Patient satisfaction with regional anaesthesia and general anaesthesia in upper limb surgeries: An open label, cross-sectional, prospective, observational clinical comparative study

• Published in: Indian journal of anaesthesia Vol. 65; no. 3; pp. 191 - 196
• Main Authors: Suresh, Priyanka, Mukherjee, Akash
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01.03.2021; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: Anesthesia; Atracurium; Bupivacaine; Comparative analysis; general anaesthesia; General anesthesia; Medical research; Medicine, Experimental; Observational studies; Original; Patient satisfaction; Questionnaires; regional anaesthesia; Regional anesthesia; Surgery; India; patient satisfaction; regional anaesthesia; General anaesthesia
• ISSN: 0019-5049; 0976-2817
• DOI: 10.4103/ija.IJA_1121_20

Background and Aims: An important assessment of the quality of health care is patient satisfaction. However, only few studies are available which look into this aspect. The primary objective of this study was to compare patient satisfaction between regional anaesthesia (RA) and general anaesthesia (GA) in patients undergoing upper limb surgeries. The length of hospital stay and duration of analgesia between the two techniques were the secondary objectives. Methods: This cross-sectional study was carried out in a tertiary care teaching hospital. Patients aged between 18 years and 60 years, of physical status American Society of Anesthesiologists (ASA) grade 1-3, undergoing upper limb surgeries were included in the study. Patient satisfaction with anaesthesia was assessed in patients receiving GA and RA, with 100 patients in each group, at least 24 h after the surgery with a 10-item predesigned peri-operative questionnaire. The continuous variables were compared between the groups using Mann-Whitney-Wilcoxon test, and for categorical variables Chi-square test was used. Results: The patients in group RA showed significantly higher satisfaction scores than those in GA (P < 0.001) with respect to all the 10 items of the questionnaire and the total score. Duration of analgesia was also significantly longer in RA than GA (P < 0.001). Duration of hospital stay was also significantly longer in GA than in RA (P < 0.001). Conclusions: RA for upper limb surgeries provides better patient satisfaction than GA, along with a longer duration of analgesia and lesser duration of hospital stay.