Patients' experiences of cardiology procedures using minimal conscous sedation

Beddoes, Lenore, Botti, Mari and Duke, Maxine 2008, Patients' experiences of cardiology procedures using minimal conscous sedation, Heart and lung : the journal of acute and critical care, vol. 37, no. 3, pp. 196-204, doi: 10.1016/j.hrtlng.2007.05.012.

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Title Patients' experiences of cardiology procedures using minimal conscous sedation
Author(s) Beddoes, LenoreORCID iD for Beddoes, Lenore
Botti, MariORCID iD for Botti, Mari
Duke, MaxineORCID iD for Duke, Maxine
Journal name Heart and lung : the journal of acute and critical care
Volume number 37
Issue number 3
Start page 196
End page 204
Total pages 9
Publisher Mosby, Inc.
Place of publication St. Louis, Mo.
Publication date 2008
ISSN 0147-9563
Summary Aim: The study's purpose was to describe patients' experiences of minimal conscious sedation during diagnostic and interventional cardiology procedures.

Over a 6-week period, 119 consecutive patients (10% of annual throughput) from a major metropolitan hospital in Melbourne, Australia, were interviewed using a modified version of the American Pain Society Patient Outcome Questionnaire. Patients identified pain severity using a 10-point visual analogue scale and rated their overall comfort on a 6-point Likert scale ranging from very comfortable to very uncomfortable.

Results: Patients were aged 67.6 years (standard deviation 11.1), 70.8% were male, and the mean body mass index was 27.7 (standard deviation 4.8). Patients underwent diagnostic coronary angiography (67.5%), percutaneous coronary interventions (13.3%), or combined procedures (19.2%). Most patients (65%) were comfortable in the context of low-dose conscious sedation. Slight discomfort was reported by 26% of patients; 9% reported feeling uncomfortable primarily as a result of a combination of musculoskeletal pain, angina, and vasovagal symptoms experienced during the procedure. There was significant correlation (rho = .25, P = .01) between procedure length and patients' report of overall comfort, suggesting longer procedures were less comfortable for patients.

The minimal sedation protocol was effective for the majority of patients; however, 9% of patients experienced significant discomfort related to preexisting conditions, highlighting the need for individual patient assessment before, during, and after the procedure.

Language eng
DOI 10.1016/j.hrtlng.2007.05.012
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
HERDC collection year 2008
Copyright notice ©2008, Mosby
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