International IV Therapy conference edition:7 location:Oxford date:1-2 October 2009 Annual Scientific Meeting edition:25 location:San Jose - CA date:3-6 October 2011
Purpose We investigated the sensory perceptions of patients under local anesthesia who underwent insertion of a totally implantable venous access device (TIVAD).
Methods Using semi-structured interviews, we conducted a qualitative exploratory study of 20 patients. The insertion procedure consisted of four successive phases. Immediately after TIVAD insertion, patients were asked to describe their sensory perceptions in the modalities hearing, sight, touch, smell, and taste during each phase. Descriptions were documented in a Sensory Information Grid (SIG), which was composed of a row and column matrix of entries for the four phases of the procedure and the five sensory modalities. Verbatim descriptions of patients were assigned labels using a descriptive coding process. This approach is called the SIG-method.
Results We found that patients experienced many sensory perceptions during the TIVAD procedure. Sensory perceptions mainly occurred during preparation of the patient and surgical equipment (phase 2) and during the actual TIVAD insertion (phase 3). Patients perceived fewer olfactory sensations. No taste perceptions were mentioned.
Conclusions Patients under local anesthesia reported numerous sensory perceptions during surgical TIVAD insertion. The use of the SIG-method emerged to be a suitable method for assessing and documenting patients’ sensory perceptions. Reported descriptions can be used in two ways: (1) to develop a structured questionnaire to quantitatively assess sensory perceptions, and (2) to prepare patients for what to expect with regard to sensory information experienced before, during, and after TIVAD insertion. This method for exploring and documenting sensory perceptions can be applied to other insertions or interventions.