Assessment of patient satisfaction after regional anaesthesia in two institutions |
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| Authors: | Montenegro A Pourtalés M-C Greib N End E Gaertner E Tulasne P-A Pottecher T |
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| Institution: | 1. Service d''anesthésie–réanimation chirurgicale, hôpital de Hautepierre, 67098 Strasbourg cedex, France;2. Service d''anesthésie–réanimation, centre de traumatologie et d''orthopédie, 67400 Illkirch Graffenstaden, France;1. Centre hospitalier de Niort, service d’accueil des urgences et Samu–Smur, 40, avenue Charles-de-Gaulle, 79021 Niort, France;2. Brigade de sapeurs-pompiers de Paris, service médical d’urgence, 3, rue Darmesteter, 75013 Paris, France;3. Université de Poitiers, CHU de Poitiers, service de réanimation chirurgicale, Inserm U1070, 2, rue de la Milétrie, 86021 Poitiers cedex, France;4. CHU René-Dubos, service du Samu du Val d’Oise et Smur Pontoise, 6, avenue de l’Île-de-France, CS 90079 Pontoise, 95303 Cergy Pontoise, France;5. CHU de Poitiers, service d’anesthésie-réanimation, 2, rue de la Milétrie, 86021 Poitiers cedex, France;6. CHU de Poitiers, service d’accueil des urgences, 2, rue de la Milétrie, 86021 Poitiers cedex, France;1. Pole d’anesthésie-réanimation, maternité Jeanne-de-Flandre, centre hospitalier régional et universitaire, Lille, France;2. Comité pédagogique diplôme universitaire hypnose médicale, faculté de médecine, université de Lille2, Lille, France;3. Maternité Jeanne-de-Flandre, clinique d’obstétrique, centre hospitalier régional et universitaire, Lille, France;4. Clinique anesthésie-réanimation, hôpital Trousseau, AP–HP, Paris, France;5. Pole d’anesthésie-réanimation, maternité, Liévin, France;1. Bloc opératoire Hamburger, hôpital Necker–Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France;2. Département d’anesthésie réanimation, Samu 75, hôpital Necker–Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France;3. Service d’hématologie adulte, hôpital Necker–Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France;1. Lapeyronie University Hospital, Trauma Critical Care Unit, Montpellier, France;2. Regional Network of Medical Organization and Management for Severe Trauma in Occitanie, OcciTRAUMA Network, hôpital Lapeyronie, Montpellier, France |
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| Abstract: | OBJECTIVES: This study was designed to assess patient satisfaction after regional anaesthesia for limb surgery. METHODS: An anaesthesia satisfaction questionnaire was developed, validated (Kappa coefficient) and submitted to 314 patients operated in two institutions (one university hospital with anaesthesiology residents and one specialised in orthopaedics with experienced anaesthesiologists). Items explored were information modalities, pain and anxiety during procedure and global satisfaction rated with four levels (very satisfied VS], satisfied S], partially satisfied PS], non-satisfied NS]). Patients were interviewed by telephone at postoperative D1 and D8 by a pharmacist student not involved in the patient's care. RESULTS: Inspite of a high level of patient satisfaction at D8 (VS: 50%, S: 44%), some interesting aspects should be emphasised: a) sedation given before nerve block was not efficient to reduce anxiety and pain during procedure; b) VS levels decreased from D1 (56%) to D8 (50%) mainly because of late postoperative pain (after discharge) and discomforts; c) willingness to undergo the same nerve block again (294/314) was not correlated with patient's satisfaction since among PS and NS patients, a majority (9/15) wished for a block in case of renewed limb surgery; d) multivariate analysis showed that VS level was highly correlated with the quality of communication by the anaesthesiologist mainly for informations about pre and postoperative periods. No correlation was found with pain level during procedure; e) satisfaction levels were not different in the two institutions. CONCLUSION: This study has emphasised some important factors of patient satisfaction which were not sufficiently taken into account in our daily practice. |
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