Patient perception and satisfaction in awake burr hole trepanation under local anesthesia for evacuation of chronic subdural hematoma

Jennifer Sauvigny, Marius Marc Daniel Mader, Nils Freundlieb, Jens Gempt, Manfred Westphal, Christian Zöllner, Anna Mende, Patrick Czorlich

Research output: Contribution to journalArticlepeer-review

Abstract

Evacuation of chronic subdural hematoma (CSDH) will be one of the most common neurosurgical procedures in the future in the increasingly aging societies. Performing cranial surgery on awake patients may place a psychological burden on them. Aim of this study was to evaluate the psychological distress of patients during awake CSDH relief. Patients with awake evacuation of CSDH via burr hole trepanation were included in our monocentric prospective study. Patient perception and satisfaction were measured using standardized surveys 3–5 days and 6 months after surgery. Among other questionnaires, the Hospital Anxiety and Depression and the Impact of Event Scale, were used to quantify patients' stress. A total of 50 patients (mean age 72.9 years (range 51 – 92)) were included. During surgery, 28 patients reported pain (mean 4.1 (SD 3.3)). Postoperatively, 26 patients experienced pain (mean 2.7 (SD 2.6)). Patients’ satisfaction with intraoperative communication was reported with a mean of 8.3 (SD 2.1). There was a significant negative correlation between intraoperatively perceived pain and satisfaction with intraoperative communication (p = 0.023). Good intraoperative communication during evacuation of CSDH in awake patients is associated with positive patient perception and correlates with pain reduction.

Original languageEnglish
Article number108085
JournalClinical Neurology and Neurosurgery
Volume236
DOIs
StatePublished - Jan 2024
Externally publishedYes

Keywords

  • Awake surgery
  • Burr hole trepanation
  • Chronic subdural hematoma

Fingerprint

Dive into the research topics of 'Patient perception and satisfaction in awake burr hole trepanation under local anesthesia for evacuation of chronic subdural hematoma'. Together they form a unique fingerprint.

Cite this