Recollections of general anaesthesia (original) (raw)
Related papers
Predictors of Nausea and Vomiting Risk Factors and Their Relation to Anesthesia
IAR Consortium, 2021
this paper aims to Predictors of nausea and vomiting risk factors and their relation to anesthesia were conducted in which 200 samples were collected from Ghazi al-Hariri Hospital for Specialized Surgery, Baghdad, Iraq By relying on the results of the questionnaire, which was based on the results of the statistical analysis, this effect can occur in the first days of the administration of anesthesia, and the type of operation, medications, and the general movement of the patient can lead to nausea and vomiting, although general anesthesia is very safe even for patients Those who suffer from health diseases, it may result in some side effects, The effects of anesthesia depend on the person himself, as the age factor was important and patients undergoing long operations, and to mitigate the side effects resulting from anesthesia, all preoperative instructions must be followed, including the appropriate diet in addition to the medications to be taken or avoided.
European Journal of Anaesthesiology, 1998
To investigate the incidence of post-operative nausea and vomiting following maintenance of anaesthesia with propofol, compared with inhalational agents. Searching The MEDLEY database, which contains published literature on Zeneca's pharmaceutical products, was searched. Propofol was used as a major descriptor with the subheadings 'induction' or 'maintenance'; or with 'inhalational anaesthetics' as a major descriptor, with the subheadings 'induction' or 'maintenance' together with 'comparison', 'nausea' and 'vomiting'. Studies reported in any language were considered. Study selection Study designs of evaluations included in the review The included studies were prospective randomised controlled trials (RCTs) of the maintenance of anaesthesia with propofol or an inhalational agent, for which results for nausea, vomiting or 'nausea and vomiting' were available. Duplicates were excluded. Specific interventions included in the review The interventions included the following agents used in anaesthetic regimes: maintenance of anaesthesia with propofol and inhalational agents such as isoflurane, desflurane, enflurane, halothane and sevoflurane; induction agents such as propofol, etomidate, methohexitone, thiopentone, and sufentanil analgesia including opiate narcotics; and nitrous oxide. Some comparator groups used propofol as an induction agent. Participants included in the review The participants included adults and children undergoing the following types of surgery under general anaesthesia: arthroscopy or minor orthopaedic; breast; eye; facial, oral or dental; ear, nose and throat; gynaecological laparoscopy; other gynaecological; squint; and other or unspecified surgery. Outcomes assessed in the review The outcomes assessed were nausea, vomiting, and nausea and vomiting combined. How were decisions on the relevance of primary studies made? The publications were examined individually by two independent authors.
BMC anesthesiology, 2006
When patients are asked what they find most anxiety provoking about having surgery, the top concerns almost always include postoperative nausea and vomiting (PONV). Only until recently have there been any published recommendations, mostly derived from expert opinion, as to which regimens to use once a patient develops PONV. The goal of this study was to assess the responses to a written survey to address the following questions: 1) If no prophylaxis is administered to an ambulatory patient, what agent do anesthesiologists use for treatment of PONV in the ambulatory Post-Anesthesia Care Unit (PACU)?; 2) Do anesthesiologists use non-pharmacologic interventions for PONV treatment?; and 3) If a PONV prophylaxis agent is administered during the anesthetic, do anesthesiologists choose an antiemetic in a different class for treatment? A questionnaire with five short hypothetical clinical vignettes was mailed to 300 randomly selected USA anesthesiologists. The types of pharmacological and n...
Predictors of nausea and vomiting risk factors and its relation to anesthesia in a teaching hospital
Trends in Medicine
Purpose: This study was conducted to estimate the incidence of postoperative nausea and vomiting (PONV) and to explore the risk factors that increase the development of PONV. Methods: A prospective study design was used to observe nausea and vomiting 24 hours postoperatively, over a 6-month period. The study sample was composed of 2,398 patients aged between 1 and 87 years. Chi-square and logistic regression were used to identify the risk factors for predicting PONV. Results: A total of 747 patients (31.2%) suffered from nausea, and 268 patients (11.2%), suffered from vomiting. Female patients and who received anesthesia more than 60 minutes, nauseated more in the recovery room and 24 hours after surgery. Female patients vomited more in the recovery and later during 24 hours; and those who received anesthesia more than 60 minutes, and who received postoperative opioids have vomited more during 24 hours after surgery. Female gender, postoperative opioids and anesthesia duration more than 60 minutes are predictive risk factors for nausea; while female gender and duration of anesthesia more than 60 minutes are predictive risk factors for vomiting. Conclusions: Female gender, use of postoperative opioids and duration of anesthesia are the most important predictive risk factors for PONV. Nonsmoking status, previous history of PONV and type of anesthesia were not found as risk factors for PONV.
