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Anesthesiology was misconceived as a behind the screen specialty. Despite significant advancements in its scope, anesthesia remains have a poor public image, clients are not even aware of an anesthetist as a medically qualified health professional, particularly in underdeveloped countries. There has been very little study done on the public's awareness of anesthesia in Ethiopia. This study was conducted to assess the level of patients' knowledge and perception of anesthesia and the anesthetists.Institution-based, cross-sectional study was conducted from January to May 2021, at the University of Gondar comprehensive specialized hospital, Ethiopia. Consenting participants were asked to answer a standard questionnaire in a personal interview to assess their knowledge about anesthesia and the anesthetist. Descriptive statistic was used to explain the study participants with study variables and to describe their perception about anesthesia and anesthetists. Binary logistic regression analysis was performed to identify the association between the level of knowledge and independent variables. The strength of the association between the independent variables and the level of knowledge was presented by an adjusted odds ratio and 95% Confidence Interval.A total of 307 study participants were included in this study with a response rate of 100%. Of these 113 (36.8) were males and 194 (63.2) were females. Two hundred twenty (71.7%) study participants answered less than half of the questions correctly and had a poor level of knowledge the rest 87 (28.3%) had a good level of knowledge and the mean knowledge score was1.72 ± 0.45. Previous anesthesia exposure (p value = 0.001) and occupation (p value = 0.022) of participants had statistically significant association with the level of knowledge.and recommendation: We have found that patients had very limited (poor) knowledge and perception regarding anesthesia and the role of anesthetists. Anesthetists should do a complete pre-anesthetic assessment which helps them to achieve good patient recognition.

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Background Pain during cesarean section is a common phenomenon which results release of stress hormone during surgery In contrast effective analgesia may permit improved mother child bonding early ambulation discharge greater patient satisfaction and early breastfeeding Now a days the use of intrathecal fentanyl as multimodal analgesia became a popular technique for cesarean section because of synergistic effect with local anaesthetic and intensify sensory block without increasing sympathetic block This study aimed to assess postoperative analgesic effect of intrathecal fentanyl as an adjuvant to spinal anaesthesia in comparison with spinal anaesthesia with bupivacaine only among laboring mothers who undergone emergency cesarean delivery Methods A hospital based observational cohort study was conducted by recruited patients scheduled for emergency cesarean section and grouped in to BS group mg bupivacaine only n and BF group mcg fentanyl with mg bupivacaine n Patient rsquo s vital signs were taken intraoperativley Postoperatively duration amp consumption of analgesia first analgesia request as well as severity of pain using mm VAS score were assessed over hrs Normally distributed data analyzed using student t test and none parametric data was analyzed using Mann Whitney U test with CI and p value less than is considered as statistically significant Results Bupivacainefentanyl group BF n compared with bupivacaine only group BS n total duration of analgesia was longer in BF group plusmn than BS group plusmn in minutes P analgesia request time in BF plusmn vs plusmn in minute in BS group P also longer Not only this but also total amount of tramadol consumption mg in BF vs mg in BS P VAS score also reduced at hrs hrs hr hrs and hrs in BF group None of group BS patients developed pruritus but in group BF developed mild pruritus which did not need treatment Shivering occurred patients in BF vs in BS group with p value of Conclusion Addition of intrathecal fentanyl as an adjuvant to bupivacaine for emergency cesarean section increased duration of analgesia reduced postoperative analgesia consumption and request time without any maternal and fetal effect We recommend the use of intrathecal fentanyl for emergency cesarean section in our set up Background Pain during cesarean section is a common phenomenon which results release of stress hormone during surgery In contrast effective analgesia may permit improved mother child bonding early ambulation discharge greater patient satisfaction and early breastfeeding Now a days the use of intrathecal fentanyl as multimodal analgesia became a popular technique for cesarean section because of synergistic effect with local anaesthetic and intensify sensory block without increasing sympathetic block This study aimed to assess postoperative analgesic effect of intrathecal fentanyl as an adjuvant to spinal anaesthesia in comparison with spinal anaesthesia with bupivacaine only among laboring mothers who undergone emergency cesarean delivery Methods A hospital based observational cohort study was conducted by recruited patients scheduled for emergency cesarean section and grouped in to BS group mg bupivacaine only n and BF group mcg fentanyl with mg bupivacaine n Patient rsquo s vital signs were taken intraoperativley Postoperatively duration amp consumption of analgesia first analgesia request as well as severity of pain using mm VAS score were assessed over hrs Normally distributed data analyzed using student t test and none parametric data was analyzed using Mann Whitney U test with CI and p value less than is considered as statistically significant Results Bupivacainefentanyl group BF n compared with bupivacaine only group BS n total duration of analgesia was longer in BF group plusmn than BS group plusmn in minutes P analgesia request time in BF plusmn vs plusmn in minute in BS group P also longer Not only this but also total amount of tramadol consumption mg in BF vs mg in BS P VAS score also reduced at hrs hrs hr hrs and hrs in BF group None of group BS patients developed pruritus but in group BF developed mild pruritus which did not need treatment Shivering occurred patients in BF vs in BS group with p value of Conclusion Addition of intrathecal fentanyl as an adjuvant to bupivacaine for emergency cesarean section increased duration of analgesia reduced postoperative analgesia consumption and request time without any maternal and fetal effect We recommend the use of intrathecal fentanyl for emergency cesarean section in our set up