• A&A practice · Jun 2023

    Case Reports

    When Patient Expectations Are Not Met: A Case Report.

    • Aaron Sadowsky, Yoad Porat, Adeel A Faruki, and Jillian S Vitter.
    • From the Department of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorodo.
    • A A Pract. 2023 Jun 1; 17 (6): e01686e01686.

    AbstractSuccessful anesthetics occur when safe, effective perioperative care is coupled with patient satisfaction. We present the case of a 63-year-old woman with advanced Parkinson's disease who presented for a deep brain stimulation (DBS) device battery change under monitored anesthesia care (MAC). While MAC is commonly utilized for a DBS battery change, our patient reported previously experiencing intraoperative pain, anxiety, and the inability to communicate discomfort under MAC, leading to posttraumatic stress disorder. This case report highlights the importance of preoperative informed consent, discussion of patient expectations, and proactive planning for intraoperative communication strategies when MAC is the chosen method.Copyright © 2023 International Anesthesia Research Society.

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