Nurse anaesthetic care during cataract surgery: a comparative quality assurance study

Bassett, Ken; Smith, Stuart W.; Cardiff, Karen; Bergman, Kathy; Aghajanian, Jaafar; Somogyi, Éva

doi:10.3129/i07-125

Cited by 8 publications

(5 citation statements)

References 5 publications

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“…The measurement of the rate of adverse events and the need for an anaesthesiologist during surgery are the usual endpoints. Bassett et al compared, in 211 patients, the intraoperative monitoring entrusted to a specially trained nurse versus an anaesthesiologist in terms of patient safety and satisfaction 32 . No serious complications occurred in the two groups and the satisfaction scores were similar.…”

Section: Discussionmentioning

confidence: 99%

Ambulatory cataract surgery centre without perioperative anaesthesia care: a prospective cohort study

Duroi

Baudet²,

Bigoteau

et al. 2021

Sci Rep

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This study aims to evaluate the safety and patient satisfaction of a fast-track procedure for cataract surgery under topical anaesthesia without perioperative anaesthesia care. This is a prospective single-centre study including all cataract procedures in the Centre Ambulatoire de la Chirurgie de la Cataracte at the Hospital of Bourges between May and August 2018. Procedures were performed under topical anaesthesia without the presence of a nurse anaesthesiologist or anaesthesiologist, the patient had not fasted, and no peripheral venous line was placed. Only heart rate and oxygen saturation were monitored intraoperatively with pulse oximetry. Incidence and nature of intraoperative adverse events and surgical complications were recorded. Patient satisfaction was assessed using the Iowa Satisfaction with Anaesthesia Scale (ISAS). In total, 651 cataract surgeries were performed among which 614 (94.3%) were uneventful. Thirty (4.6%) intraoperative adverse events and 8 (1.2%) surgical complications were recorded. All surgeries were successfully completed. No medical emergency team intervention or hospital admittance was encountered. The mean ISAS score was 5.7/6, indicating high patient satisfaction. Cataract surgery in an ambulatory cataract surgery centre without perioperative anaesthesia care is a safe procedure with high patient satisfaction for screened patients. Anaesthesia ressources are scarce and may be more beneficial to more complex ophthalmic or non-ophthalmic surgeries.

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Section: Discussionmentioning

confidence: 99%

Ambulatory cataract surgery centre without perioperative anaesthesia care: a prospective cohort study

Duroi

Baudet²,

Bigoteau

et al. 2021

Sci Rep

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“…In previous reports, bradycardia or cardiac arrhythmias and hypotension were other causes with very low frequencies. 1,11,26,29,31 We did not find cardiac arrhythmias that required intervention.…”

Section: Discussionmentioning

confidence: 76%

“…4,8,9 Thus, with the increasing use of topical anesthesia and low risk for perioperative medical complications intraoperatively, several studies have tried to assess the factors associated with monitored anesthesia care during cataract surgery. [10][11][12][13][14][15] For example, intravenous access is essential if peribulbar or retrobulbar anesthetic techniques are used. 16,17 However, cataract surgery guidelines suggest that intravenous access might not be required routinely for topical or sub-Tenon anesthesia.…”

mentioning

confidence: 99%

Risks factors and regression model for risk calculation of anesthesiologic intervention in topical and intracameral cataract surgery

Moreno-Montañés¹,

Sabater²,

Barrio-Barrio³

et al. 2012

Journal of Cataract and Refractive Surgery

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“…Ameliyatın büyük ya da küçük olmasına bakıl-maksızın yapılan her girişim hastaların kaygısını arttırmaktadır [23]. Literatürde lokal anestezi ile yapılan katarakt ameliyatlarında da hastaların kaygı yaşadık-ları belirtilmiştir [4,24,25]. Septoplasti hastaları ile yapılan bir çalışmada ve çeşitli ameliyatlarda anestezi öncesi kaygı düzeylerinin değerlendirildiği başka bir çalışmada da ameliyat öncesi kaygı düzeyleri bu çalış-madan düşük bulunmuştur [26,27] leme alınan hasta grubunun ameliyat algısı ile ilişkili olabilir.…”

