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A survey of patient understanding of ophthalmic local anaesthetic techniques

Poster Details

First Author: M.Thiagarajan UK

Co Author(s):    A. Orunta              

Abstract Details



Purpose:

It was felt necessary to improve information given to patients undergoing cataract surgery in our establishment. Therefore a survey was performed on 64 patients immediately after surgery to determine their understanding, need for information and available options for anaesthesia. The results will then act as a guide in devising an updated local patient information leaflet for ophthalmic anaesthesia.

Setting:

Princess Royal University Hospital, Bromley, Kent, UK.

Methods:

A survey was conducted on 64 consecutive patients who underwent cataract surgery through phacoemulsification in a day case treatment unit by a trained ophthalmic nurse. The questions were asked immediately after their discharge following their cataract surgery but before going home.

Results:

Block administered: Peribulbar in 10 cases, topical in 2 cases, not recorded in 2 cases, subtenons in 50 cases. The mean patient satisfaction for Anaesthesia was 4.9/5 (98%). Sixty (93.8%) patients had knowledge on types of anaesthesia. Two (3.13%) patients had knowledge on anaesthesia received. 9 (14.06%)Patients requested more information. Sixty (93.75%) patients stated that procedure and process explained. 10(15.63%) patients asked if received sedation. Three (4.69%) patients given sedation, 59 patients (92.19%) were comfortable during the procedure, 31(48.44%) patients had awareness of complications. Four (6.25%) patients would like to have a choice of anaesthetic.

Conclusions:

This survey found a high patient satisfaction with the anaesthetic service provided. Over 92% were comfortable during anaesthetic administration despite only 4.69% of patients receiving sedation. Only a small number requested further information or were interested in having a choice of anaesthesia. However, patient awareness of complications was less than 50%. The recommendation is to include more information in the leaflet to raise patientsÂ’ awareness of complications. A limitation of this survey was mitigated by completing the questionnaire after they were discharged.

Financial Disclosure:

NONE

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