Regional anaesthesia is associated with less patient satisfaction compared to general anaesthesia following distal upper extremity surgery: A prospective double centred observational study
BMC Anesthesiology Jul 08, 2019
Droog W, et al. - Among prospectively included patients scheduled for elective distal upper extremity surgery, researchers assessed patient satisfaction after general and regional anaesthesia. They also looked for fields where anaesthesiologists can concentrate on improving patient care. Being “fully satisfied” with their anaesthesia technique was reported by 79.8% of the overall 243 patients included. Among patients who received regional anaesthesia or general anaesthesia, 32.1% and 5.5%, respectively, reported not feeling “fully satisfied”. “Insufficient anaesthesia before operation”, and “the discomfort of having a long-lasting insensate extremity after surgery” were identified as the main cause for dissatisfaction after regional anaesthesia. Overall, feeling not “fully satisfied” was reported by a third of the patients after regional plexus anaesthesia. A stronger focus on preoperative patient counselling regarding block failure and prolonged postoperative sensory and motor block is recommended in order to optimize patient satisfaction after regional anaesthesia techniques.
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