dissatisfaction of patients operated under rachi anaesthesia: study of the experience of patients treated at the chu de yopougon (cote d'ivoire)

Background: to evaluate the satisfaction of patients operated under spinal anaesthesia and to identify its determinants. methods: we conducted a prospective analytical study in the hospital wards of the gynaecology-obstetrics, general surgery and traumatology departments of the yopougon university hospital in abidjan (côte d'ivoire) over a period of 5 months from february to june 2019. results: at the end of the study, 156 patients were selected. the mean age was 38.89±14.28 years with extremes of 19 and 72 years and a sex ratio of 0.8. the unemployed represented 20.41% of the total number of patients. the types of intervention were dominated by caesarean sections with 53.21% of patients. all our patients had a pre-anaesthetic consultation which was carried out by an anaesthetist, however 44.23% were dissatisfied due to anxiety. during the operation, nausea and vomiting were the main sources of discomfort for 25% of patients. thirst, hunger and pain were the most common discomforts encountered in the icu by 40.38%, 42.31% and 36.52% respectively. the determinants of dissatisfaction were age over 45 years, female gender of patients. osteosynthesis of the femur and osteotomy of the tibial plateau were significantly associated with a reduction in dissatisfaction. conclusion: several causes of dissatisfaction remain during spinal anaesthesia. their management would allow to improve the comfort of our patients, thus the quality of care.