Qualitative study of clinician and patient perspectives on the mode of anaesthesia for emergency surgery

The British Journal of Surgery
J DooleyR Mouton

Abstract

Although delivering a chosen mode of anaesthesia for certain emergency surgery procedures is potentially beneficial to patients, it is a complex intervention to evaluate. This qualitative study explored clinician and patient perspectives about mode of anaesthesia for emergency surgery. Snowball sampling was used to recruit participants from eight National Health Service Trusts that cover the following three emergency surgery settings: ruptured abdominal aortic aneurysms, hip fractures and inguinal hernias. A qualitative researcher conducted interviews with clinicians and patients. Thematic analysis was applied to the interview transcripts. Interviews were conducted with 21 anaesthetists, 21 surgeons, 14 operating theatre staff and 23 patients. There were two main themes. The first, impact of mode of anaesthesia in emergency surgery, had four subthemes assessing clinician and patient ideas about: context and the 'best' mode of anaesthesia; balance in choosing it over others; change and developments in anaesthesia; and the importance of mode of anaesthesia in emergency surgery. The second, tensions in decision-making about mode of anaesthesia, comprised four subthemes: clinical autonomy and guidelines in anaesthesia; conforming t...Continue Reading

References

Mar 30, 2004·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·Paul Lillrank, Matti Liukko
Apr 7, 2007·Annals of Surgery·Hanna NilssonPär Nordin
Aug 22, 2007·Administration and Policy in Mental Health·Ketil Hanssen-BauerSonja Heyerdahl
Feb 19, 2011·Current Opinion in Anaesthesiology·Sven E A Staender, Ravi P Mahajan
Nov 22, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·C Eduardo Corrales, Robert K Jackler
Aug 3, 2014·The Bone & Joint Journal·K L HaywoodM L Costa
Jun 24, 2017·Sociology of Health & Illness·Graham P MartinUNKNOWN This study was carried out as part of a wider randomised controlled trial, EPOCH
Sep 15, 2017·Stroke; a Journal of Cerebral Circulation·Waleed BrinjikjiAlejandro A Rabinstein
Aug 24, 2018·The British Journal of Surgery·R MoutonR J Hinchliffe

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Citations

Feb 8, 2020·Anaesthesia·R A ArmstrongL Rooshenas
Mar 5, 2020·The British Journal of Surgery·R C Grossman
Jun 17, 2021·The British Journal of Surgery·J Yeung, C Small

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Methods Mentioned

BETA
sedation

Software Mentioned

NVivo

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