Implementing an Algorithm for Improving Patient Experience with Procedural Delays or Prolonged Pre-Procedural Stays

Peri-anesthesia patients can have prolonged wait times. This increases anxiety. This also leads to staff dissatisfaction, who feel helpless to resolve it. The Perioperative Clinical Practice Council (PCPC) addressed this using FOCUS-PDCA and a task force.
Source: Journal of PeriAnesthesia Nursing - Category: Nursing Authors: Tags: ASPAN National Conference Abstract Source Type: research

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Colonoscopy is essential for the diagnosis of many diseases, such as colorectal cancer, colorectal polyps and ulcerative colitis. Nevertheless, for the severe pain caused by colonoscopy, this examination is poorly tolerated. For people who have a very limit tolerance to anesthesia, it is important to find a method to ease their pain. Previous research found that music can reduce anxiety and pain during colonoscopy. The present study aimed to clarify the mechanism.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Saturday abstract Source Type: research
CONCLUSION: The present study may serve as the beginning of using music therapy for pain treatment in gastroenterology procedures in our hospital with/without sedation. Music and other non-pharmacological treatment methods must be remembered to increase patient comfort during enco/colonoscopies and other painful procedures. PMID: 30260780 [PubMed - in process]
Source: The Turkish Journal of Gastroenterology - Category: Gastroenterology Authors: Tags: Turk J Gastroenterol Source Type: research
Gastrointestinal endoscopies are invasive, unpleasant and sometimes painful procedures. Sedation is essential to reduce the anxiety, pain and also to increase their efficacy. Various sedation and analgesia regimens can be used, such as midazolam, fentanyl and propofol. Propofol is considered the best single sedation agent for endoscopy. Our purpose was to compare propofol alone and in combination with fentanyl for sedated colonoscopies.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Tuesday – ASGE poster Source Type: research
In our bronchoscopy unit there is wide variation among respiratory teams regarding use of topical anaesthesia (LA) and sedatives during flexible bronchoscopy (FB).Our aim was to assess if there is a disparity in patient comfort between different sedation practices.We included all patients undergoing FB, with their consent. Endoscopy nurses completed a survey at the end of each FB. Likert's scale (0-10); rating ease and comfort of FB, and Ramsay scale assessing depth of sedation were used. Patient phone surveys were conducted on the same day using Likert's scale. Bronchoscopy notes were reviewed. Kruskall Wallis and Chi squ...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: 1.4 Interventional Pulmonology Source Type: research
Goals of endoscopic sedation are to provide patients with a successful procedure, and ensure that they remain safe and are relieved from anxiety and discomfort; agents should provide efficient, appropriate sedation and allow patients to recover rapidly. Sedation is usually safe and effective; however, complications may ensue. This paper outlines some medicolegal aspects of endoscopic sedation, including informed consent, possible withdrawal of consent during the procedure, standard of care for monitoring sedation, use of anesthesia personnel to deliver sedation, and new agents and devices.
Source: Gastrointestinal Endoscopy Clinics of North America - Category: Gastroenterology Authors: Source Type: research
We describe a case of a 7-year-old autistic boy who required management of dental caries. He had a phobia to intravenous cannulation, displayed increasing anxiety and became combative on the day of surgery. With parental involvement and distraction, we succeeded in giving oral midazolam by concealing it, with the intent of avoiding intramuscular injection or unnecessary restraint. Lack of knowledge about the medical condition of such a patient can lead to inadequate preoperative preparation and use of restraint on the patient, which might cause anxiety or panic attacks in the operative room. To effectively manage children ...
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
A 16-year-old girl with generalized anxiety disorder and chronic abdominal pain presented for elective upper endoscopy and colonoscopy. Her medication list included fluoxetine and buspirone. Because of severe preoperative anxiety, 50% nitrous oxide was administered to facilitate intravenous catheter placement. Despite this, the patient was extremely tearful, so general anesthesia was induced with the addition of 8% sevoflurane.
Source: Journal of Clinical Anesthesia - Category: Anesthesiology Authors: Source Type: research
This study is designed to determine which drug forms provide ideal pharyngeal anesthesia when used during upper gastrointestinal system endoscopy. MATERIALS AND METHODS: A total of 180 patients were included in the study. Using the random number table, these patients were divided into three groups. Group 1, lidocaine gel+isotonic spray; Group 2, base lubricant gel+lidocaine spray; and Group 3: lidocaine gel+lidocaine spray. Data were collected from the patient identification form, compliance to operation form, and State Anxiety Inventory. RESULTS: Anesthetization and compliance to procedure scores were higher and...
Source: The Turkish Journal of Gastroenterology - Category: Gastroenterology Authors: Tags: Turk J Gastroenterol Source Type: research
ConclusionFor operative procedures, such as septorhinoplasty, a single agent tetracaine or levobupivicaine provide an improved surgical field. In functional endoscopic sinus surgery, lidocaine‐adrenaline preparations have resulted in significantly better surgical and patient outcomes. There is little evidence to support the routine use of pre‐procedural nasal preparation for flexible nasendoscopy. Those undergoing rigid endoscopy, conversely always require use of a vasoconstrictor and local anaesthetic. Pre‐procedure assessment of patients is recommended, with agents being rese...
Source: Clinical Otolaryngology - Category: ENT & OMF Authors: Tags: Systematic Review Source Type: research
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