Die Spinalanästhesie zu ambulanten ArthroskopienDie Sicht des Patienten: Ergebnisse einer Patientenbefragung

Fritz, Klaus; Seidlitz, P.

doi:10.1007/s001010050421

Anaesthesist

1997

DOI: 10.1007/s001010050421

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Die Spinalanästhesie zu ambulanten ArthroskopienDie Sicht des Patienten: Ergebnisse einer Patientenbefragung

Klaus Fritz

P. Seidlitz

Abstract: 1. Spinal anaesthesia is a method that can also be performed in out-patients. 2. an increased incidence of post-dural-puncture headaches may be seen due to the early mobilisation of the patients; 3. the patient must be treated by a second person; 4. premedication must be performed 2 days before the procedure to determine ASA status; and 5.better co-operation between surgeons and anaesthesiologists must be sought.

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Cited by 5 publications

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Ambulante und tageschirurgische Eingriffe

Schäfer

Wittenmeier

2003

Der Anaesthesist

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Ambulatory surgical care is intended to save healthcare expenditure from the economical viewpoint. From the patients point of view significant advantages as well as specific disadvantages of ambulatory surgery are known. The increase in the volume and complexity of procedures provided in an ambulatory setting are driven by improvements in anesthesia and surgical technique as well as by changes in financing and reimbursement. Therefore careful quality control and scientific evidence for the safety of increasingly used complex surgical procedures for higher risk patients is essential. Reducing the surgical trauma by minimally invasive surgical techniques and very good controllability by modern anesthesia concepts is making the management of the postoperative period crucial for successful ambulatory surgery. Most of the complications and common problems during the postoperative period, such as pain, nausea and vomiting, are not specific for ambulatory surgery, but management places an increasing burden of responsibility not only on general and specialised physicians, but also on other health professionals, patients, and family members.

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Ambulante und tageschirurgische Eingriffe

Schäfer

Wittenmeier

2003

Der Anaesthesist

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Spinalanästhesie in der Tageschirurgie

et al. 2007

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Persistent back pain after spinal anaesthesia in the non-obstetric setting: incidence and predisposing factors

Schwabe

Hopf

2001

British Journal of Anaesthesia

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We determined the incidence of persistent back pain (PBP) after non-obstetrical spinal anaesthesia (SPA) and investigated factors predisposing to such pain in a prospective 1 yr follow-up study in 245 patients undergoing elective general or trauma surgery (218 patients undergoing single SPA, 27 undergoing two to six SPAs). All patients received a first questionnaire 3 months after the last SPA, and those reporting PBP after 3 months were sent a second questionnaire I year after the operation. Variables were PBP before and within 5 days, at 3 months and I year after SPA, patient satisfaction with SPA, patient characteristics and technical data. Statistical analysis was by contingency tables with Fisher's exact test and an unpaired t-test with logistic regression (P < 0.001 after Bonferroni correction was taken as significant). The response rate in patients who had a single SPA was 56% (122/218). Twenty-three of these 122 patients (18.9%) complained of back pain before SPA compared with 12/122 (10.7%, P = 0.0015) within 5 days after SPA. After 3 months, 15/122 patients (12.3%) reported PBP with 14 complaining of PBP before SPA (P < 0.0001), corresponding to an incidence of new PBP of 1/122 (0.8%). Multiple logistic regression revealed that pre-existing back pain was the only variable associated with PBP after 3 months (P < 0.0001). Patient characteristics and technical factors were not associated with PBP. Nine of the 15 patients with PBP after 3 months returned the second questionnaire: four still reported PBP (three of these had suffered from PBP before SPA). Despite PBP after 3 months, 13/15 patients said they would opt for SPA again. The response rate and results in patients who had had multiple SPAs were similiar to those who had had a single SPA.

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Die Spinalanästhesie zu ambulanten ArthroskopienDie Sicht des Patienten: Ergebnisse einer Patientenbefragung

Cited by 5 publications

References 9 publications

Ambulante und tageschirurgische Eingriffe

Ambulante und tageschirurgische Eingriffe

Spinalanästhesie in der Tageschirurgie

Persistent back pain after spinal anaesthesia in the non-obstetric setting: incidence and predisposing factors

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