Patient Recollections of Perioperative Anaesthesia Risks

Indian Journal of Clinical Anaesthesia, 2020

Journal of BioMedical Research and Clinical Practice, 2019

Patients have the right to be properly informed about procedures to be undertaken on them so that they could make informed decisions. This study was done at the Jos University Teaching Hospital and the University of Abuja Teaching Hospital. Questionnaires on informed consent were administered postoperatively on patients who had undergone elective surgeries under various forms of anaesthesia. The questionnaires sought to find out how much information patients were given about their anaesthesia and how satisfied they were with the information given. 148 patients were interviewed. The mean age was 34.8±13.8 years and the male: female ratio was 1:1.8. Ninety-eight (66.22%) of the procedures were done under general anaesthesia and 50(33.78%) under regional anaesthesia. 104 (70.27%) were told about the type of anaesthesia to be used. Thirty-eight (25.68%) were not told of the possible side effects. Eighty-six (58.1%) understood the information given. 131(88.51%) believed it was necessary ...

British Journal of Anaesthesia, 2015

Background: Awareness during general anaesthesia is a source of concern for patients and anaesthetists, with potential for psychological and medicolegal sequelae. We used a registry to evaluate unintended awareness from the patient's perspective with an emphasis on their experiences and healthcare provider responses. Methods: English-speaking subjects self-reported explicit recall of events during anaesthesia to the Anesthesia Awareness Registry of the ASA, completed a survey, and submitted copies of medical records. Anaesthesia awareness was defined as explicit recall of events during induction or maintenance of general anaesthesia. Patient experiences, satisfaction, and desired practitioner responses to explicit recall were based on survey responses. Results: Most of the 68 respondents meeting inclusion criteria (75%) were dissatisfied with the manner in which their concerns were addressed by their healthcare providers, and many reported long-term harm. Half (51%) of respondents reported that neither the anaesthesia provider nor surgeon expressed concern about their experience. Few were offered an apology (10%) or referral for counseling (15%). Patient preferences for responses after an awareness episode included validation of their experience (37%), an explanation (28%), and discussion or follow-up to the episode (26%). Conclusions: Data from this registry confirm the serious impact of anaesthesia awareness for some patients, and suggest that patients need more systematic responses and follow-up by healthcare providers.

Survey of Anesthesiology, 2000

interview. Satisfaction with the interview was recorded using a telephone questionnaire 2 weeks after the The present study was undertaken to evaluate the operation. The results from the two groups were comimpact of a new procedure for eliciting informed conpared by calculating the odds ratio according to Mansent by patients undergoing minor surgical protel-Haenszel and by logistic analysis. Altogether, cedures, in which the choice between general 71.2% of the patients chose RA without any difference anaesthesia (GA) and regional anaesthesia (RA) was between the groups. The average number of questions possible. In this prospective study, two randomly seasked by each SG patient was higher than for the CG lected groups of patients were compared: study group (1.67 vs. 0.96). The satisfaction level was similar in the (SG), 52 patients, received from the nurse before the two groups. Our list of questions was designed to preoperative interview, a list of seven questions, which facilitate patient autonomy. It offered an aid to those they were invited to ask the anaesthetist; while the requesting more information and assisted comcontrol group (CG), 73 patients, did not receive any munication. The method did not change the proportion suggested questions. There were two end points: the who chose a specific kind of anaesthesia, but does proportion that chose RA and the number of questions seem to improve patient participation in the decisionactually addressed to the doctor at the preanaesthetic making process.

European Journal of Anaesthesiology, 1998

European Journal of Anaesthesiology, 1999

interview. Satisfaction with the interview was recorded using a telephone questionnaire 2 weeks after the The present study was undertaken to evaluate the operation. The results from the two groups were comimpact of a new procedure for eliciting informed conpared by calculating the odds ratio according to Mansent by patients undergoing minor surgical protel-Haenszel and by logistic analysis. Altogether, cedures, in which the choice between general 71.2% of the patients chose RA without any difference anaesthesia (GA) and regional anaesthesia (RA) was between the groups. The average number of questions possible. In this prospective study, two randomly seasked by each SG patient was higher than for the CG lected groups of patients were compared: study group (1.67 vs. 0.96). The satisfaction level was similar in the (SG), 52 patients, received from the nurse before the two groups. Our list of questions was designed to preoperative interview, a list of seven questions, which facilitate patient autonomy. It offered an aid to those they were invited to ask the anaesthetist; while the requesting more information and assisted comcontrol group (CG), 73 patients, did not receive any munication. The method did not change the proportion suggested questions. There were two end points: the who chose a specific kind of anaesthesia, but does proportion that chose RA and the number of questions seem to improve patient participation in the decisionactually addressed to the doctor at the preanaesthetic making process. interview. Psychological aspects were taken into account by collecting the Hospital Anxiety and De-

Patient Education and Counseling, 2013

Acta Bioethica, 2022

In the literature Informed consent (IC) assumptions is well established. However, the different stages and the conditions under which the IC for anesthetic practices is obtained, is scarce. The aim of the present study is to explore the phases and conditions of IC in anesthesiology. Anonymized clinical records of 325 patients submitted to anesthetic procedures at the Institute of Oncology of Porto were analyzed. A total agreement between the anesthetic techniques established in the IC and those performed, was reach with 270 patients. The importance of IC in clinical practice is discussed and an ideal process for IC is argued.

