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Barbaro A, Paredes SR, Tran S, Kaur H, Arayne AA, Senaratne J. Cholecystectomy in the red centre: a review of the surgical outcomes in Central Australia in a five-year period. ANZ J Surg 2024. [PMID: 38682428 DOI: 10.1111/ans.19017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 03/26/2024] [Accepted: 04/18/2024] [Indexed: 05/01/2024]
Abstract
BACKGROUND Despite the high rates of cholecystectomy in Australia, there is minimal literature regarding the outcomes of cholecystectomy in rural Central Australia within the Northern Territory. This study aims to better characterize the outcomes for patients undergoing cholecystectomy in Central Australia and review clinical and patient characteristics, which may affect outcomes. METHOD A retrospective case-control study was performed using data obtained from medical records for all patients undergoing cholecystectomy at Alice Springs Hospital in the Northern Territory from January 2018 until December 2022. Patient characteristics were gathered, and key outcomes examined included: inpatient mortality and 30-day mortality, bile duct injury, bile leak, return to theatre, conversion to open, duration of procedure, length of stay, and up-transfer to a tertiary referral centre. RESULTS A total of 466 patients were included in this study. Majority of the patients were female and there was a large portion of Indigenous Australians (56%). There were no inpatient mortalities, or 30-day mortalities recorded. There were two bile leaks and/or bile duct injuries (0.4%) and two unplanned returned to theatres (0.4%). Indigenous Australians were more likely to require an emergency operation and had a longer median length of stay (P < 0.001). CONCLUSION Cholecystectomy can be performed safely and to a high standard in Central Australia. Surgeons in Central Australia must appreciate the nuances in the management of patients who come from a significantly different socioeconomic background, with complex medical conditions when compared to metropolitan centres.
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Affiliation(s)
- Antonio Barbaro
- Department of Surgery, Alice Springs Hospital, Alice Springs, Northern Territory, Australia
- Department of Surgery, University of Adelaide, Adelaide, South Australia, Australia
| | - Steven Ronald Paredes
- Department of Surgery, Alice Springs Hospital, Alice Springs, Northern Territory, Australia
- School of Medicine, University of Sydney, Sydney, New South Wales, Australia
| | - Steven Tran
- Department of Surgery, Alice Springs Hospital, Alice Springs, Northern Territory, Australia
| | - Harleen Kaur
- Department of Surgery, Alice Springs Hospital, Alice Springs, Northern Territory, Australia
- Department of Surgery, Lyell McEwin Hospital, Adelaide, South Australia, Australia
| | | | - Jayantha Senaratne
- Department of Surgery, Alice Springs Hospital, Alice Springs, Northern Territory, Australia
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Peake B, Smirk A, Debelak G. Indigenous art-themed personalised theatre caps improve patient perioperative experience and perceived staff communication in the operating theatre: a quality improvement project at Royal Darwin Hospital in Australia. BMC Res Notes 2024; 17:31. [PMID: 38246988 PMCID: PMC10801928 DOI: 10.1186/s13104-024-06690-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 01/09/2024] [Indexed: 01/23/2024] Open
Abstract
BACKGROUND Personalised theatre caps have been shown to improve staff communication in the operating theatre. The impact of these caps on the patient perioperative experience, particularly in Indigenous Australian patients, has not been well established. METHODOLOGY Surgical patients and operating theatre staff at Royal Darwin Hospital in Australia were surveyed before and after the introduction of Indigenous art-themed personalised (name and role) theatre caps in October 2021 and January 2022. Staff name and role visibility in operating theatres was also audited. RESULTS A total of 223 staff and patients completed surveys. Most patients reported the theatre caps to be helpful (90%, 95% confidence interval [CI] 81-99) and felt more comfortable because staff were wearing them (91%, 95% CI 82-100). These results were consistent across Indigenous and non-Indigenous patients. The majority of staff agreed that personalised name and role theatre caps improved staff communication (89%, 95% CI 81-97), improved the staff-patient interaction (77%, 95% CI 67-87), and made it easier to use staff names (100%). Staff name and role visibility increased from 8 to 51% (p < 0.001) after the introduction of personalised theatre caps. CONCLUSIONS The introduction of Indigenous art-themed personalised theatre caps for operating theatre staff at Royal Darwin Hospital improved perceived staff communication and the patient perioperative experience.
