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 ...
I’ve had a corneal transplant, which requires general anesthesia , I have to fight for my life, as they can easily kill me with too much.
Head of internal medicine at UC San Francisco did endoscopy. I told him to only give me half the amount he wanted to. The minute the needle hit my arm, I knew it was too much, said “You son of a..
and woke up three hours later with two nurses shouting at me, slapping my hands and feet. As I came to, I finished the sentience: ...bitch.” That was decades ago. You can imagine how sensitive I am now.
I need a new cornea desperately and have appointments set up for June. My MD who knows me well has sent authorization to the eye place and I still have prove I’m eligible. I’m 85 and this is my ONLY HEALTH PROBLEM. All of it caused by the stupid medical profession. I am not a fan.
I had two cataract surgeries recently. I don’know what they did but I was awake, watched the procedure, and had no pain during or after. So whatever it is, they can just keep it up!😀
Ditto that. 😉
It’s getting close to being opposing views.
I took a colonoscopy without anesthesia. Like having the cramps, but doable.
I was talking more about the patient vs staff satisfaction levels
Just had cataract surgery in 1 eye 2 weeks ago. I was awake through it all but juiced up with some good stuff and didn’t care or fret. It was like watching a fireworks show. I’ve had no pain or floaters or secretion or any other negative reaction, and I can see with both eyes again. So count me as satisfied.
My Ophthamologist said there’s no correcting my “imperfect” cataract surgery. The surgeon tested for 20-20 vision, but came up short. I’m out 1000 dollars for the “best” lens.
Now I’m resisting having my other eye done. It’s good, but needs correction for nearsightedness.
General anesthesia “picks off” brain cells.
Limit those procedures, but surgeons won’t do two “unrelated” surgeries.
I asked a dentist to drill without anesthesia. He kept stopping to ask if I was OK. I’m OK with dental anesthesia, but it wasn’t available when I was a youngster. The old drill device itself had a half-dozen little wheels controlling the “drive belt”.
During 2020 I had a half-dozen or more injections in one eye to address Diabetic Retinopathy. They numbed the eye first, but it was at the least uncomfortable and at the worst it did hurt a bit.
Last month I had cataract surgery in the same eye. I was unconscious briefly while they prepped it and immobilized it, but awake for the actual surgery. I couldn’t see out of it, which was a good thing. It didn’t hurt a bit, and aside from the part where they thought my heart might stop, there were no issues.
For a few weeks afterwards, if I moved my eye too far in either direction it was a bit sore. Yesterday’s checkup went well. I have a prescription for new glasses and another checkup due next April.
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