The Professional Medical Journal, 2018

Awareness of patients regarding anesthesia & their attitude towards basic types of anesthesia techniques. Objective: The purpose of this study was to assess the knowledge of patients regarding anesthesia, their attitudes towards basic types of anesthesia techniques and effect of previous experience of anesthesia on the awareness. Study design: Descriptive observational study. Place and duration of study: This descriptive, prospective study was conducted in the isra university hospital Hyderabad, Sindh, Pakistan from 2nd August 2013 upto 8th March 2014. Patients and Methods: Two hundred thirty one patients were included in the study after taking verbal informed consent. All patients who were scheduled for elective surgery were interviewed while patients who had refused from participation, have language barrier, psychiatric disease, had lack of sufficient mental capacity due to poor health status and patients undergoing emergency surgeries were excluded from the study. Patients were interviewed in their local language upon arrival in the preoperative area of operation theatre. Self made questionnaire was filled. All the data was entered on SPSS version 16. Frequency and percentages were calculated to show the results. Mean with SD of patients age was computed. Chi-square test was applied to assess the affect of previous experience of surgery on patient's knowledge regarding anesthesia. P value less than 0.05 was taken as significant. Results: Total 231 patients were included in the study. Mean age of the patients was 36 ± SD 1.01. Fifty one (22.1%) patients were illiterate; while 54 (23.4%) patients were graduate. 103(44.6%) patients had previous experience of surgery/ anesthesia while 128(55.4%) patients had no experience. Out of 231 patients, 111 (48.1%) patients were aware of different type of anesthesia techniques while 120(51.9%) patients were not aware. Out of 103 patients, who had previous exposure of anesthesia, 64 patients answered correctly about different types of anesthesia techniques while 81 patients who had no previous exposure of anesthesia, answered incorrectly (P value = 0.000). Fifty three patients who had previous exposure of anesthesia answered correctly that anesthetist is a qualified doctor, while 62 patients answered incorrectly who had no previous exposure (P value=0.546). Out of 231 patients, 91 (39.39%) patients were in favor of having general anesthesia while 52(22.51%) patients were in favor of regional anesthesia, while 88(38.0%) had left the choice on surgeon. Conclusions: Results of the study show poor knowledge of patients regarding anesthesia and anesthesiologists. Majority of the patients were in favor of having general anesthesia rather regional anesthesia. There is need to correct the misconceptions of patients and to educate the public.

BMC Medical Ethics, 2017

Background: A cross-sectional study to ascertain what the Singapore population would regard as material risk in the anaesthesia consent-taking process and identify demographic factors that predict patient preferences in medical decision-making to tailor a more patient-centered informed consent. Methods: A survey was performed involving patients 21 years old and above who attended the pre-operative evaluation clinic over a 1-month period in Singapore General Hospital. Questionnaires were administered to assess patients' perception of material risks, by trained interviewers. Patients' demographics were obtained. Mann-Whitney U test and Kruskal-Wallis one-way analysis of variance was used. Statistical significance was taken at p < 0.05. Results: Four hundred fourteen patients were eligible of which 26 refused to participate and 24 were excluded due to language barrier. 364 patients were recruited. A higher level of education (p < 0.007), being employed (p < 0.046) and younger age group (p < 0.003) are factors identified in patients who wanted greater participation in medical decisions. Gender, marital status, type of surgery, and previous surgical history did not affect their level of participation. The complications most patients knew about were Nausea (64.8%), Drowsiness (62.4%) and Surgical Wound Pain (58.8%). Patients ranked Heart Attack (59.3%), Death (53.8%) and Stroke (52.7%) as the most significant risks that they wanted to be informed about in greater detail. Most patients wanted to make a joint decision with the anaesthetist (52.2%), instead of letting the doctor decide (37.1%) or deciding for themselves (10.7%). Discussion with the anaesthetist (61.3%) is the preferred medium of communication compared to reading a pamphlet (23.4%) or watching a video (15.4%). Conclusion: Age and educational level can influence medical decision-making. Despite the digital age, most patients still prefer a clinic consult instead of audiovisual multimedia for pre-operative anaesthetic counselling. The local population appears to place greater importance on rare but serious complications compared to common complications. This illustrates the need to contextualize information provided during informed consent to strengthen the doctor-patient relationship.