Gillies A, Gillies R, Weinberg L
Department of Anaesthesia, Maroondah Hospital, Victoria, Australia.
Anaesth Intensive Care. 2013 Mar;41(2):247-50. doi: 10.1177/0310057X1304100214.
There is widespread variation as to the method of presentation of informed anaesthetic consent with little empirical data on the nature of communication and how much information is retained. At a dedicated anaesthesia pre-admission clinic, 149 patients undergoing elective surgery under general anaesthesia were both verbally informed and shown written information about four major and three minor anaesthesia risks. The major risks were death, pneumonia, heart attack and stroke. The minor risks were dental damage, nausea and vomiting. On the day of scheduled surgery, retention of information about these anaesthetic risks was examined. Thirty-eight patients (26%) could not recall any anaesthesia risks, 55 patients (37%) could not recall any major risks and 126 patients (84%) could not recall any minor risks. Our findings indicate that patients should receive a second explanation on the day of surgery, even if informed consent was provided only two weeks earlier.
关于麻醉知情同意书的呈现方式存在广泛差异，而关于沟通性质以及患者记住多少信息的实证数据很少。在一家专门的麻醉术前门诊，149例接受全身麻醉下择期手术的患者，既接受了关于四种主要和三种次要麻醉风险的口头告知，也看了相关书面信息。主要风险是死亡、肺炎、心脏病发作和中风。次要风险是牙齿损伤、恶心和呕吐。在预定手术当天，对这些麻醉风险信息的记忆情况进行了检查。38例患者（26%）记不起任何麻醉风险，55例患者（37%）记不起任何主要风险，126例患者（84%）记不起任何次要风险。我们的研究结果表明，即使仅在两周前已获得知情同意，患者在手术当天仍应接受再次解释。