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Affiliation(s)
- Benjamin Peake
- Department of Anaesthesia and Perioperative Medicine, Royal Darwin Hospital, Darwin, NT, Australia.
| | - Alexander Smirk
- Department of Anaesthesia and Perioperative Medicine, Royal Darwin Hospital, Darwin, NT, Australia
| | - Guy Debelak
- Department of Anaesthesia and Perioperative Medicine, Royal Darwin Hospital, Darwin, NT, Australia
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Berhe YW, Agegnehu T, Endeshaw M, Riskey N, Kassaw G. Quality of anesthetist communication with surgical patients in the perioperative setting: a survey at an academic tertiary referral hospital in Ethiopia. Patient Saf Surg 2023; 17:11. [PMID: 37208731 DOI: 10.1186/s13037-023-00361-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Accepted: 05/01/2023] [Indexed: 05/21/2023] Open
Abstract
BACKGROUND Effective communication is a fundamental step in providing best medical care and recognized as vital component of clinical anesthesia practice. Poor communication adversely affects patients' safety and outcome. The objective of this study was to investigate the quality of anesthetist communication from patients' perspectives at University of Gondar Comprehensive Specialized Hospital (UoGCSH), Northwest Ethiopia. METHODOLOGY A descriptive cross-sectional study was conducted on 423 surgical patients from April 1, - May 30, 2021. Perioperative patient-anesthetist communication (PPAC) was measured by using 15-items Communication Assessment Tool graded by 5-points Likert scale. Data collection was executed during postoperative time as the patients were optimally recovered from anesthesia. The collected data were cleaned and descriptive analysis was performed. RESULTS A total of 400 (94.6% response rate) patients included and 226 (56.7%) were female. The median (IQR) age was 30 (25 - 40) years. Three-hundreds and sixty-one (90.3%) patients had reported good PPAC and 39 (9.8%) reported poor PPAC. The median (IQR) of PPAC scores was 53.0 (48.0 - 57.0) and range from 27 to 69. Highest mean score was observed for the item "Talked in terms I could understand" (4.3 ± 0.7). Lowest mean scores were observed for the item "Checked to be sure I understood everything" (1.9 ± 0.9). Patients who had underwent emergency surgery, no previous anesthetic exposure, had significant preoperative anxiety, no history of previous hospital admission, and moderate-severe preoperative pain were found to have poor PPAC compared to their counterparts in the proportions of 82.1%, 79.5%, 69.2%, 64.1%, and 59.0% respectively. CONCLUSIONS There was good PPAC in our hospital from patients' perspective. However, there should be improvements in checking the degree of understanding of the delivered information, encouraging to question, disclosing next steps and involving in decision-making. Patients who underwent emergency surgery, had no previous anesthetic exposure, had clinically significant level of preoperative anxiety, had no history of previous hospital admission, and had moderate-severe preoperative pain were found to have poor PPAC.
