Posted on 04/25/2022 7:58:33 AM PDT by ConservativeMind
New research findings suggest that providers are poor predictors of patient satisfaction with anesthesia and perioperative comfort. Researchers discovered that only a low-level association was demonstrated between a patient and provider's satisfaction with anesthesia, even when individual measures of patient satisfaction such as pain and anxiety were isolated.
Conscious anesthesia during ocular surgery is a common practice used to ease pain, discomfort and anxiety. However, there is a varying level of satisfaction among providers and patients about the effectiveness and purpose of anesthesia. Currently, there is no standard for the type or amount of anesthesia administered to a patient, so it is dependent on the setting, patient, and provider to make any judgments.
Patient satisfaction is considered to be difficult to assess intraoperatively, as patients are completely draped and communication is somewhat limited. Surrogate measures including movement and increased heart rate, in addition to patients reporting pain and anxiety, are often used clinically to determine the appropriate level of sedation during ocular surgery. However, there is no evidence showing that these measures accurately predict patient satisfaction. Provider judgment and satisfaction with anesthesia intraoperatively often determines the initial dose of sedation, as well as the need for additional anesthesia throughout the procedure.
"This poor correlation may suggest differing expectations pertaining to quality care," says Lee. "For instance, surgeons may value a quiet patient with minimal eye movement during surgery, whereas a patient may value being pain-free or a complete lack of awareness of the surgery. Alternatively, an overly sedated patient might exhibit excessive eye movement, lowering surgeon satisfaction, or unstable vital signs, lowering anesthesia provider satisfaction. Ultimately, the goal should be to maximize patient satisfaction without compromising patient safety."
The correlation of patient to surgeon satisfaction was 0.333 on a scale of 0 to 1, indicating a moderately weak correlation.
(Excerpt) Read more at medicalxpress.com ...
Talk with your doctors before surgery to help all parties level set expectations.
I’ve had cataract surgery twice.
I say a big.
So ! No story here, just diarrhea from the MSM.
I went with complete lack of awareness on my cataract surgery. 😂
The doctors are OK. They don’t feel pain.
No one is touching my eyeballs if I’m conscious.
Swinging would happen if I was awake.
The correlation of patient to surgeon satisfaction was 0.333 on a scale of 0 to 1, indicating a moderately weak correlation.
I remember once I was being prepped for a MAC eye surgery and I could hear a lady a couple of stalls over arguing with the anesthesiologist that she only wanted General Anesthesia. She did not want to be awake at all. She was having a minor Glaucoma surgery to relieve intraocular pressure and a MAC would have been perfect. They wheeled me out before I could find out what they decided.
Now do colonoscopies.
I'm fine.
No, really.
A Clockwork Orange.
I don’t like even seeing eyeball “things” in movies.
I could very well be luckier than most but the six times I’ve been under anesthesia (hip replacements,hand surgery and colonoscopies) I’ve had one problem that wasn’t really a problem.At the end of one of the colonoscopies I partially woke up before they were done. No pain at all...and I got to look at my colon on the TV screen that was next to the table.
Eyes of Texas Laser Center in Austin is EXCELLENT. Doctor is strict, no-nonsense, but very good at what he does.
The WORST pain I’ve ever experienced was during my cataract surgery...and I was told I would feel nothing...after the first shot in the eye, I loudly but very controllably proclaimed for all patients nearby to hear, “that was the worst pain ever” (I wanted to scream, actually). The doc looked at the anesthesiologist and said “this next one won’t hurt” and it did not. But, sheesh...I was very unhappy. I had an IV of something and obviously the level was incorrect.
I had two eye muscle corrections the last 60 years ago. The first was under ether. It was awful during recovery. So, when asked if doing the next one by local anesthetic was OK, I said absolutely. After the injection I was awaiting to see nothing. No one told me the local did not deaden the optic nerve. I was 13 and still recall how disconcerting it was to see my cheeks and mouth from the top down perspective. I also was not too keen on seeing the dr headed toward my eyes with a scaple. Live and learn.
You can keep your glasses. I’ve chucked my for good. I’m living happily ever after for almost two years now, with perfect close vision, perfect mid-range vision, and near perfect distance vision. I had cataract surgery in both eyes, and multi-focal lenses implanted. I was hoping my surgeon could give me binocular eyes as well, but that didn’t happen. Life is good.
For the record, I think you’d want to be awake for when the doctor needs you to look in a certain direction to make sure he has things in the correct location. I didn’t have any pain at all during the surgeries. I did have a little bit of anxiety, but listening to him talk or focusing on the music was very helpful.
I have 20/20 vision.
Ahhh, you’re one of the lucky ones! Hope it keeps up for you. I really do. Natural 20/20 vision is such a blessing. I started wearing glasses when I was 10, and hated them. Two years ago I asked the doctor if there was any way for me to get rid of them permanently. I am so happy now.
It was in the news 40+ years ago. The MD put a 15 year old patient(female) to sleep after an LVN shaved her privates. An RN walked by and saw the good doctor eating her out.
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