Patient satisfaction during and following procedural sedation for ambulatory surgery

Abstract

Background: Patient satisfaction is multidimensional. The clinician's perspective of a good outcome and the patient's experience of a satisfactory service are often two different end-points. The primary aim of our study was to assess the perioperative experience of patients undergoing procedural sedation. A secondary aim was to create a postoperative questionnaire which could be used as a measurement tool. The questions could also be used as an audit to assist with adherence to quality assurance and clinical governance. Method: A questionnaire was compiled to attempt to assess the perioperative aspects of procedural sedation. Five hundred consecutive patients undergoing procedural sedation for dental-related outpatient procedures were asked to complete a questionnaire. Patients who didn't complete it were excluded. Ninety-eight per cent of the patients returned the questionnaire and 489 questionnaires were evaluated. Results: A total of 489 patients were included. Ninety-three per cent of the patients expressed a good (7+/10) overall experience of procedural sedation, and 92.6% indicated that they would recommend it to others. Conclusion: Our study population showed a high level of satisfaction with their sedation experience. It is suggested that the devised questionnaire could be used successfully in future as an assessment tool or audit of patient satisfaction following procedural sedation for ambulatory surgery.

Evaluating Sedation Strategies for Magnetic Resonance Imaging: A Comprehensive Review of Intravenous Fentanyl, Butorphanol, and Midazolam in Adult and Pediatric Populations

“…These interventions augment patient comfort and contribute to favorable imaging outcomes by minimizing reliance on sedation and anesthesia. Furthermore, the choice of sedation medication, the proficiency of healthcare providers, and the overall perioperative experience substantially impact patient satisfaction during and after procedural sedation for various medical procedures, including MRI [ 44 ]. Ensuring patient comfort, safety, and favorable outcomes through efficacious sedation strategies is indispensable for enhancing patient experience and satisfaction in healthcare settings.…”

Anesthetic options for Rezūm water vapour therapy

“…A previously validated, standardized questionnaire relating to tolerability was then administered to prospectively assess both anesthetic choices for a future procedure and whether the patient would recommend their conscious sedation over general anesthesia. 12 Additionally, a patient-reported tolerability score was assessed using a Likert scale ranging from 0-10 to assess the overall experience of the procedure and sedation, with 10 representing an excellent experience and 0 representing completely intolerable procedures. Complication data was collected to address our secondary outcome, including self-reported excess pain, infections, hospital admissions, emergency room visits, or family physician visits due to the procedure.…”

SASA paediatric guidelines for the safe use of procedural sedation and analgesia for diagnostic and therapeutic procedures in children: 2021–2026

“…Evaluating patient satisfaction in children involves a multidimensional approach that entails different aspects of clinical care, safety and the absence or tolerable presence of certain known side effects, and in some settings, the cost of the procedure and sedation. 25 Macario et al 26 concluded that the avoidance of postoperative nausea and vomiting was more important to some patients than the prevention of postoperative pain. Regular audit of the practitioner's practice is recommended and patient satisfaction could be included in future projects in a way tailored to the specific population applicable.…”