当病人的期望没有得到满足:一个病例报告。

IF 0.5 A&A Practice Pub Date : 2023-06-19 eCollection Date: 2023-06-01 DOI:10.1213/XAA.0000000000001686

Aaron Sadowsky, Yoad Porat, Adeel A Faruki, Jillian S Vitter

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引用次数: 0

摘要

成功的麻醉发生在安全、有效的围手术期护理与患者满意度相结合的情况下。我们报告一位63岁晚期帕金森氏症女性患者，在麻醉监护(MAC)下接受深部脑刺激(DBS)设备电池更换。虽然MAC通常用于DBS电池更换，但我们的患者报告先前在MAC下经历术中疼痛，焦虑和无法沟通不适，导致创伤后应激障碍。本病例报告强调了术前知情同意、讨论患者期望以及在选择MAC方法时积极规划术中沟通策略的重要性。

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When Patient Expectations Are Not Met: A Case Report.

Successful anesthetics occur when safe, effective perioperative care is coupled with patient satisfaction. We present the case of a 63-year-old woman with advanced Parkinson's disease who presented for a deep brain stimulation (DBS) device battery change under monitored anesthesia care (MAC). While MAC is commonly utilized for a DBS battery change, our patient reported previously experiencing intraoperative pain, anxiety, and the inability to communicate discomfort under MAC, leading to posttraumatic stress disorder. This case report highlights the importance of preoperative informed consent, discussion of patient expectations, and proactive planning for intraoperative communication strategies when MAC is the chosen method.

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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.