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Affiliation(s)
| | - Temesgen Agegnehu
- Department of Surgery, Debre Markos University, Debre Markos, Ethiopia
| | | | - Nurhusen Riskey
- Department of Anesthesia, University of Gondar, Gondar, Ethiopia
| | - Getasew Kassaw
- Department of Internal Medicine, University of Gondar, Gondar, Ethiopia
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4
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de Jager E, Gunnarsson R, Ho YH. Self-discharge as a marker of surgical cultural competency and cultural safety for Aboriginal and/or Torres Strait Islander patients. ANZ J Surg 2022; 93:807-809. [PMID: 36582020 DOI: 10.1111/ans.18238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 12/15/2022] [Accepted: 12/18/2022] [Indexed: 12/31/2022]
Affiliation(s)
- Elzerie de Jager
- College of Medicine and Dentistry, The James Cook University, Townsville, Queensland, Australia
| | - Ronny Gunnarsson
- General Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, the Sahlgrenska Academy, University of Gothenburg, Goteborg, Sweden.,Research, Education, Development & Innovation, Primary Health Care, Västra Götaland Region, Sweden.,Primary Health Care Center for Homeless People, Närhälsan, Västra Götaland Region, Sweden
| | - Yik-Hong Ho
- College of Medicine and Dentistry, The James Cook University, Townsville, Queensland, Australia.,Townsville Clinical School, The Townsville Hospital, Townsville, Queensland, Australia
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de Jager E, Gunnarsson R, Ho YH. Emergency to Elective Surgery Ratio as a Disparities Sensitive Surgical Access Metric, A Study of Low Socioeconomic Status in Australia. World J Surg 2022; 46:776-783. [PMID: 34989836 DOI: 10.1007/s00268-021-06434-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/18/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND The emergency to elective surgery ratio is a proposed indicator for global access to surgical care. There is a well-established link between low socioeconomic status and increased morbidity and mortality. This study examined the emergency to elective surgery ratios for low socioeconomic patients utilising both self-reported unemployment and the neighbourhood Index of Economic Resources (IER). METHODS A retrospective study was conducted at a regional tertiary care centre in Australia, including data over a ten-year period (2008-2018). Multivariable logistic regression adjusting for year, age, sex, Charlson Comorbidity Index, rurality, and if surgeries were due to trauma or injuries, was performed. RESULTS 84,014 patients underwent a surgical procedure in the period examined; 29.0% underwent emergency surgery, 5.31% were unemployed, and 26.6% lived in neighbourhoods with the lowest IER. Following multivariable testing, the rate of emergency surgery was higher for unemployed patients (OR 1.42 [1.32-1.52], p < 0.001), and for those from the lowest IER (OR 1.13 [1.08-1.19], p < 0.001). For unemployed patients, this disparity increased during the study period (OR 1.32 [2008-2012], OR 1.48 [2013-2018]). When stratified by specialty, most (7/11) had significant disparities for unemployed patients: Cardiac/Cardiothoracic, Otolaryngology, Maxillofacial/Dental, Obstetrics/Gynaecology, Orthopaedics, Plastics, and Vascular surgery. CONCLUSIONS Unemployed Australians and those residing in the most disadvantaged IER neighbourhoods had higher emergency to elective surgery rates. The disparity in emergency to elective surgery rates for unemployed patients was found in most surgical specialties and increased over the period examined. This suggests a widespread and potentially increasing disparity in access to surgical care for patients of socioeconomic disadvantage, specifically for those who are unemployed.
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Affiliation(s)
- Elzerie de Jager
- College of Medicine and Dentistry, The James Cook University, 1 James Cook Drive, Townsville, QLD, 4811, Australia.
