Evaluation of patients' discomfort regarding regional anesthesia: 8AP6‐7

Detalhes bibliográficos
Autor(a) principal: Gomes, B.
Data de Publicação: 2013
Outros Autores: Sá Couto, P., Amadeu, E.
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.16/1516
Resumo: Background and Goal of Study: Regional anesthesia may cause physical and psychological discomfort. 50% of patients scheduled for urologic procedures undergo regional anesthesia, and their comfort represents a concern to the anesthesiologist. This study aims to: 1. identify factors related to patients’ discomfort regarding regional anesthesia(position for anesthesia and surgery procedures, puncture site pain, room temperature, audio-visual perception, sensitive/motor blockade); 2. Evaluate patients’ satisfaction with anesthesia. Materials and Methods: Af ter approval from the Hospital Ethics Committee all patients over 18years old, scheduled for urologic surgery, understanding Portuguese and anesthetized with spinal anesthesia were included. Patients in day case surgery or with incomplete medical records were excluded. We performed a questionnaire(with closed ended questions) in the first 24 hours af ter surgery and consulted anesthesia records. We asked yes or no questions, used a 1-10 scale to evaluate pain and a 1-4 scale to evaluate satisfaction. Because there isn’t a valid questionnaire in the literature to evaluate what we aimed to, we created one based on multiple articles1,2. Results and Discussion: 50patients were included; mean age 65 years old (min.32, max.89); 78% males and 70% ASAII. 75%denied discomfort during positioning for back puncture and 58% referred cold during anesthesia or surgery. One person was uncomfortable in the surgical position and no one considered being awake uncomfortable; sensitive/motor blockade was uncomfortable for 22%. Spinal was more painful than the venous puncture for32%; for 50%venous puncture was more painful and for 18%pain was similar. Patients were satisfied or very satisfied with the anesthetic technique and would choose the same technique in the future in 98% of cases. Conclusion: Although this questionnaire is not validated, it allowed us to understand that cold during anesthesia/surgery is a problem for most patients but this is easily solved. It also showed us that most patients are not uncomfortable with positioning during procedures, being awake and not feeling the legs.Interestingly only about one third of the patients thought that the back puncture was more painful than the venous puncture. In general we consider spinal anesthesia a good choice for these patients and we are satisfied that patients don’t find it uncomfortable and are also satisfied
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spelling Evaluation of patients' discomfort regarding regional anesthesia: 8AP6‐7Background and Goal of Study: Regional anesthesia may cause physical and psychological discomfort. 50% of patients scheduled for urologic procedures undergo regional anesthesia, and their comfort represents a concern to the anesthesiologist. This study aims to: 1. identify factors related to patients’ discomfort regarding regional anesthesia(position for anesthesia and surgery procedures, puncture site pain, room temperature, audio-visual perception, sensitive/motor blockade); 2. Evaluate patients’ satisfaction with anesthesia. Materials and Methods: Af ter approval from the Hospital Ethics Committee all patients over 18years old, scheduled for urologic surgery, understanding Portuguese and anesthetized with spinal anesthesia were included. Patients in day case surgery or with incomplete medical records were excluded. We performed a questionnaire(with closed ended questions) in the first 24 hours af ter surgery and consulted anesthesia records. We asked yes or no questions, used a 1-10 scale to evaluate pain and a 1-4 scale to evaluate satisfaction. Because there isn’t a valid questionnaire in the literature to evaluate what we aimed to, we created one based on multiple articles1,2. Results and Discussion: 50patients were included; mean age 65 years old (min.32, max.89); 78% males and 70% ASAII. 75%denied discomfort during positioning for back puncture and 58% referred cold during anesthesia or surgery. One person was uncomfortable in the surgical position and no one considered being awake uncomfortable; sensitive/motor blockade was uncomfortable for 22%. Spinal was more painful than the venous puncture for32%; for 50%venous puncture was more painful and for 18%pain was similar. Patients were satisfied or very satisfied with the anesthetic technique and would choose the same technique in the future in 98% of cases. Conclusion: Although this questionnaire is not validated, it allowed us to understand that cold during anesthesia/surgery is a problem for most patients but this is easily solved. It also showed us that most patients are not uncomfortable with positioning during procedures, being awake and not feeling the legs.Interestingly only about one third of the patients thought that the back puncture was more painful than the venous puncture. In general we consider spinal anesthesia a good choice for these patients and we are satisfied that patients don’t find it uncomfortable and are also satisfiedEuropean Journal of Anaesthesiology: June 2013 - Volume 30 - Issue - p 133–133Repositório Científico da Unidade Local de Saúde de Santo AntónioGomes, B.Sá Couto, P.Amadeu, E.2013-12-10T11:26:58Z2013-062013-06-01T00:00:00Zconference objectinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://hdl.handle.net/10400.16/1516enginfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-11-21T04:32:53Zoai:repositorio.chporto.pt:10400.16/1516Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-11-21T04:32:53Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Evaluation of patients' discomfort regarding regional anesthesia: 8AP6‐7
title Evaluation of patients' discomfort regarding regional anesthesia: 8AP6‐7
spellingShingle Evaluation of patients' discomfort regarding regional anesthesia: 8AP6‐7
Gomes, B.
