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Tadese Negash,1 Diriba Teshome,1 Efrem Fenta,1 Kumlachew Belete,1 Yewlsew Fentie,1 Aderajew Mequanint,2 Aragaw Tesfaw,3 Tamiru Tilahun Ayele,4 Fissiha Fentie,5 Tenbite Daniel,5 Keder Essa Oumer1 1Department of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 2Department of Surgery, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 3School of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 4Department of Anesthesia, College of Health Sciences, Wolkite University, Wolkite, Ethiopia; 5Department of Anesthesia, School of Medicine, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Tadese Negash, Email tadesetamire@gmail.comBackground: Informed consent discussions are individualized not only with regard to the patients’ surgical condition and goals but also with their varying information needs, health literacy, and anxiety. Information is lacking regarding the views of patients and concerned healthcare professionals on the informed consent process.Objective: This study is aimed to explore patients’ and healthcare professionals’ perceived barriers during informed consent process and identify suggested solutions for improvement.Methods: Patients who underwent elective surgery, anesthetists, and surgeons were the subjects of a qualitative study employing focused group discussions and in-depth interviews. The study participants were chosen through the use of purposeful sampling.Results: The main barriers identified by the patients include: inadequate explanation about the intended procedure, family’s influence in the decision-making, fear of surgery, fear of light/power interruption, inadequate time for discussion, and not letting the family members attend the discussion. On the other hand, healthcare professionals also identified various barriers, which includes: inability of patients to understand the information more...

Metages Hunie, Efrem Fenta, Simegnew Kibret, Diriba Teshome Department of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaCorrespondence: Metages HunieDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, PO. Box 272, Debre Tabor, EthiopiaEmail huniemetages@gmail.comBackground: Spinal anesthesia block is the most widely practiced anesthesia technique due to its safety margin. It is an invasive procedure that could be associated with a variety of complications like total spinal, cardiovascular collapse, meningitis, paralysis, and even death. The aim of this study to assess the current practice of spinal anesthesia.Methods: A Cross-sectional study design was conducted in Debre Tabor Comprehensive Specialized Hospital from November 01 to December 15, 2020. All anesthesia professionals who are working in the study Hospital were surveyed by the Purposive sampling technique. A standardized structured checklist prepared from recommendations of New York school of regional anesthesia guideline regarding the current Practice of spinal anesthesia was used to collect the data after taking written informed consent. Descriptive statistics were employed to summarize the results.Results: A total of 24 anesthetists were observed of their practice before, during, and after administer of spinal anesthesia. All of the anesthetists were practicing the preparation and assembling of all necessary anesthesia equipments, resuscitation drugs, and basic monitors while all of the anesthetists did not wash their hands, wore a sterile gown, and draped the back of the patient with fenestrated drapes in a sterile fashion.Conclusion: Most of the anesthesiology professionals in our setting have a good preparation of all necessary anesthesia equipments, and resuscitation drugs, while the assessment of patient’s emotional reaction and pain during injection, the skin preparation allowed to bei more...

Simegnew Kibret, Diriba Teshome, Efrem Fenta, Metages Hunie, Moges Gelaw Taye, Yewlsew Fentie, Tadese Tamire Department of Anesthesia, College of Medicine and Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaCorrespondence: Moges Gelaw TayeDepartment of Anesthesia, College of Medicine and Health Sciences, Debre Tabor University, Debre Tabor, PO. Box: 272, EthiopiaEmail mgsglwty@gmail.comBackground: Problem-based learning is a student-centered innovative instructional approach in which students define their learning objectives by using triggers from the predefined problem case scenario. Problem-based learning is not about problem-solving; rather it uses appropriate problems to increase the problem-solving skills of students. This study aims to assess the medical and health science students’ perception towards problem-based learning method.Methods: An institution-based descriptive cross-sectional study was employed. All available graduating class Medical and Health Science students were included in this study.Results: More than half of the students (59.4%) strongly agree that problem-based learning was helpful to understand basic sciences knowledge and 31.5% of the students disagree that tutors are prepared and qualified to run the session. Some of the students (27.3%) disagree that tutors evaluate students fairly. About fifty-two percent of the students have used both books and Internets for self-directed learning.Conclusion: More than half of students agree that problem-based learning helped them understand basic science knowledge. Some of the students disagree that tutors are prepared and qualified to run the session, and disagree that tutors evaluate students fairly.Keywords: perception, medical and health science students, problem based learning more...

Metages Hunie,1 Tiruwork Desse,2 Diriba Teshome,1 Simegnew Kibret,1 Moges Gelaw,1 Efrem Fenta1 1Department of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 2Department of Internal Medicine, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaCorrespondence: Metages Hunie Email huniemetages@gmail.comBackground: The application of cricoid pressure requires good knowledge and practice of health professionals who are working in operation theatres to prevent pulmonary aspiration. This study aims to assess the application of cricoid pressure knowledge and practice in health professionals who are working in the operation theatres.Methods: This survey-based study was conducted in health care professionals who are working in the operation theatre of Debre Tabor Comprehensive Specialized Hospital from November 1 to December 1, 2020. A structured checklist was used to collect data regarding the knowledge and practice of the application of cricoid pressure.Results: A total of 43 health professionals who are working in the operation theaters were involved in this study with a response rate of 81%. The correct anatomic position of cricoid cartilage was not identified in 67% of nurses. We found that 78% of anesthetists did not use the nasogastric tube for decompression, and 83% of them complain of difficult intubation during the application of cricoid pressure.Conclusion: Health care professionals who are working in operation theatres had poor knowledge and practice in the application of cricoid pressure.Keywords: knowledge, practice, health professionals, cricoid pressure more...

Metages Hunie,1 Tiruwork Desse,2 Efrem Fenta,1 Diriba Teshome,1 Moges Gelaw,1 Amanu Gashaw3 1Department of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 2Department of Internal Medicine, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 3Department of Anesthesia, School of Medicine, College of Health Science, Hawassa University, Hawassa, Sidama, EthiopiaCorrespondence: Metages HunieDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, PO. Box: 272, Debre Tabor, EthiopiaEmail huniemetages@gmail.comPurpose: Emergency drugs and essential equipment are important to successfully manage patients in the intensive care unit (ICUs). The absence of these emergency drugs and essential equipment might result in mortality and morbidity which is more compounded in resource-limited settings. This study aims to assess the availability of emergency drugs and essential equipment in ICUs in hospitals in Ethiopia.Materials and Methods: A cross-sectional descriptive study design was employed in the intensive care unit of nine Amhara regional state hospitals in Ethiopia. This study was done from August 01, 2020, to September 01, 2020. The data were collected using a structured questionnaire, which were adopted from the Emergency Medicine Society of South Africa (EMSSA) guidelines. Tables and narration were used to describe results.Results: There were deficiencies of essential emergency items particularly in the pediatrics domain, devices to confirm tracheal intubation and equipment for managing difficult intubation. Emergency drugs like adrenaline, salbutamol puff, atropine, aspirin, furosemide, hydrocortisone, insulin, lidocaine, and medical oxygen were available in all ICUs, whereas amiodarone, sodium bicarbonate, glucagon, ipratropium nebulization, thiamine were not available in all ICUs.Conclusions and Recommendations: There were consid more...