Section: Discussionunclassified

The Effect of Therapeutic Touch Performed During Cataract Surgery on Anxiety and Patient Satisfaction

Yılmaz

Birer²,

Baydur³

2016

J Clin Exp Invest

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ÖZETAmaç: Araştırma; katarakt ameliyatı esnasında uygulanan terapötik dokunmanın kaygı ve hasta memnuniyetine etkisini belirlemek amacıyla yapılmıştır.Yöntemler: Randomize kontrollü girişim çalışması olarak planlanmış ve uygulanmış bu araştırmanın örneklemini katarakt ameliyatı için yatan ve çalışma kriterlerine uyan 57 girişim ve 57 kontrol olmak üzere toplam 114 birey oluşturmuş-tur. Araştırma öncesinde etik kurul onayı ve hastalardan onam alınmıştır. Veriler kişisel bilgi formu, kaygıyı belirlemek için Visual Analog Skala (VAS), Spielberg Durumluk-Sürekli Kaygı Ölçeği ve Newcastle Hemşirelik Bakımından Memnuniyet Ölçeği (NHBMÖ) ile toplanmıştır. Girişim grubundaki hastalara ameliyat esnasında 15 dakika süre ile terapötik dokunma uygulanmıştır. Bulgular:Girişim grubundaki hastaların terapötik dokunma sonrası VAS-kaygı puan ortalaması 3,56±1,85 iken kontrol grubunun ameliyatın 15. dakikası VAS-kaygı puan ortalaması 8,88±1,50 olarak saptanmıştır. Girişim grubundaki hastaların kontrol grubuna göre terapötik dokunma sonrası kaygısının azaldığı, yaşam bulgularının olumlu yönde etkilendiği belirlenmiştir. Girişim grubundaki hastaların NHBMÖ'den aldığı puan kontrol grubundan yüksek olarak bulunmuştur.Sonuç: Araştırmadan elde edilen bulgular sonucunda; ameliyat esnasında uygulanan terapötik dokunmanın hastaların kaygısını düşürdüğü, yaşam bulgularını olumlu yönde etkilediği ve hasta memnuniyetini arttırdığı görülmüştür. Ameliyat esnasında terapötik dokunma uygulanması önerilmektedir.Anahtar kelimeler: Katarakt ameliyatı, terapötik dokunma, kaygı, hasta memnuniyeti The Effect of Therapeutic Touch Performed During Cataract Surgery on Anxiety and Patient SatisfactionABSTRACT Objective: The aim of the study was to determine the effect of therapeutic touch (TT) on anxiety and patient satisfaction when performed during a cataract surgery. Methods:A randomized controlled trial sample consisted of 114 individuals, 57 in the intervention group and 57 controls, who were hospitalized for cataract surgery and who conformed to the study criteria. Prior to the study approval was obtained from the ethics committee and informed consent was given by the patients. Data was collected using a personal information form, a visual analogue scale (VAS) to measure anxiety, the Spielberg State/Trait Anxiety Inventory (STAI) and the Newcastle Satisfaction with Nursing Care Scale (NSNCS). During the surgery, patients in the intervention group received a 15-minute session of TT.Results: In the intervention group, patients' mean VAS anxiety score after TT was 3.56±1.85, while that of the control group in the 15th minute of the operation was 8,88±1,50. It was found that anxiety levels were reduced in the intervention group after TT compared with the control group, and that vital signs were affected positively. NSNCS scores of patients in the intervention group were higher than those in the control group. Conclusion:It was observed that TT applied during surgery reduced anxiety, affected vital signs positively and increased patent satisfaction. The ...

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Nurse anaesthetic care during cataract surgery: a comparative quality assurance study

Cited by 8 publications

References 5 publications

Ambulatory cataract surgery centre without perioperative anaesthesia care: a prospective cohort study

Ambulatory cataract surgery centre without perioperative anaesthesia care: a prospective cohort study

Risks factors and regression model for risk calculation of anesthesiologic intervention in topical and intracameral cataract surgery

The Effect of Therapeutic Touch Performed During Cataract Surgery on Anxiety and Patient Satisfaction

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