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J Hand Microsurg 2022; 14(01): 19-24
DOI: 10.1055/s-0040-1709244
Original Article

Patient and Surgeon Reported Experiences of Locoregional Anesthesia in Hand Surgery

Jonathan Ricky Li Qi Leow
1   Department of Anesthesia, Khoo Teck Puat Hospital, Singapore, Singapore
,
Hannah Jia Hui Ng
2   Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
,
Sanjay L. Bajaj
1   Department of Anesthesia, Khoo Teck Puat Hospital, Singapore, Singapore
,
Chandra M. Kumar
1   Department of Anesthesia, Khoo Teck Puat Hospital, Singapore, Singapore
,
Vaikunthan Rajaratnam
2   Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
› Author Affiliations Funding None.
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Abstract

Introduction Locoregional anesthesia techniques have been increasingly adopted for use in hand surgery in recent years. However, locoregional anesthesia techniques may place patients under significant psychological stress, and there has been limited evaluation of acceptance and satisfaction rates of these techniques.

Materials and Methods An observational study was conducted in a single tertiary institution. Data were collected from patients undergoing upper limb surgery procedures with locoregional anesthesia. After completion of surgery, a questionnaire adapted from Evaluation du Vecu de l’Anesthesie LocoRegionale (EVAN-LR), with scores from 1 to 5 on the Likert scale, was conducted on the same day to evaluate patient satisfaction. Responses were also obtained from the operating surgeon to assess satisfaction.

Results A total of 101 patients were evaluated as part of the study. All EVAN-LR domains received a mean score >4.5. Responses from surgeons also showed good acceptance of locoregional anesthesia techniques with almost all giving scores ≥4 on the Likert scale.

Conclusion The results of this study showed good satisfaction and acceptance of locoregional anesthesia among patients for upper limb procedures. This provides reassurance regarding the quality of care with locoregional anesthesia techniques. It remains important to be aware of potential sources of discomfort such as tourniquet pain to minimize discomfort and maximize patient satisfaction.

Keywords

hand surgery - locoregional anesthesia - regional anesthesia - patient satisfaction


Publication History

Article published online:
13 April 2020

© 2020. Society of Indian Hand & Microsurgeons. This article is published by Thieme.

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

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