A Postoperative Analysis of the Patients'
Attitude of Anesthesia in Siriraj Hospital
Pitimanaree S.,M.D.,santawat U.,M.D.,Neti T.,M.D.,
Luangnateetape A.,M.D.,Tengapiruk Y.,M.D.,Catithammanit
T.,M.D.
Department of Anesthesiology, Siriraj Hospital,Bangkok
10700
A postoperative questionnaire was
used in 185 patients undergoing a wide range of surgical procedures to assess their
personal attitudes and experiences of anesththesia in Siriraj teaching hospital
during a two-week period. Even though nearly 90 percent were satisfied with their
anesthetics received,up to 85 percent neither expected nor had any idea about their
anesthesia before operation. Twenty-two and 14 percent expected their anesthesia
to be without complications and with minor complications respectively. Neverthless
almost half of the patients who had previous anesthesia thought that their anesthesia
at this time was better than the previous ones.
Only 43 percent recognized that the anesthetist
was a doctor,compared with 90 percent who knew that the surgeon was. Prior to operation
46 percent required preanesthetic visit but 33 percent seemed not to recognized
the advantage of preanesthetic visit and 20 percent denied the visit. Nevertheless
at the postoperative period,the was 20 percent increasing in percentages of the
patients requiring preanesthetic visit and 93 percent appreciated its benefits. Fifty-five
percent were aware that preanesthetic visit would alleviate the anesthetic fear
and apprehension. It was surprising that 58 percent of the patients had premedication
by anesthetists but only 23 percent realized that they had preanesthetic visit.
This will reflect the anesthetist-patient relationship and the reason of widespread
underestimation of the anesthetists' status.