| | - Ronny Gunnarsson
- General Practice/Family Medicine, Institute of Medicine, School of Public Health and Community Medicine, The Sahlgrenska Academy, University of Gothenburg, PO BOX 453, 405 30, Goteborg, Sweden
- Research, Education, Development and Innovation, Primary Health Care, Region Västra Götaland, Västra Götaland, Sweden
- Primary Health Care Clinic for Homeless People, Närhälsan, Region Västra Götaland, Västra Götaland, Sweden
| | - Yik-Hong Ho
- College of Medicine and Dentistry, The James Cook University, 1 James Cook Drive, Townsville, QLD, 4811, Australia
- Townsville Clinical School, The Townsville Hospital, 100 Angus Smith Drive, Townsville, QLD, 4818, Australia
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Jones B, Heslop D, Harrison R. Seldom heard voices: a meta-narrative systematic review of Aboriginal and Torres Strait Islander peoples healthcare experiences. Int J Equity Health 2020; 19:222. [PMID: 33317556 PMCID: PMC7734845 DOI: 10.1186/s12939-020-01334-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 11/26/2020] [Indexed: 11/11/2022] Open
Abstract
Background It is well established that Aboriginal and Torres Strait Islander populations face considerable health inequities, exacerbated by poorer healthcare quality. Patient experience is recognised as a major contributing factor to healthcare quality and outcomes, therefore, enriched knowledge of the patient experiences of Aboriginal and Torres Strait Islander populations is critical to redress health inequities. This review synthesises evidence of the healthcare experiences amongst Aboriginal and Torres Strait Islander patients through a metanarrative synthesis of qualitative literature. Methods A systematic search strategy was developed and applied to six electronic databases between January 2000 and July 2019. Titles and abstracts were screened before applying the inclusion criteria to full text articles. A meta-narrative synthesis was undertaken. Results Fifty-four publications were identified from four research traditions; each with a unique conceptualisation of patient experience. Three themes emerged that demonstrate Aboriginal and Torres Strait Islander patient experiences are informed by 1) beliefs about wellbeing and healthcare provision, 2) their level of trust in the healthcare system, and 3) individual and community health system interactions. The findings highlight a range of aspects of patient experience that were important to participating Aboriginal and Torres Strait Islanders in the included studies but not captured currently in health system surveys. Conclusion This review highlights the influence of beliefs about health and wellbeing on the patient experience amongst Aboriginal and Torres Strait Islander populations in the Australian health system. Patient experiences were informed by past experience and their trust in the health system. The different factors influencing patient experience and the gravity of their influence must be considered in current approaches to capturing patient experience data collection methods. Trial registration PROSPERO (ID: CRD42019134765).
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Affiliation(s)
- Benjamin Jones
- School of Public Health and Community Medicine, UNSW Sydney, Sydney, Australia
| | - David Heslop
- School of Public Health and Community Medicine, UNSW Sydney, Sydney, Australia
| | - Reema Harrison
- School of Public Health and Community Medicine, UNSW Sydney, Sydney, Australia.
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Jager E, Gunnarsson R, Ho Y. Measuring the quality of surgical care provision to Aboriginal and Torres Strait Islander patients. ANZ J Surg 2019; 89:1537-1538. [DOI: 10.1111/ans.15535] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Revised: 09/30/2019] [Accepted: 10/03/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Elzerie Jager
- Center for Surgery and Public Health, Brigham and Women's HospitalHarvard Medical School Boston Massachusetts USA
- College of Medicine and DentistryJames Cook University Townsville Queensland Australia
| | - Ronny Gunnarsson
- Primary Health Care, Public Health and Community Medicine, Institute of Medicine, Sahlgrenska AcademyUniversity of Gothenburg Gothenburg Sweden
- Region Vasta Gotland, Research and Development Primary Health CareResearch and Development Center Sodra Alvsborg Gothenburg Sweden
- Center for Antibiotic Resistance ResearchUniversity of Gothenburg Gothenburg Sweden
| | - Yik‐Hong Ho
- College of Medicine and DentistryJames Cook University Townsville Queensland Australia
- Townsville Clinical SchoolThe Townsville Hospital Townsville Queensland Australia
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Ralph AP, Lowell A, Murphy J, Dias T, Butler D, Spain B, Hughes JT, Campbell L, Bauert B, Salter C, Tune K, Cass A. Low uptake of Aboriginal interpreters in healthcare: exploration of current use in Australia's Northern Territory. BMC Health Serv Res 2017; 17:733. [PMID: 29141623 PMCID: PMC5688693 DOI: 10.1186/s12913-017-2689-y] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Accepted: 11/07/2017] [Indexed: 11/30/2022] Open
