal utilization of national resources available for the provision of services should be undertaken. Therefore, optimal perioperative care of infants and children requires the availability of monitors and contemporary equipment designed specifically for this purpose.

Objective: This study aimed to determine the practice of preoperative anaesthesia equipment and monitor preparation for paediatric patients.

View Article and Find Full Text PDF
Article Synopsis
  • * Conducted between March and April 2021, the research involved 234 nurses and utilized the Nurses' Knowledge and Attitudes Survey regarding Pain (P-NKAS) for assessment, along with statistical analyses to identify factors influencing knowledge and attitudes.
  • * Results showed that 67.1% of nurses had good knowledge and 89.3% held favorable attitudes towards pain management; those with higher education and in-service training tended to demonstrate better knowledge and positive attitudes.
View Article and Find Full Text PDF

Background: Quality of pain management in emergency departments may be affected by nurses' perceived barriers. Poorly managed pain may lead to altered physiological and psychological function which affect patients' quality of life as well as increase costs to the health care system.

Objective: This study aimed to assess emergency nurse's perceived barriers to pain management and associated factors at emergency departments, 2021.

View Article and Find Full Text PDF

Introduction: Anxiety was repeatedly reported as the worst aspect of the perioperative time. The objective of this study was to assess the prevalence of preoperative anxiety among adult surgical patients at University of Gondar Comprehensive Specialized Hospital (UoGCSH), Northwest Ethiopia.

Methodology: A hospital-based cross-sectional study was conducted among surgical patients at the university hospital.

View Article and Find Full Text PDF

Asthma is one of the commonest respiratory illnesses among elderly patients undergoing surgery. Detailed preoperative assessment, pharmacotherapy and safe anaesthetic measures throughout perioperative period are the keys to decrease complications. Resistance to expiratory airflow results in positive alveolar pressures at the end of expiration, which causes air-trapping and hyperinflation of the lungs and thorax, increased work of breathing, and alteration of respiratory muscle function.

View Article and Find Full Text PDF

Background: The intensive care unit (ICU) is a health care delivery service for patients who are in critical condition with potentially recoverable diseases. Patients can benefit from more detailed observation, monitoring and advanced treatment than other wards or department. The care is advancing but in resource-limited settings, it is lagging far behind and mortality is still higher due to various reasons.

View Article and Find Full Text PDF

Objective: We aimed to assess the level of patient's satisfaction and associated factors regarding postoperative pain management.

Methods: An institution-based cross-sectional study was conducted from April to May 2018 at the University of Gondar, and comprehensive specialized hospital data were collected through semistructured questionnaire and chart review. Level of satisfaction was measured using five-point Likert scale.

View Article and Find Full Text PDF

Background: Wound management is one of the commonly performed procedures in hospitals. It can be a major source of pain and pain may be a frequently experienced but under-considered component of wound management. Therefore, we aimed to determine the severity of wound-related pain and identifying factors associated with it among patients who underwent wound management.

View Article and Find Full Text PDF

Background: Spinal anesthesia is the most common anesthetic technique for cesarean delivery. Patient satisfaction is a subjective and complicated concept, involving physical, emotional, psychological, social, and cultural factors. Regular evaluation of maternal satisfaction related to anesthesia service is an important parameter to the required changes and expansion of high-quality care services.

View Article and Find Full Text PDF

Background: Adequate pain management has led to increased comfort in emergency patients, reducing morbidity and improving long term outcomes. Different pain management modalities have been applied in the emergency department among which systemic analgesia is commonly used by preceding a nerve block. Several factors have been associated with poor pain management in low resource setting areas.

View Article and Find Full Text PDF

Background: Shivering is a frequent and undesirable complication of spinal anesthesia. It is a physiologic response to increase the body core temperature in an attempt to raise metabolic heat production. However, shivering may trigger myocardial ischemia; increase intraocular and intracranial pressures, increase wound pain, delay wound healing and interfere with pulse rate, blood pressure and electrocardiogram monitoring.

View Article and Find Full Text PDF