Patients��� perception and knowledge of anaesthesia and anaesthetists���a questionnaire survey
2010
Background: Most surgical patients do not recognise the role played by anaesthetists in the perioperative period because of poor public knowledge of anaesthesia as a medical discipline. This study was conducted to determine patients' knowledge of anaesthesia and of the quali cations and role of anaesthetists in patient care. Methods: A cross-sectional questionnaire survey of 229 consecutive adult patients aged 18 years and above, scheduled for elective surgery at the University College Hospital, Ibadan, Nigeria, was conducted over a threemonth period. Results: Of the 229 patients studied, 90 (39.3%) were males and 139 (60.7%) were females. Ninety-nine (43.2%) had a history of previous anaesthesia and surgery, while 130 (56.8%) had no previous experience of anaesthesia. One-third (33 of 99) of patients who had past experience of anaesthesia knew that anaesthesia is administered by quali ed anaesthetists. Among 130 patients without a history of previous anaesthetics, 63 (48.5%) had no idea of what the role of the anaesthetist was, 31 (23.8%) listed putting patients to sleep, monitoring vital signs and offering pain relief, and 25 (19.2%) knew that anaesthetists should administer anaesthetics. Patients who had tertiary education (44.1%) had a signi cantly higher knowledge of the anaesthetist's role than those with only secondary (33.2%) or primary education (15.7%, p < 0.05). Conclusion: Patients have poor knowledge of anaesthesia and the role of anaesthetists in the care of surgical patients. This knowledge de cit should be addressed and made part of the general preoperative care to enable patients to cope better with a view to improving the outcome of surgical procedures.
International Journal of Medical Anesthesiology, 2021
Background: In order to assess and improve quality of patient care in perioperative period, knowledge of patient perspective is most important. A Prospective Clinical Audit was done on Quality of Anaesthesia and Accidental Awareness in patients undergoing elective surgery under General Anaesthesia. Aims a) The primary aim is to assess the quality of peri-operative anaesthesia care and patient satisfaction using a validated patient reported outcome measure. b) To establish an estimate of accidental awareness during general anaesthesia. Settings and Designs: This was a cross-sectional, prospective audit on elective post-operative patients who underwent surgery under routine balanced general anaesthesia at a tertiary health care centre. Total 94 post-operative cases, who underwent surgery within last three months, were included in the audit. Material and Methods: Audit protocol was presented to competent Institutional Ethics committee and approval taken. The patients included in the audit had received routine balanced general anaesthesia for their surgery along with prophylactic analgesic, antiemetic and antacid intra-operatively. Anaesthetists randomly visited to the patients 24 hours after surgery and distributed structured questionnaires to the participants. Basic demographic information was collected from medical record and patients. We used Bauer Patient Satisfaction Questionnaires to obtain data regarding anaesthesia related discomfort and Modified Brice Questionnaire was used to assess Accidental Awareness during Anaesthesia. Statistical Analysis: SPSS software for Windows version 21.0 was used for data analysis. Categorical data was presented as frequency and proportion whereas continuous data was presented as mean and Standard Deviation. Results: Mean age of study subjects was-51.81(16.82). Most of the cases belonged to ASA Grade III&IV (82.9%). When evaluating the questions on anaesthesia-related discomfort, the most frequent complaint of "pain at the surgical site" (54.26%), irritation in throat/sore throat in (39.36%), thirst (36.17%) and (23.40%) patients were drowsy after recovery from anaesthesia. Overall satisfaction rate was 100%, with care provided by Anaesthesia Department. However, 8.51% and 3.19% patients were not satisfied with pain therapy after surgery and information provided by the anaesthetist respectively. More than half (57.45%) could recall the voices they heard was the first thing to happen after waking up from anaesthesia and 9 (9.57%) could feel endotracheal tube in their throat during recovery from anaesthesia. We found one (1.06%) incidence of intraoperative AAA (Accidental Awareness during Anaesthesia). Conclusion: Only one fourth patients were drowsy immediate after surgery and (9.57%) could feel endotracheal tube in their throat during recovery from anaesthesia. High risk group (ASA III and IV) were at higher risk (1.06% in our audit) for Accidental Awareness during Anaesthesia.
Patient perceptions about anesthesia and anesthesiologists before and after surgical procedures
Sao Paulo Medical Journal, 2011
CONTEXT AND OBJECTIVE: Anesthesiologist-patient relationships are established preoperatively and intraoperatively. These are opportunities for providing correct information about anesthesia/anesthesiologists, thereby improving outcomes. The aim here was to evaluate patients' perceptions about anesthesiologists before anesthesia and to identify whether the anesthetic care would change such perceptions. DESIGN AND SETTING: Prospective cross-sectional study using data obtained in 2007-2008, at a tertiary university hospital. METHODS: 518 patients aged 16 years or over were interviewed before and after anesthesia exposure. A questionnaire was used to determine patient characteristics and perceptions of anesthesia/anesthesiologists. RESULTS: The patients were 16-89 years of age and 59.8% had attended elementary school. 79.1% said that anesthesiologists were specialized physicians. Anesthesiologists' roles were associated with loss of consciousness (35.5% pre-anesthesia; 43.5% pos...