ArticleBMC anesthesiology2023
A survey of surgical patients' perspectives and preferences towards general anesthesia techniques and shared-decision making.
Article in BMC anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Key targets for activating anaesthesia shared decision-making: a mixed methods systematic review.Anaesthesia · 2026Pooled it
- Comment on 'Moral injury in clinical and academic medicine-it is time to act': the role of stakes-dependent invisibility (BJA open · 2026Article
- Tissue-Preserving Inframammary Fold Breast Augmentation: A 3-Year Clinical Experience.Aesthetic surgery journal · 2026Observational
- Predictors and reasons for conversion of laparoscopic to open cholecystectomy: a five-year cohort study.Surgical endoscopy · 2026Article
- Barriers and enablers to sustainable anaesthetic practice: a mixed-methods study.British journal of anaesthesia · 2026Article
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- Article
- Improved Perioperative Risk Education Through the Use of an Interactive Online Anaesthesia Education Tool (iPREDICT): A Prospective, Randomised Controlled Single-Centre Clinical Trial.Journal of clinical medicine · 2025Article
- Preparing to implement shared decision making in anaesthesia for hip fracture surgery: a qualitative interview study.British journal of anaesthesia · 2025Article
- Public Awareness About the Role of Anesthesiologists in Jeddah, Saudi Arabia: A Cross-Sectional Study.Cureus · 2025Article
- Environmental and patient safety outcomes of a health-system Green Anesthesia Initiative (GAIA): a retrospective observational cohort study.The Lancet. Planetary health · 2025Observational
- Refining, implementing, and evaluating an anesthesia choice conversation aid for older adults with hip fracture: protocol for a stepped wedge cluster randomized trial.Implementation science communications · 2024Article
- Mortality and morbidity after total intravenous anaesthesia versus inhalational anaesthesia: a systematic review and meta-analysis.EClinicalMedicine · 2024Article
- Description of the Content and Quality of Publicly Available Information on the Internet About Inhaled Volatile Anesthesia and Total Intravenous Anesthesia: Descriptive Study.JMIR perioperative medicine · 2023Article
- Enhanced perioperative communication elevates patients' understanding, perception, and satisfaction for anesthesia services: Insights from a survey study.Saudi journal of anaesthesiaArticle
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe decision about which type of general anesthetic to administer is typically made by the clinical team without patient engagement. This study examined patients' preferences, experiences, attitudes, beliefs, perceptions, and perceived social norms about anesthesia and about engaging in the decision regarding general anesthetic choice with their clinician.
methodsWe conducted a survey in the United States, sent to a panel of surgical patients through Qualtrics (Qualtrics, Provo, UT) from March 2022 through May 2022. Questions were developed based on the Theory of Planned Behavior and validated measures were used when available. A patient partner who had experienced both intravenous and inhaled anesthesia contributed to the development and refinement of the questions.
resultsA total of 806 patients who received general anesthesia for an elective procedure in the last five years completed the survey. 43% of respondents preferred a patient-led decision making role and 28% preferred to share decision making with their clinical team, yet only 7.8% reported being engaged in full shared decision making about the anesthesia they received. Intraoperative awareness, pain, nausea, vomiting and quickly returning to work and usual household activities were important to respondents. Waking up in the middle of surgery was the most commonly reported concern, despite this experience being reported only 8% of the time. Most patients (65%) who searched for information about general anesthesia noted that it took a lot of effort to find the information, and 53% agreed to feeling frustrated during the search.
conclusionsMost patients prefer a patient-led or shared decision making process when it comes to their anesthetic care and want to be engaged in the decision. However, only a small percentage of patients reported being fully engaged in the decision. Further studies should inform future shared decision-making tools, informed consent materials, educational materials and framing of anesthetic choices for patients so that they are able to make a choice regarding the anesthetic they receive.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.