ABSTRACT
Objectives: To assess the learning environment for anesthesia trainees and compare the results between two leading public and private hospitals of Islamabad region
Study Design: A prospective descriptive study involving postgraduate anesthesia trainees
Duration: January 2016 to February 2016
Setting: Anesthesia Department of a leading public and private hospital, Islamabad [Pakistan]
Methodology: Anesthesia Theater Education Environment Measure [ATEEM] questionnaire was administered to trainees of public and private teaching hospital after taking informed consent. ATEEM total score was calculated using descriptive statistics while comparisons were made using Student's t-test
Results: Thirty trainees responded each from one public and one private hospital. The mean total ATEEM score was 117.16/160. Mean score of trainees from private hospital was higher in all the domains of ATEEM. A total of 18 variables out of total 40 resulted in statistically significant results [p value < 0.05]
Conclusion: The learning environment of anesthesia trainees is positively perceived by all the participants. However, the ATEEM scores in four of the five domains showed that the trainees' perception of their educational environment varies profoundly between a public and the private hospital under study. There were no differences on the basis of gender and the scores are similar to international studies
ABSTRACT
The objective of this study was to compare the hemodynamic effects of use of prophylactic intravenous ephedrine with ephedrine use on as needed basis in patients receiving spinal anesthesia for caesarean sections. A double blind, randomized, comparative trial. Department of Anaesthesiology, Critical Care, and Pain Management, Shifa International Hospital Islamabad. October 2007 to March 2008. Seventy patients were recruited who were scheduled to receive spinal anaesthesia for C-section. The patients were randomized into two groups [A and B]. In patients of Group A [control group] ephedrine was used to treat hypotension when indicated, while in Group B [intervention group], patients received prophylactic ephedrine soon after the subarachnoid block. Hemodynamic changes were recorded and the data was analysed. In Group A, the blood pressure dropped in a higher number of patients [23 [65.7%]], as compared to Group B [6[17.1%]]. This difference was statistically significant [p<0.001]. Prophylactic ephedrine is better than ephedrine prn in prevention of hypotension in patients receiving spinal analgesia for C-Section