title_short Evaluation of patients' discomfort regarding regional anesthesia: 8AP6‐7
title_full Evaluation of patients' discomfort regarding regional anesthesia: 8AP6‐7
title_fullStr Evaluation of patients' discomfort regarding regional anesthesia: 8AP6‐7
title_full_unstemmed Evaluation of patients' discomfort regarding regional anesthesia: 8AP6‐7
title_sort Evaluation of patients' discomfort regarding regional anesthesia: 8AP6‐7
author Gomes, B.
author_facet Gomes, B.
Sá Couto, P.
Amadeu, E.
author_role author
author2 Sá Couto, P.
Amadeu, E.
author2_role author
author
dc.contributor.none.fl_str_mv Repositório Científico da Unidade Local de Saúde de Santo António
dc.contributor.author.fl_str_mv Gomes, B.
Sá Couto, P.
Amadeu, E.
description Background and Goal of Study: Regional anesthesia may cause physical and psychological discomfort. 50% of patients scheduled for urologic procedures undergo regional anesthesia, and their comfort represents a concern to the anesthesiologist. This study aims to: 1. identify factors related to patients’ discomfort regarding regional anesthesia(position for anesthesia and surgery procedures, puncture site pain, room temperature, audio-visual perception, sensitive/motor blockade); 2. Evaluate patients’ satisfaction with anesthesia. Materials and Methods: Af ter approval from the Hospital Ethics Committee all patients over 18years old, scheduled for urologic surgery, understanding Portuguese and anesthetized with spinal anesthesia were included. Patients in day case surgery or with incomplete medical records were excluded. We performed a questionnaire(with closed ended questions) in the first 24 hours af ter surgery and consulted anesthesia records. We asked yes or no questions, used a 1-10 scale to evaluate pain and a 1-4 scale to evaluate satisfaction. Because there isn’t a valid questionnaire in the literature to evaluate what we aimed to, we created one based on multiple articles1,2. Results and Discussion: 50patients were included; mean age 65 years old (min.32, max.89); 78% males and 70% ASAII. 75%denied discomfort during positioning for back puncture and 58% referred cold during anesthesia or surgery. One person was uncomfortable in the surgical position and no one considered being awake uncomfortable; sensitive/motor blockade was uncomfortable for 22%. Spinal was more painful than the venous puncture for32%; for 50%venous puncture was more painful and for 18%pain was similar. Patients were satisfied or very satisfied with the anesthetic technique and would choose the same technique in the future in 98% of cases. Conclusion: Although this questionnaire is not validated, it allowed us to understand that cold during anesthesia/surgery is a problem for most patients but this is easily solved. It also showed us that most patients are not uncomfortable with positioning during procedures, being awake and not feeling the legs.Interestingly only about one third of the patients thought that the back puncture was more painful than the venous puncture. In general we consider spinal anesthesia a good choice for these patients and we are satisfied that patients don’t find it uncomfortable and are also satisfied
publishDate 2013
dc.date.none.fl_str_mv 2013-12-10T11:26:58Z
2013-06
2013-06-01T00:00:00Z
dc.type.driver.fl_str_mv conference object
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.16/1516
url http://hdl.handle.net/10400.16/1516
dc.language.iso.fl_str_mv eng
language eng
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dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv European Journal of Anaesthesiology: June 2013 - Volume 30 - Issue - p 133–133
publisher.none.fl_str_mv European Journal of Anaesthesiology: June 2013 - Volume 30 - Issue - p 133–133
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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