Spinal phobia: Survey results of patient attitudes and preferences regarding anesthesia

Abstract

This survey shows a strong patient preference for general anesthesia and a phobia for spinal anesthesia.

Making Sense of Block “Success” in Ambulatory Anesthesia Practice

“…Indeed, numerous surveys examining patients' fears regarding RA have consistently identified permanent paralysis as the foremost concern of patients regarding spinal anesthesia. [15][16][17] For many others, the extent of block success may vary directly with the depth of intraoperative sedation, such that the most ''successful'' nerve blocks (and perhaps surgery, as a matter of course) are those that the patient does not remember. Avoidance of postoperative nausea and vomiting is also of primary importance to patients undergoing ambulatory surgery, 18 and many patients may equate this with successful RA.…”

Effect of anesthesia consultation on patients’preoperative concerns

“…Our results of the commonly expressed concerns are consistent with other reported studies. [1][2][3]6 However, two concerns were significantly decreased after the anesthesia consultation. The fear of waking up during surgery was decreased to 11.8% (P < 0.001), and the fear of feeling pain during surgery was decreased to 22.4% (P = 0.007).…”

“…1,2 Patients often have distorted concerns about the risks of anesthesia which can contribute to preoperative anxiety, 3 and potentially, a poor quality of recovery. 4 Existing evidence suggests that preoperative anesthesia consultation can reduce patients' overall anxiety, 5 but there is little data in the literature that compares the areas of concern before and after the consultation.…”

“…5 However, the AWS may have several advantages over the Glidescope since the DLT can fit into the space behind the blade (originally it was a tube channel), Additionally, continuous observation of the tube tip can be achieved, and the laryngeal view is always improved to grade 1 by direct elevation of the epiglottis, as with Miller laryngoscope blades. 3 FIGURE 1) Photograph of the disposable blade (Pblade®) tip for AWS. Up to 32 Fr DLT can be set in the tube channel.…”

Anaesthesia and Perioperative Care in Remote Health Camps- Patients’ Concerns

“…Distorted concerns about anaesthesia and surgery are Anaesthesia and Perioperative Care in Remote Health Camps: Patients' Concerns associated with preoperative anxiety and poor quality of recovery. [1][2][3] No study investigating patients' concerns regarding anaesthesia and perioperative care in such a camp setting has so far been reported from Nepal. The present study was conducted to fi nd out knowledge, concerns and expectations about anaesthesia and perioperative care in patients undergoing surgery in four mobile camps organized by the Government of Nepal in mountainous districts of Eastern Nepal in the years 2006 and 2007.…”