Nightingale J J, Lack J A, Stubbing J F, Reed J
Department of Anaesthesia, Odstock Hospital, Salisbury, Wilts.
Anaesthesia. 1992 Sep;47(9):801-3. doi: 10.1111/j.1365-2044.1992.tb03261.x.
One hundred and thirty-two patients staying in hospital more than 24 h were visited pre- and postoperatively. Patients were asked a standard set of questions, and 39% could not remember accurately what they were asked. This has important medicolegal implications. In 15% of patients, information that significantly altered subsequent anaesthetic management was discovered, but in less than 3% would ignorance of the patient's condition have required postponement of the surgery. We conclude that the major reason for a pre-operative visit by an anaesthetist is that patients appreciate it, rather than it being medically necessary.
对132名住院超过24小时的患者进行了术前和术后访视。向患者询问了一组标准问题,39%的患者无法准确记得被问了什么。这具有重要的法医学意义。在15%的患者中,发现了显著改变后续麻醉管理的信息,但因患者病情不知情而需要推迟手术的不到3%。我们得出结论,麻醉医生进行术前访视的主要原因是患者重视它,而不是基于医学必要性。