Quality in anaesthesia: Causes Of Customer Dissatisfaction After Subarachnoid Anaesthesia In Elderly Patients

摘要

The first step towards quality improvement is the evaluation of quality previous to the implementation of a programme. The goal of this study is to seek causes underlying dissatisfaction of elderly patients who underwent endoscopic urological surgery under subarachnoid anaesthesia.During the preoperative visit, techniques and effects of subdural anaesthesia were showed to patients; they were interviewed 48 hours after the operation, focusing on causes of dissatisfaction.The first cause was a postoperative state of agitation, followed by intraoperative psychomotor agitation, fear of lumbar puncture and other causes unrelated to anaesiological technique performed.Results of data showed how preoperative anaesthesiological information is crucial and has to be carefully provided, especially with elderly patients; if needed, a relative can be involved in order to avoid postoperative state of agitation. Important also to re-exame anaesthetic premedication, or combining it with an intraoperative sedation that can reduce patients' sensitivity without altering their consciousness.