Nurses Knowledge on Management of Patient Receiving Spinal Anaesthesia in a Government Hospital

Rijal, Elisha; Silwal, Suvekshya; Thapa, Sheela; Basnet, Saraswati; Bhagat, Subhadra

doi:10.3126/jkahs.v2i2.25179

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…These results were supported in another study which compared sixty patients undergoing lumber disk surgery. 13,14 This group noted like Attari, that there were less episodes of tachycardia, hypertension and better postoperative pain with less nausea/vomiting in patients undergoing spinal.…”

Section: Discussionmentioning

confidence: 91%

Spinal Anesthesia for Removal of Thoraco-Lumbar Pedicle Screw

Gyawali¹

2019

Europasian J Med Sci.

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Background: Spinal anesthesia compared to the general anesthesia has advantages of decreased blood loss, better cardiovascular stability, and postoperative pain control. This study was designed to evaluate pedicle screw removal at the lateral position under spinal anesthesia. Methods: It is a prospective study done in patients with ASA (American Society of Anaesthesiologist) I and II with ages between 17 to 75 years of both sex admitted for pedicle screw removal surgery during the period March 2018 to April 2019 AD in Western Hospital and research center Nepalgunj. All patients were informed about the risk of conversion to general anesthesia in detail. Spinal anesthesia was given to all 83 patients who came for pedicle screw removal. Result: Out of all patients 54% were from Hills and the remaining 46% were from Terai. The commonest cause of injury was fall from a tree which was in 48 (57.8%) out of 83 cases. The commonest level of injury was L1 followed by L2. The operation was completed under spinal anesthesia. None of the patients required conversion to general anesthesia. And 69 (83.1%) patients did not require any additional medications whereas the remaining 14 (16.86%) needed additional medications. Conclusion: Spinal anesthesia is the safe and effective anesthetic technique for short duration spinal surgery eg pedicle screw removal in terms perioperative events and in prolonged postoperative analgesia, as well as in terms of patient and surgeon’s satisfaction. Keywords: Spinal Anesthesia, Thoracolumbar, Pedicle Screw

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Section: Discussionmentioning

confidence: 91%

Spinal Anesthesia for Removal of Thoraco-Lumbar Pedicle Screw

Gyawali¹

2019

Europasian J Med Sci.

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“…most of the nurses rated their department in terms of patient safety culture as excellent and very good. 13,15 Limitations of the study: This is a single setting study so study findings may not be generalizable.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Patient Safety Culture among Nurses at a Tertiary Level Hospital in Kathmandu

Poudel

Aryal²,

Paudel

2019

J. Karnali Acad. Health Sci.

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Introduction: Patient safety is a fundamental and critical dimension of quality health care. Globally it is becoming a major challenge in achieving universal health coverage. The challenge is even more serious in Low and Middle Income Countries like Nepal because safety related harm is more in these countries rather than in developed countries. This study aims to assess the patient safety culture among nurses. Methods: A descriptive cross-sectional study was conducted at Kathmandu Medical College Public Limited to assess the Patient Safety Culture within the organization among nurses. The data was collected using Agency for Health Care Research and Quality (AHRQ) Hospital survey on patient safety culture questionnaire. Mean score was calculated in different dimensions and Mann-Whitney U test was used to assess the association between safety dimension and demographic variables. Result: Among 12 areas of patient safety, teamwork within units and organizational learning had the highest mean score whereas the lowest reported score was in staffing followed by supervisor’s expectation and action promoting patient safety. While rating the extent of patient safety, 84% of respondents reported it as average in the organization. Study showed significant association of management support, organizational learning and frequency of event reported with age of respondents and overall perception of patient safety and hands-off/transition with working area. Conclusion: Since the patient safety culture is average within organization, attention needs to be paid to make it adequate in all areas of safety.

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Nurses Knowledge on Management of Patient Receiving Spinal Anaesthesia in a Government Hospital

Cited by 2 publications

References 2 publications

Spinal Anesthesia for Removal of Thoraco-Lumbar Pedicle Screw

Spinal Anesthesia for Removal of Thoraco-Lumbar Pedicle Screw

Assessment of Patient Safety Culture among Nurses at a Tertiary Level Hospital in Kathmandu

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