Summary:
Objective: The role of the anaesthesiologist as an independent specialist and patients‘ view of themwere examined in many
studies. Studies performed in English speaking countries show that only 54 to 89 per cent of patients undergoing surgery
realize that their anaesthesiologist has a medical qualification; this number is higher than 90% in German speaking
countries. The goal of this study was to determine opinions and attitudes of patients in the Czech Republic.
Design: An anonymous questionnaire-based survey.
Setting: Dept. of Anaesthesiolgy and Intensive Care, University Hospital
Method: Patients undergoing elective surgery under general anaesthesia were asked a day prior to the operation to fill in
the prepared questionnaire before the preanaesthetic visit. In its first part questions concerning position of the anaesthesiologist,
his practice and responsibility were given, in the second part attitudes towards getting information before the
operation, the importance of the anaesthesiologist during the surgery and towards postoperative pain and notions about
the course of anaesthesia were studied. In the last part some demographic data were collected.
Results: 121 completed questionnaries out of 150 distributed were collected.92% of the patients identified the anaesthesiologist
as a physician. 62% of the patients estimated the length of anaesthesiologists‘ training to be 6 years including the
university study,17% of the patients estimated 9 years.36% of interviewed patients thought that the anaesthesiologist works
only in an operating room.The activities of the anaesthesiologist include regional anaesthesia (according to 77%of patients),
resuscitation and emergency treatment (53%), care of ICU patients (49%), postoperative analgesia (41%), obstetric analgesia
(28%), management of chronic pain (14%). 94% of patients knew that the anaesthesiologist is present during the whole
surgery, 40% that the anaesthesiologist is a physician of the whole perioperative period. 92% of interviewed patients
considered anaesthesiologist to be responsible for the induction of anaesthesia, 69% for the painlessness during the
surgery, 54% for the patient’s general condition,17% for the administration of drugs, fluids and blood preparations and 14%
for the treatment of possible complications. 40% of patients thought that the anaesthesia team was subordinated to the
surgical one during the surgery.
Conclusion: More than 90% of patients were aware that the anaesthesiologist is a physician. However, the knowledge of his
practice and responsibility is low.
Key words:
anaesthesiologist – role – survey
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