Kudaravalli Pujitha, Riaz Sana, Saleem Sheikh A, Pendela Venkata Satish, Austin Praise Njoku, Farenga Debra A, Lowe Dhruv, Arif Muhammad Osman
Internal Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.
Gastroenterology, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.
Cureus. 2020 Apr 16;12(4):e7693. doi: 10.7759/cureus.7693.
Millions of endoscopic procedures are performed in the US every year and the use of procedural sedation analgesia (PSA) is increasing with more procedures being performed outside the operating theater and gaining popularity due to reduced costs. Patients having endoscopic procedures usually expect that they would be deeply sedated during the procedure despite verbal counseling during pre-procedure clinic visits and are often dissatisfied with procedural awareness and discomfort. In order to better educate patients, written supplementary reading material was provided to the patients, which stated a clear goal of comfort during the procedure rather than deep sedation. The results showed that the written supplementary material did not improve the patient's understanding or remembrance of being counseled about moderate sedation. We emphasize that there is no substitute for a physician's repetitive verbal counseling.
在美国，每年要进行数百万例内镜检查手术，并且随着越来越多的手术在手术室之外进行，以及因成本降低而越来越受欢迎，程序性镇静镇痛（PSA）的使用正在增加。接受内镜检查手术的患者通常期望在手术过程中能被深度镇静，尽管在术前门诊就诊时已进行了口头咨询，但他们往往对术中知晓和不适感到不满。为了更好地对患者进行教育，已向患者提供了书面补充阅读材料，其中明确提出了手术过程中的舒适目标而非深度镇静。结果表明，书面补充材料并未提高患者对中度镇静咨询的理解或记忆。我们强调，医生反复的口头咨询是无可替代的。
