A survey of anesthetic preference and preoperative anxiety in hip and knee arthroplasty patients: the utility of the outpatient preoperative anesthesia appointment

Purpose The general public’s perceptions of anesthesia and the risks associated with it may be skewed. The outpatient preoperative appointment with an anesthesiologist allows for patient education regarding different anesthetic options and counseling regarding anxiety related to anesthesia and surge...

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Bibliographic Details
Published in:Journal of anesthesia 2019-04, Vol.33 (2), p.250-256
Main Authors: Raghavan, Gita, Shyam, Vidur, Murdoch, John A. C.
Format: Article
Language:English
Subjects:
Aged
Anesthesia, General - statistics & numerical data
Anesthesia, Spinal - statistics & numerical data
Anesthesiologists
Anesthesiology
Anesthetics - administration & dosage
Anxiety - epidemiology
Appointments and Schedules
Arthroplasty, Replacement, Knee - methods
Critical Care Medicine
Emergency Medicine
Female
Humans
Intensive
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Outpatients
Pain Medicine
Preoperative Care
Surveys and Questionnaires
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Summary:Purpose The general public’s perceptions of anesthesia and the risks associated with it may be skewed. The outpatient preoperative appointment with an anesthesiologist allows for patient education regarding different anesthetic options and counseling regarding anxiety related to anesthesia and surgery. This study investigates whether the preoperative appointment for hip and knee arthroplasty alters patient preference for general or spinal anesthesia and reduces patient anxiety. Methods Sixty-two patients undergoing hip or knee arthroplasty were administered two verbal questionnaires at the preoperative clinic. The first questionnaire was completed prior to meeting the anesthesiologist and addressed patient anesthetic preferences, previous anesthetic experiences, and perioperative anxiety and need for information using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The second questionnaire was completed immediately following the appointment and addressed the patient’s anesthetic preference, reasons for any preference changes, and anxiety levels and need for information using the APAIS. The clinic anesthesiologist was blinded to the nature of the study. Results Following the clinic appointment, a significant decrease in patients wanting general anesthesia (from 48 to 18%, P  
ISSN:0913-8668
1438-8359
DOI:10.1007/s00540-018-02608-y