Abstract
Background: Bronchoscopy is routinely performed by the Chest physicians and is explained to the patients before they give written consent. We wanted to see if the patients undergoing the procedure at Royal Bolton hospital, UK were satisfied with our explanation and see if anxious patients need higher doses of sedation.
Methods: Patients were asked to fill the satisfaction questionnaire with 8 domains just before undergoing procedure. Interpreters were used for the non-English speaking patients.
Results: 61 patients, undergoing bronchoscopy between Jan 2009 to Jun 2009 answered survey questions with domains in (Table 1) rating their satisfaction between 1-10. Ratings >6 were considered good response except for domain 8 where <5 considered less anxious.
22% did not receive written leaflets.
Of 27 anxious patients, only 7 (26%) needed more sedation than the mean dose of 2 mg midazolam and 6/34 (18%) less anxious patients also had bigger doses.
Conclusions: Patients were generally satisfied with our bronchoscopy explanation. There is poor correlation between anxiety ratings and doses of sedation.
Educating trainees on broncoscopy explanation, repeating verbal information about procedure with patients at the time of consent and just before the test and giving written leaflets to all the patients at first explanation should improve overall satisfaction.
- © 2011 ERS