scholarly journals Surgical Closure of Nasoseptal Defects: Postoperative Patient Satisfaction

ORL ◽  
2012 ◽  
Vol 74 (6) ◽  
pp. 299-303 ◽  
Author(s):  
Florian Bast ◽  
Anna Heimer ◽  
Thomas Schrom
Keyword(s):  
Patient Satisfaction ◽  
Postoperative Patient ◽  
Surgical Closure

scholarly journals Comparison of the Effects of Epidural Anesthesia and Local Anesthesia in Lumbar Transforaminal Endoscopic Surgery

2016 ◽  
Vol 7;19 (7;9) ◽  
pp. E1001-E1004
Author(s):  
Zihai Ding
Keyword(s):  
Patient Satisfaction ◽  
Local Anesthesia ◽  
Epidural Anesthesia ◽  
Nerve Root ◽  
Neurological Complications ◽  
Foot Drop ◽  
Postoperative Patient ◽  
X Ray ◽  
Anesthesia Group ◽  
Significant Difference

Background: Percutaneous endoscopic lumbar discectomy (PELD) is a standard technique for the treatment of lumbar disc hernia. Thus far, most surgeons have recommended local anesthesia. However, in clinical practice, some patients experience pain and are unable to cooperate with the surgery during intervertebral foramen hemp expansion. The use of general anesthesia may create a greater risk of complications because of nerve root anomalies; thus, intraoperative neurophysiological monitoring should be utilized. Reports regarding the use of epidural anesthesia are few in comparison. Objective: To investigate the risks and contingency plans of epidural anesthesia in lumbar transforaminal endoscopic surgery. Study Design: A retrospective analysis of all lumbar transforaminal endoscopic surgeries performed from 2010 to 2014. Setting: Kanghua hospital. Methods: Patients treated with local and epidural anesthesia were divided into 2 groups. In local anesthesia group (A) and local anesthesia group (B), 0.5% lidocaine and 0.25% ropivacaine was administered, respectively. The incidences of complications, including urological complications, in each surgical group as well as Oswestry disability idex (ODI) improvement rates, postoperative patient satisfaction rates, and x-ray exposure times were assessed. Results: From 2010 to 2014, there were 286 cases of lumbar transforaminal endoscopic surgeries, 121 cases utilizing local anesthesia and 165 cases utilizing epidural anesthesia. In cases in which neurological complications occurred after surgery, 15 cases involved nerve root numbness, including one case of foot drop and 2 cases of cerebrospinal leakage in the local anesthesia group, which accounted for 12.4% of group A. However, in the epidural anesthesia group, which accounted for 9.70% of group B, there were 16 cases of nerve root numbness, including 2 cases of foot drop and 2 cases of cerebrospinal leakage. No significant difference was detected in the incidence of neurological complications between the 2 groups (P > 0.05). The ODI improvement rates were 86.0% in the local anesthesia group and 85.4% in the epidural anesthesia group (P > 0.05). The average x-ray exposure times were 14.7 seconds and 16 seconds in the local anesthesia group and epidural anesthesia group, respectively (P > 0.05). The postoperative patient satisfaction rates were 73.6% and 91% in the local anesthesia group and epidural anesthesia group, respectively (P < 0.001). Limitations: This was a single-blind study, and the complications observed were related to the learning curve; all these factors may lead to biases. Conclusions: Epidural anesthesia in transforaminal lumbar surgery is feasible and safe, and no significant difference in neurological complications was observed between the epidural anesthesia and the local anesthesia groups. However, for the patients concerned, the postoperative patient satisfaction rate was significantly greater in the epidural anesthesia group. It is noteworthy that the x-ray exposure times of the groups were not significantly different. Key words: Epidural anesthesia, transforaminal lumbar surgery, neurological complications, cerebrospinal leak

Evaluation of patient satisfaction with second intention healing versus primary surgical closure

2015 ◽  
Vol 73 (5) ◽  
pp. 865-867.e1 ◽  
Author(s):  
William G. Stebbins ◽  
Julia Gusev ◽  
H. William Higgins ◽  
Andrew Nelson ◽  
Usha Govindarajulu ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Surgical Closure

Effect of Intraoperative Anesthetic Events on Postoperative Patient Satisfaction

1997 ◽  
Vol 72 (1) ◽  
pp. 20-25 ◽  
Author(s):  
David L. Brown ◽  
Mary E. Warner ◽  
Darrell R. Schroeder ◽  
Kenneth P. Offord
Keyword(s):  
Patient Satisfaction ◽  
Postoperative Patient

scholarly journals Impact of PReOperative Midazolam on OuTcome of Elderly patients (I-PROMOTE): study protocol for a multicentre randomised controlled trial

