Universität zu Köln

Chang, De-Hua, Hiss, Sonja, Herich, Lena, Becker, Ingrid ORCID: 0000-0001-5829-3553, Mammadov, Kamal ORCID: 0000-0003-2178-4898, Franke, Mareike, Mpotsaris, Anastasios ORCID: 0000-0002-1275-8164, Kleinert, Robert, Persigehl, Thorsten, Maintz, David and Bangard, Christopher (2015). Implantation of venous access devices under local anesthesia: patients' satisfaction with oral lorazepam. Patient Prefer. Adherence, 9. S. 943 - 950. ALBANY: DOVE MEDICAL PRESS LTD. ISSN 1177-889X

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Abstract

Objective: The aim of the study reported here was to evaluate patients' satisfaction with implantation of venous access devices under local anesthesia (LA) with and without additional oral sedation. Materials and methods: A total of 77 patients were enrolled in the prospective descriptive study over a period of 6 months. Subcutaneous implantable venous access devices through the subclavian vein were routinely implanted under LA. Patients were offered an additional oral sedative (lorazepam) before each procedure. The level of anxiety/tension, the intensity of pain, and patients' satisfaction were evaluated before and immediately after the procedure using a visual analog scale (ranging from 0 to 10) with a standardized questionnaire. Results: Patients' satisfaction with the procedure was high (mean: 1.3 +/- 2.0) with no significant difference between the group with premedication and the group with LA alone (P=0.54). However, seven out of 30 patients (23.3%) in the group that received premedication would not undergo the same procedure without general anesthesia. There was no significant influence of lorazepam on the intensity of pain (P=0.88). In 12 out of 30 patients (40%) in the premedication group, the level of tension was higher than 5 on the visual analog scale during the procedure. In 21 out of 77 patients (27.3%), the estimate of the level of tension differed between the interventionist and the patient by 3 or more points in 21 out of 77 patients (27.3%). Conclusion: Overall patient satisfaction is high for implantation of venous access devices under LA. A combination of LA with lorazepam administered orally might not be adequate for patients with a high level of anxiety and tension. The level of tension is often underestimated by the interventionist. Pre-procedural standardized questionnaires could be used to identify patients for whom a gradual approach of individualized sedation may be more effective.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Chang, De-Hua UNSPECIFIED UNSPECIFIED UNSPECIFIED Hiss, Sonja UNSPECIFIED UNSPECIFIED UNSPECIFIED Herich, Lena UNSPECIFIED UNSPECIFIED UNSPECIFIED Becker, Ingrid UNSPECIFIED orcid.org/0000-0001-5829-3553 UNSPECIFIED Mammadov, Kamal UNSPECIFIED orcid.org/0000-0003-2178-4898 UNSPECIFIED Franke, Mareike UNSPECIFIED UNSPECIFIED UNSPECIFIED Mpotsaris, Anastasios UNSPECIFIED orcid.org/0000-0002-1275-8164 UNSPECIFIED Kleinert, Robert UNSPECIFIED UNSPECIFIED UNSPECIFIED Persigehl, Thorsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Maintz, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Bangard, Christopher UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-419597
DOI:	10.2147/PPA.S80330
Journal or Publication Title:	Patient Prefer. Adherence
Volume:	9
Page Range:	S. 943 - 950
Date:	2015
Publisher:	DOVE MEDICAL PRESS LTD
Place of Publication:	ALBANY
ISSN:	1177-889X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BONE-MARROW BIOPSY; SEDATION; CANCER Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41959