title: Anaesthesia and perioperative care in remote health camps: patients' concerns.
abstract: BACKGROUND
  Identifying patients' concerns and expectations regarding anaesthesia and perioperative care in mobile surgical camps is relevant for the camp workers. This prospective observational study was conducted to assess knowledge, concerns, and expectations about anaesthesia and perioperative care in patients undergoing surgery in mobile surgical camps in remote mountainous districts of Eastern Nepal.
  
  
  METHODS
  A questionnaire with seven items related to anaesthesia and perioperative care was used for interviewing 80 individuals of age > or = 12 years, 20 from each camp at Solukhumbu, Sankhuwasabha, Khotang and Bhojpur districts.
  
  
  RESULTS
  Data of two patients were lost leaving only 78 individuals for analysis. The mean age of the subjects was 30.5 (+/- 14.6) years with the male: female ratio of 43: 35. Fifty-eight (74.4%) patients had some gross idea about the modality of administration of anaesthetics. Twenty-six (33.3%) individuals preferred GA over local anaesthesia, whereas 22 (28.2%) were happy either way if there was no pain. Pain was the main concern for 73.1% of the patients. Of the 25 patients expressing fear of GA, death or not being able to wake up anymore was the main concern for 60.0%. Increasing age was associated with lower fear of GA (p < 0.05). Surgical experience was distressing for 17 (21.8%) patients. The overall experience of the anaesthesia and surgery was worse than expected for 25.6% of the patients.
  
  
  CONCLUSIONS
  Patients presenting to these health camps have limited knowledge regarding anaesthesia and perioperative care but have valid concerns and expectations in respect of their safety, comfort and outcome.
authors: Department of Anaesthesiology and Critical Care, BP Koirala Institute of Health Sciences (BPKIHS), Dharan-18, Sunsari, Nepal. bhattaraibk@yahoo.com
authors: B
authors: B
authors: Bhattarai
authors: A
authors: A
authors: Ghimire
authors: B K
authors: BK
authors: Baral
authors: A
authors: A
authors: Shrestha
authors: Y
authors: Y
authors: Dhungana
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000758:Anesthesia / Q000379:methods / Q000523:psychology*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009390:Nepal; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction; D011300:Preoperative Care / Q000379:methods / Q000523:psychology*; D011446:Prospective Studies; D019035:Rural Health Services / Q000458:organization & administration*; D012424:Rural Population; D011795:Surveys and Questionnaires