Patients want an anesthesiologist to plan and be in charge of their anesthesia

Stricker, Alexander W.; Burgher, Abram H.; Osborne, Marc C.; Belani, Kumar G.; Loushin, Michael K.; Beebe, David S.

doi:10.1016/j.jclinane.2005.01.003

Cited by 4 publications

(5 citation statements)

References 3 publications

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“…In this study, a pronounced depression of the cardiac functions was observed in rat when diethyl ether was used as the anaesthetic agent. This corroborated earlier studies on the effect of anaesthetic agent on the heart ( [11], [12]). This observation therefore necessitated the use of isolated R. temporaria heart tissues for the study as the use of anesthetic agent was avoided.…”

Section: Cardiotonic Activities Of a Esculentus Fruit Extract And Its...supporting

confidence: 92%

Electrocardiography effects of Abelmoschus esculentus fruit extract and its isolated compounds using isolated frog heart perfusion

Kehinde¹,

Olatunji²,

Adegoke³

2022

World J. Adv. Res. Rev.

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This study evaluated the electrocardiograph effects of Abelmoschus esculentus and its isolated compounds on Rana temporaria (frog) heart. Cardiovascular disease is one of the major causes of mortality which contribute to about 57 million deaths as disclosed by WHO in 2002. There have been many therapeutic approaches to reduce the death rate from cardiovascular disease which include the use of herbal drugs from plants. The whole fruit of Abelmoschus esculentus (Okra) fruit has been used for culinary purposes in Africa. Medicinal properties of Abelmoschus esculentus reported in literature include its use as anti-diabetics, antimicrobial, diuretic agent, and for plasma replacement. However, there have been little or no report on the cardiovascular activities of the extract or isolated compounds from A. esculentus. A. esculentus (Okra) fruits were collected, identified, dried, and powdered. The powdered was extracted using cold maceration with 100% methanol for 72 hours. The crude extract was subjected to repeated fractionation to isolate four (4) compounds. The cardiovascular activities of the crude extract and its isolated compounds were investigated using isolated heart perfusion technique on Rana temporaria (frog) heart. The effects of the extract and isolated compounds on the rate (frequency) and force of contraction (amplitude) of the heart beat were evaluated. The isolated compounds were subjected to spectroscopic analysis using ultraviolent (UV), nuclear magnetic resonance (NMR) (1D and 2D experiments), and mass spectrometry. The compounds were elucidated as quercetin glycoside, quercetin diglycoside, urs-12-ene-3-O-β-D-glucopyranoside and 3-hydroxy-2,3-dihydroimidazo [1,5-a] pyridin-8(5H)-one-5-β-glucopyranoside (esculentoside). The extract and the isolated compounds showed positive inotropic effect on the heart (increase in amplitude of the heart) while they all also possess negative chronotropic effect (decrease in frequency) except compound 4 which possess positive chronotropic effect. This study isolated three different classes of compounds from A. esculentus namely Flavonoids (Quercetin glycoside), Triterpene (Ursolic acid) and pyridine-imidazole (esculentoside). This study also demonstrated that A. esculentus extract and compounds isolated from it has negative chronotropic effects and also possess positive inotropic effects on the heart of R. temporaria.

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Section: Cardiotonic Activities Of a Esculentus Fruit Extract And Its...supporting

confidence: 92%

Electrocardiography effects of Abelmoschus esculentus fruit extract and its isolated compounds using isolated frog heart perfusion

Kehinde¹,

Olatunji²,

Adegoke³

2022

World J. Adv. Res. Rev.

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“…Neither the goals of this visit nor how it should be performed are clear, and most proposals to these points lack scientific evidence [1][2][3][4][5][6]. A recent study underlined the importance to patients of the anesthesiologist's training and of who is responsible for the anesthetic care [7]. The purpose of the preoperative visit is to assess the patient's fitness for anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction with continued versus divided anesthetic care

Harms

Nübling²,

Langewitz

et al. 2007

Journal of Clinical Anesthesia

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“…On the contrary, preoperative evaluation by teleconsultation will probably strengthen this in the near future [ 29 , 30 ]. Nevertheless, we are confronted with the fact that a considerable number of patients, in our case 40%, still assess continuity of care by the same physician as important [ 27 ]. Certainly, as the total problem score, including all patients in our setting, was only 15%, it could be argued that this is rather a luxury problem than a worthwhile issue.…”

Section: Discussionmentioning

confidence: 99%

“…In group 1 (n = 110), continuity of care was considered important, but was not received, leading to a mean total dissatisfaction score of 25% (95% CI [22][23][24][25][26][27][28]. In group 2 (n = 61), continuity of care was performed, leading to a mean score of 7% (95% CI 5-9).…”

Section: Patient Satisfactionmentioning

confidence: 99%

Patient satisfaction with divided anesthesia care

Koster

Björklund²,

Fenner³

et al. 2022

Anaesthesiologie

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Background Up to now, no prospective cohort study using a validated questionnaire has assessed patients’ expectation and perception of divided anesthesia care and its influence on patient satisfaction. Objective We assessed patient satisfaction with divided anesthesia care in a district general hospital in Switzerland. We hypothesized that patient expectations, combined with their perceptions of the (un)importance of continuous anesthesia care would influence patient satisfaction. Material and methods A total of 484 eligible in-patients receiving anesthesia from October 2019 to February 2020 were included and received preoperative information about divided care via a brochure and face-to-face. The primary outcome was the assessment of patient satisfaction with divided anesthesia care using a validated questionnaire. In group 1 continuity of care was considered important but not performed. In group 2 continuity was ensured. In group 3 continuity was regarded as not important and was not performed. In group 4 patients could not remember or did not answer. A psychometrically developed validated questionnaire was sent to patients at home after discharge. Results A total of 484 completed questionnaires (response rate 81%) were analyzed. In group 1 (n = 110) the mean total dissatisfaction score was 25% (95% confidence interval [CI] 21.8–28.1), in group 2 (n = 61) 6.8% (95% CI 4.8–8.7), in group 3 (n = 223) 12.1% (95% CI 10.7–13.4), and in group 4 (n = 90) 15% (95% CI 11–18); ANOVA: p < 0.001, η = 0.43. Of the patients 286 (59%) considered continuity of care by the same anesthetist relatively unimportant (34%) or not important at all (25%). The other 40% considered it important (22%) or very important (18%). Conclusion Despite receiving comprehensive preoperative information about divided anesthesia care, 40% of patients still considered continuity of care by the same anesthetist important. We recommend further research evaluating whether and how patient expectations can be modified towards the common practice of divided care and patient satisfaction can be increased.

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Patients want an anesthesiologist to plan and be in charge of their anesthesia

Cited by 4 publications

References 3 publications

Electrocardiography effects of Abelmoschus esculentus fruit extract and its isolated compounds using isolated frog heart perfusion

Electrocardiography effects of Abelmoschus esculentus fruit extract and its isolated compounds using isolated frog heart perfusion

Patient satisfaction with continued versus divided anesthetic care

Patient satisfaction with divided anesthesia care

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