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The preparedness of preoperative anesthesia equipment's and monitors for pediatric patients
Biresaw Ayen Tegegne1, Girmay Fitiwi Lema1, Demeke Yilkal Fentie1
1Department of anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Insights
Many pediatric anesthesia equipment and monitoring preparations fall short of standards in resource-limited settings. This highlights critical practice gaps in ensuring appropriately sized equipment for pediatric patients undergoing surgery.
Area of Science:
- Anesthesiology
- Pediatric Surgery
- Healthcare Management
Background:
- Optimal perioperative care for pediatric patients necessitates specialized anesthesia equipment and monitors.
- Resource-limited settings face challenges in providing adequate anesthesia services for children.
Purpose of the Study:
- To assess the current practices in preparing anesthesia equipment and monitors for pediatric patients.
- To identify gaps in the availability and readiness of essential pediatric anesthesia tools.
Main Methods:
- A cross-sectional study involving 150 pediatric patients undergoing surgery.
- Data collection via semi-structured questionnaires.
- Descriptive statistical analysis using Epi Data and Stata.
Main Results:
- Only stethoscopes and small-sized syringes met 100% of preparation standards.
- Pediatric stylets, defibrillators, and Foley catheters showed 0% adherence to standards.
- Significant variability (10-97%) was observed for other equipment and monitor preparations.
Conclusions:
- Despite some adherence, substantial practice gaps exist in preparing pediatric anesthesia equipment and monitors.
- There is a critical need to improve the availability and appropriate sizing of equipment for pediatric anesthesia.
- Addressing these gaps is crucial for ensuring safe and effective perioperative care for children.
Abstract:
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.
Method:
A cross-sectional study was employed among 150 consecutively selected paediatrics from April to June 2020. Data were collected by semi-structured questionnaire. Data entry and analysis were done using Epi Data and Stata version 14.0. Descriptive statistics were employed.
Result:
A total of 150 patients who undergo surgery under anaesthesia were observed in surgical and ophthalmic operation rooms. From those procedures, only stethoscope and small-sized syringes achieved 100% of the standards. But paediatric stylet, paediatric defibrillator and paediatric folly catheter had achieved 0%. The remaining were between 10 and 97% according to standards.
Conclusion:
Even though some paediatric anaesthesia equipments and monitoring preparation have fulfilled the standards, this study showed practice gaps in majority of cases in the preparation of appropriately sized paediatric equipments and monitors.
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