Patient satisfaction in middle ear surgery under monitored anaesthesia care

Authors

  • Maya Lama Pokhara Academy of Health Sciences (PAHS), Pokhara, Nepal
  • Rohini Sigdel Pokhara Academy of Health Sciences (PAHS), Pokhara, Nepal
  • Sanish Gurung Pokhara Academy of Health Sciences (PAHS), Pokhara, Nepal
  • Krishna Bogati Green Pastures Hospital and Rehabilitation, Ear Centre, Nepal
  • Bibek Ranjit Green Pastures Hospital and Rehabilitation, Ear Centre, Nepal

DOI:

https://doi.org/10.3126/mjpahs.v1i2.23391

Keywords:

Satisfaction, middle ear surgery, monitored anaesthesia care

Abstract

Background: Monitored anaesthesia care is a specific anaesthesia service for diagnostic or therapeutic procedures performed under local anaesthesia along with sedation and analgesia titrated to a level with the provision to convert into general anaesthesia when required. We conducted a retrospective study to determine patient satisfaction in middle ear surgery under monitored anaesthesia care.

Materials and Methods: The number of patients undergoing middle ear surgery under monitored anaesthesia care, over a period of one year were included. They received sedation with midazolam 0.02 mg/kg and fentanyl 1 mcg/kg along with local anaesthetic infiltration. Patient’s satisfaction was measured using a five point Likert scale. Intraoperative pain, nausea, vomiting and other discomforts were inquired.

Results: The total number of patients was 64. Fifty-one patients (79.7%) were satisfied, 10 were neutral (15.6%) and 3 patients (4.7%) were dissatisfied with the technique. Earache (4.7%), followed by dizziness (3.1%) and bodyache (3.1%) were the most common cause of discomfort. Nausea occurred in 6 patients (9.4%) and vomiting in 5 patients (7.8%).

Conclusion: Middle ear surgeries can be performed under monitored anaesthesia care with good patient satisfaction.

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Author Biographies

Maya Lama, Pokhara Academy of Health Sciences (PAHS), Pokhara, Nepal

Department of Anaesthesia

Rohini Sigdel, Pokhara Academy of Health Sciences (PAHS), Pokhara, Nepal

Department of Anaesthesia,

Sanish Gurung, Pokhara Academy of Health Sciences (PAHS), Pokhara, Nepal

Department of Anaesthesia

Krishna Bogati, Green Pastures Hospital and Rehabilitation, Ear Centre, Nepal

Department of Anaesthesia

Bibek Ranjit, Green Pastures Hospital and Rehabilitation, Ear Centre, Nepal

Department of Anaesthesia

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Published

2019-03-31

Issue

Section

Articles