Abstract
Background In Australia’s Northern Territory, most Aboriginal people primarily speak an Aboriginal language. Poor communication between healthcare providers and Aboriginal people results in adverse outcomes including death. This study aimed to identify remediable barriers to utilisation of Aboriginal Interpreter services at the Northern Territory’s tertiary hospital, which currently manages over 25,000 Aboriginal inpatients annually. Methods This is a multi-method study using key stakeholder discussions, medical file audit, bookings data from the Aboriginal Interpreter Service 2000–2015 and an online cross-sectional staff survey. The Donabedian framework was used to categorise findings into structure, process and outcome. Results Six key stakeholder meetings each with approximately 15 participants were conducted. A key structural barrier identified was lack of onsite interpreters. Interpreter bookings data revealed that only 7603 requests were made during the 15-year period, with completion of requests decreasing from 337/362 (93.1%) in 2003–4 to 649/831 (78.1%) in 2014–15 (p < 0.001). Non-completion was more common for minority languages (p < 0.001). Medical files of 103 Aboriginal inpatients were audited. Language was documented for 13/103 (12.6%). Up to 60/103 (58.3%) spoke an Aboriginal language primarily. Of 422 staff who participated in the survey, 18.0% had not received ‘cultural competency’ training; of those who did, 58/222 (26.2%) indicated it was insufficient. The Aboriginal Interpreter Service effectiveness was reported to be good by 209/368 (56.8%), but only 101/367 (27.5%) found it timely. Key process barriers identified by staff included booking complexities, time constraints, inadequate delivery of tools and training, and greater convenience of unofficial interpreters. Conclusion We identified multiple structural and process barriers resulting in the outcomes of poor language documentation and low rates of interpreter bookings. Findings are now informing interventions to improve communication. Electronic supplementary material The online version of this article (10.1186/s12913-017-2689-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Anna P Ralph
- Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia. .,Royal Darwin Hospital, Darwin, NT, Australia.
| | - Anne Lowell
- Research Centre for Health and Wellbeing, Charles Darwin University, Darwin, NT, Australia
| | - Jean Murphy
- Royal Darwin Hospital, Darwin, NT, Australia
| | - Tara Dias
- Office of Aboriginal Health Policy & Engagement, Department of Health, Northern Territory Government, Darwin, NT, Australia
| | - Deborah Butler
- Office of Aboriginal Health Policy & Engagement, Department of Health, Northern Territory Government, Darwin, NT, Australia
| | - Brian Spain
- Royal Darwin Hospital, Darwin, NT, Australia
| | - Jaquelyne T Hughes
- Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.,Royal Darwin Hospital, Darwin, NT, Australia
| | | | | | - Claire Salter
- Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia
| | - Kylie Tune
- Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia
| | - Alan Cass
- Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia
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Paternotte E, van Dulmen S, van der Lee N, Scherpbier AJJA, Scheele F. Factors influencing intercultural doctor-patient communication: a realist review. PATIENT EDUCATION AND COUNSELING 2015; 98:420-45. [PMID: 25535014 DOI: 10.1016/j.pec.2014.11.018] [Citation(s) in RCA: 65] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2014] [Revised: 10/23/2014] [Accepted: 11/17/2014] [Indexed: 05/10/2023]
Abstract
OBJECTIVE Due to migration, doctors see patients from different ethnic backgrounds. This causes challenges for the communication. To develop training programs for doctors in intercultural communication (ICC), it is important to know which barriers and facilitators determine the quality of ICC. This study aimed to provide an overview of the literature and to explore how ICC works. METHODS A systematic search was performed to find literature published before October 2012. The search terms used were cultural, communication, healthcare worker. A realist synthesis allowed us to use an explanatory focus to understand the interplay of communication. RESULTS In total, 145 articles met the inclusion criteria. We found ICC challenges due to language, cultural and social differences, and doctors' assumptions. The mechanisms were described as factors influencing the process of ICC and divided into objectives, core skills and specific skills. The results were synthesized in a framework for the development of training. CONCLUSION The quality of ICC is influenced by the context and by the mechanisms. These mechanisms translate into practical points for training, which seem to have similarities with patient-centered communication. PRACTICE IMPLICATIONS Training for improving ICC can be developed as an extension of the existing training for patient-centered communication.