2019 ◽  
Author(s):  
Ana Kowark ◽  
Rolf Rossaint ◽  
András P. Keszei ◽  
Petra Bischoff ◽  
Michael Czaplik ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Elderly Patients ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Gender Effects ◽  
Life Assessment ◽  
Surgical Patients ◽  
Quality Data ◽  
Postoperative Patient ◽  
Secondary Outcomes

Abstract Introduction Premedication with benzodiazepines in surgical patients became questionable regarding risk-benefit ratio and lack of evidence. Though, preoperative benzodiazepines might alleviate preoperative anxiety, a higher risk for adverse events is described, particularly for elderly patients (≥65 years). Several German hospitals already withhold benzodiazepine premedication from elderly patients, though evidence is lacking. The patient-centred outcome global postoperative patient satisfaction is recognized as a substantial quality indicator of the anaesthesia care incorporated by the American Society of Anesthesiologists. Therefore, we aim to assess, whether the postoperative patient satisfaction after premedication with placebo compared to the preoperative administration of 3.75 mg midazolam in elderly patients differs. Methods This study is a multicentre, randomised, placebo-controlled, double-blinded, two-arm parallel, interventional trial, conducted in 9 German hospitals. In total 614 patients (≥65-80 years of age) undergoing elective surgery with general anaesthesia will be randomised to receive either 3.75 mg midazolam or placebo. The primary outcome (global patient satisfaction) will be assessed with the validated EVAN-G questionnaire on the first postoperative day. Secondary outcomes will be assessed until the first postoperative day and 30 days after surgery, respectively. They comprise among others: functional and cognitive recovery, postoperative delirium, health-related quality of life assessment, and mortality or new-onset of serious cardiac or pulmonary complications, acute stroke, or acute kidney injury. Analysis will adhere to the intention-to-treat principle. The primary outcome will be analysed with the use of mixed linear model including treatment effect and study centre as factors and random effects for blocks. Exploratory adjusted and subgroup analyses of the primary and secondary outcomes with regard to gender effects, frailty, pre-operative anxiety level, patient demographics and surgery experience will be performed in addition. Discussion This, to the best of our knowledge, is the first study analyzing patient satisfaction after premedication with midazolam in elderly patients. In conclusion, this study will provide high quality data for decision-making process regarding premedication in the elderly surgical patients.

Evaluation of Preoperative and Postoperative Patient Satisfaction and Quality of Life in Patients Undergoing Rhinoplasty

2018 ◽  
Vol 141 (3) ◽  
pp. 603-611 ◽  
Author(s):  
Fang Yang ◽  
Yin Liu ◽  
Hong Xiao ◽  
Yuan Li ◽  
Huanying Cun ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Postoperative Patient

scholarly journals The Implementation of Therapeutic Communications with Postoperative Patient Satisfaction in Islamic Hospital of Sultan Agung Semarang

Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 378
Author(s):  
Alif Wahdatin ◽  
Dyah Wiji Puspita ◽  
Muh. Abdurrouf
Keyword(s):  
Patient Satisfaction ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Survey Method ◽  
P Value ◽  
Therapeutic Communication ◽  
Postoperative Patient ◽  
Cross Sectional ◽  
Inpatient Ward ◽  
Nursing Services

Introduction: Weaknesses in applying therapeutic communication are still a problem for nurses. This affects the quality of nursing services that have an impact on patient satisfaction. The purpose of this study was to identify the relationship between therapeutic communication and postoperative patient satisfaction.Methods: This research method was an analytical survey method used a cross sectional approach. Respondents in this study were postoperative patients who were treated in RSISA inpatient ward with 127 patients.  Sampling technique that use was simple random sampling. The data analysis technique in this study used the Spearman test.Results: The results showed that the majority characteristics of respondents had female 61.4%, age 50-64 (33.8%), employment of private employees 24.4%, senior secondary education 37.0%. The results also showed that most therapeutic communication was in the good category (54.3%) and patient satisfaction in the category was very satisfied (52.8%). The results of this research showed that there was significant relationship between therapeutic communication and postoperative patient satisfaction with p-value 0,000 (p-value <0.05).Conclusion: The implications of this research can be a reference in increasing the ability of nurse therapeutic communication so that patient satisfaction with nursing services increases.

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