[Anesthesiology consulting unit in perioperative medicine]. / Anestezjologiczna poradnia konsultacyjna w medycynie okolooperacyjnej.

There is a demand, caused by increase of one-day surgery, surgery of high risk patients with coexisting diseases, and growing need for patient education, for such improvement of preoperative preparation, which will enable an optimalization in patient care. That became a special task of Preanesthetic Evaluation Clinic. The aim of the paper was to analyze activity of local Preanesthetic Evaluation Clinic in years 1993-2000. Special emphasize was put on: assessment of Clinic functioning, with regard to variety of consultations, perioperative patient education, use of perioperative risk scales, processing of guidelines of laboratory tests in particular groups of patients, assessment of perioperative fear factors. Analyze of consultations was conducted using custom design computer program, operated in the "Clinic since" 1997. Discussing own experiences, a necessity of patient education was emphasized as a significant factor lowering perioperative fear. There was also a presentation of perioperative risk assessment methods as well as guidelines of laboratory tests improving clinical effectiveness. Information for patients, prepared in the Clinic "What should you know about anesthesia" was described. As conclusions perspectives of further development of the Clinic were shown. Growing significance of an anesthetic nurse in perioperative patient preparation was foreseen. A demand for improving electronic patient records as well as use of new technologies was proven.

[Patient satisfaction with anesthesia as a measure of quality of anesthesia care]. / Satysfakcja pacjenta znieczulanego pomiarem jakosci opieki anestezjologicznej.

Patient satisfaction with anaesthesia is very important as a expectancy satisfaction in perioperative care. It is simultaneously patient opinion about the anaesthetic care prior to and during anaesthesia, and shortly after the operation. The aim of the research was to evaluate the patient satisfaction and to determine the factors connected with satisfaction in the perioperative period Out of a total of 250 patients, 155 women (62%) and 95 men (48%) underwent general and local anaesthesia due to the operations. They answer 55 questions on the third day after the operation. At the same time anaesthesiologists and nurses evaluate the quality of theirselves anaesthesia. In the opinion of anaesthetic team the quality of anaesthesia was very good--51.6%, good--46.8% and adequate only 2.6%. Positive opinion about the quality of anaesthesia expressed 87% of patients, negative only 0.5% and 12.5% have no opinion. The very good atmosphere was in Preanaesthetic Evaluation Clinic and during the admission to the operating room. The factors decreased patient satisfaction immediately after the operation were breathing difficulties, vomiting, nausea, feeling coldness and pain. The main factors evaluating the quality of anaesthetic care and patient satisfaction are specific information, proper premedication and feeling safety in the operating room. On the other hand the discomfort and insufficient analgesia decreased patient satisfaction with anaesthesia.