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Affiliation(s)
- Emma Paternotte
- Department of Healthcare Education, Sint Lucas Andreas hospital, Amsterdam, The Netherlands.
| | - Sandra van Dulmen
- NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands; Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands; Faculty of Health Sciences, Buskerud and Vestfold University College, Drammen, Norway.
| | - Nadine van der Lee
- Department of Healthcare Education, Sint Lucas Andreas hospital, Amsterdam, The Netherlands.
| | - Albert J J A Scherpbier
- Institute for Medical Education, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
| | - Fedde Scheele
- Medical School of Sciences, Vu University Medical Center, Amsterdam, The Netherlands.
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Alford V, Remedios L, Ewen S, Webb G. Communication in indigenous healthcare: extending the discourse into the physiotherapy domain. J Physiother 2014; 60:63-5. [PMID: 24952832 DOI: 10.1016/j.jphys.2014.05.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2014] [Accepted: 05/13/2014] [Indexed: 11/25/2022] Open
Affiliation(s)
| | | | - Shaun Ewen
- Faculty of Medicine, Dentistry and Health Science, The University of Melbourne, Victoria, Australia
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Almodin J, Ichhpujani P, Prasad A, Fudemberg SJ, Moster MR. The Blitz Anesthesia Technique in Non-English Speaking Patients Undergoing Glaucoma Surgery. J Curr Glaucoma Pract 2012; 6:91-93. [PMID: 28028352 PMCID: PMC5161773 DOI: 10.5005/jp-journals-10008-1112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2012] [Accepted: 02/28/2012] [Indexed: 11/23/2022] Open
Abstract
AIM To describe a less invasive method of providing anesthesia in non-English speaking patients undergoing glaucoma surgery. SETTINGS AND DESIGN Prospective observational study conducted in a tertiary Care Eye Institute, Wills Eye Institute, Philadelphia, PA, USA. MATERIALS AND METHODS The blitz anesthesia technique was applied to 15 non-English speaking patients (Vietnamese, Mandarin, Russian and Korean) during glaucoma surgery. With input from family members, a diagram was created for each patient. The diagram consisted of a translation and phonetic guide to pronunciation of common words or phrases in the patient's native language that might be used by the surgical team during the operation. RESULTS The blitz anesthesia technique worked well to provide patient comfort during the procedures. All patients reported adequate pain control and described their experience as comfortable. Additionally, patients reported feeling reassured that they were able to understand basic information from the surgical team during their case. This technique decreased patient anxiety prior to and during the surgical procedure. CONCLUSION Blitz anesthesia provided adequate pain control with no complications. KEY MESSAGE Blitz anesthesia with a phonetic language diagram, a less invasive technique of providing anesthesia in non-English speaking patients undergoing glaucoma surgery. HOW TO CITE THIS ARTICLE Almodin J, Ichhpujani P, Prasad A, Fudemberg SJ, Moster MR. The Blitz Anesthesia Technique in Non-English Speaking Patients Undergoing Glaucoma Surgery. J Current Glau Prac 2012;6(2):91-93.
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Affiliation(s)
- Juliana Almodin
- Anne and William Goldberg Glaucoma Service, Wills Eye Institute Jefferson Medical College, Philadelphia, PA, USA
| | - Parul Ichhpujani
- Anne and William Goldberg Glaucoma Service, Wills Eye Institute Jefferson Medical College, Philadelphia, PA, USA
| | - Arun Prasad
- Anne and William Goldberg Glaucoma Service, Wills Eye Institute Jefferson Medical College, Philadelphia, PA, USA
| | - Scott J Fudemberg
- Anne and William Goldberg Glaucoma Service, Wills Eye Institute Jefferson Medical College, Philadelphia, PA, USA
| | - Marlene R Moster
- Anne and William Goldberg Glaucoma Service, Wills Eye Institute Jefferson Medical College, Philadelphia, PA, USA
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Evans W. Bibliography. HEALTH COMMUNICATION 2005; 17:205-210. [PMID: 15718197 DOI: 10.1207/s15327027hc1702_6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Affiliation(s)
- William Evans
- Institute for Communication and Information Research, University of Alabama, Tuscaloosa, 35487-0172, USA.
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