Psychological Effect of Detailed Preanesthetic Information

Elsass, Peter; Eikard, B.; Junge, Jette

doi:10.1097/00132586-198806000-00037

Cited by 11 publications

(10 citation statements)

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“…While patients may initially report anxiety and concerns caused by hearing about the risks of anaesthesia, these can be overcome by full disclosure and effective communication. Properly informing patients of perioperative risks may, in fact, ease concerns 2,9,10. Our results support the notion that while patients may report anxiety or appear to be anxious, educating them on the risks involved with anaesthesia and surgery may allay many of their fears.…”

Section: Discussionsupporting

confidence: 71%

Patient perspectives on informed consent for anaesthesia and surgery: American attitudes

Burkle

Pasternak

Armstrong

et al. 2012

Acta Anaesthesiol Scand

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Section: Discussionsupporting

confidence: 71%

Patient perspectives on informed consent for anaesthesia and surgery: American attitudes

Burkle

Pasternak

Armstrong

et al. 2012

Acta Anaesthesiol Scand

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“…However we thought that most patients do want to know about anaesthesia, including its risks. This view is supported by published data and opinion [2][3][4][5] . Furthermore, even though patients may forget much of what they are told 2-6 , the issue relevant to informed consent is that of comprehension at the time the consent is obtained.…”

supporting

confidence: 77%

Anaesthesia Information—What Patients Want to Know

Garden

Merry

Holland

et al. 1996

Anaesth Intensive Care

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We developed and introduced into clinical practice a leaflet to improve the delivery of information to patients before obtaining their consent to anaesthesia. The amount of information needs to be what a "reasonable" patient thinks appropriate; therefore we tested patients' responses to three levels of information: "full" disclosure, "standard" disclosure (as contained in our leaflet) and "minimal" disclosure.Forty-five patients scheduled to undergo cardiac surgery were enrolled in the study. None of the information sheets caused a significant change in state anxiety score and only the "full" disclosure significantly increased knowledge about anaesthesia (P=0.016). All leaflets were easy to understand. When only one leaflet was provided 64-73% of patients thought the content was "just right", whereas when all three leaflets were viewed together, 63% of patients thought the "minimal" leaflet withheld too much information.

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“…It could be argued that expanding routine information to more detailed information may allay this anxiety. However, other studies have shown that this may predispose the patient to further anxiety 13 . Likewise, if the patient indicates that he or she does not wish to know about anaesthesia risks, relevant information must still be conveyed to the patient.…”

Section: Discussionmentioning

confidence: 98%

Patient Recollections of Perioperative Anaesthesia Risks

Gillies

Weinberg

2013

Anaesth Intensive Care

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There is widespread variation as to the method of presentation of informed anaesthetic consent with little empirical data on the nature of communication and how much information is retained. At a dedicated anaesthesia pre-admission clinic, 149 patients undergoing elective surgery under general anaesthesia were both verbally informed and shown written information about four major and three minor anaesthesia risks. The major risks were death, pneumonia, heart attack and stroke. The minor risks were dental damage, nausea and vomiting. On the day of scheduled surgery, retention of information about these anaesthetic risks was examined. Thirty-eight patients (26%) could not recall any anaesthesia risks, 55 patients (37%) could not recall any major risks and 126 patients (84%) could not recall any minor risks. Our findings indicate that patients should receive a second explanation on the day of surgery, even if informed consent was provided only two weeks earlier.

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Psychological Effect of Detailed Preanesthetic Information

Cited by 11 publications

References 0 publications

Patient perspectives on informed consent for anaesthesia and surgery: American attitudes

Patient perspectives on informed consent for anaesthesia and surgery: American attitudes

Anaesthesia Information—What Patients Want to Know

Patient Recollections of Perioperative Anaesthesia Risks

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