Quality of recovery from anesthesia in patients undergoing orthopedic surgery of the lower limbs

Abstract

Male, nausea, vomiting, pain while in the ward, and deeper levels of sedation are possible predictive factors for lower scores according to the adopted instrument.

Predictive Factors Affecting Postoperative Quality of Recovery for Patients Undergoing Surgery

“…This result is in agreement with Moro, da Silva, Couri, Issa, and Barbieri, (2016) [19] who reported that the average length of the procedures was 171 min. While, concerning the time of postoperative assessment of patients, more than half of patients were assessed by the researchers postoperatively within 1-2 days of surgery and the mean time of assessment for all patients was 1.95+2.04 days that ranged from 1-10 days postoperatively.…”

“…Moreover, Berg et al, (2012) [18] reported the presence of a negative association between female patients and low QoR-9 scores. While the result is agreed with Moro et al, (2016) [19] who stated that male gender was considered as a predictive factor for lower score in the QoR-40 questionnaire.…”

“…In addition, Moro, et al (2016) [19] added that Lower limb orthopedic surgeries are commonly performed under spinal anesthesia and accompanied by some postoperative peculiarities that deserve attention, such as ambulation limited by surgery or disease, dependence on support from others for basic activities, pain, urinary retention, and other possible adverse effects related to anesthesia and surgery and affect quality of recovery.…”

Patient Satisfaction - Indicator Anesthesia Assessment

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Submit Manuscript | http://medcraveonline.com rehabilitation, the impact on outcomes, including the likelihood of a lethal outcome [2]. Nevertheless, some authors believe that these indicators do not fully reflect the quality of anesthesia and are surrogate [3].

At the end of the last century, the most important provisions for patients were identified, such as the availability of medical care, understandable and in an accessible way informing the patient and his loved ones, respect for the patient's values, his preferences and needs, reducing fear and anxiety in the perioperative period, physical comfort, qualitative analgesia, constant care with the attraction of a relative and close friends [4].

The aim of this review is to examine the patient's satisfaction as a criterion of the quality of anesthesia.

Material and Methods

The publications included in the databases MEDLINE, PUBMED, COCHRANE, materials of such organizations as the American Society of Anesthesiologists, American Society of Regional Anesthesia, European Society of Anaesthesiology, Agency for Healthcare Research and Quality, National Guideline satisfaction of patient Clearinghouse.

The Results and Discussion

In recent years, a fundamentally new aspect has begun to be discussed -the patient's view of the medical care provided, taking into considering his views on both the upcoming therapy methods and their results [5].

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“…Submit Manuscript | http://medcraveonline.com rehabilitation, the impact on outcomes, including the likelihood of a lethal outcome [2]. Nevertheless, some authors believe that these indicators do not fully reflect the quality of anesthesia and are surrogate [3].…”