Background: Cataracts are a common age-related condition
where the lens of the eye starts to become cloudy. Advances in
cataract surgical care have allowed virtually all cataract surgery
to be conducted in an outpatient setting using local anesthesia.
This study aimed to test the hypothesis that most cataract
surgery patients have recall of only negligible portions of the
Iowa Satisfaction with Anesthesia Scale items that they
answered before discharge from the facility. Methods: This
prospective cohort included 62 patients scheduled for cataract
surgery, 31 patients assigned to group I delivered 50 microgram
fentanyl & 1 mg midazolam for sedation, the other 31 patients
delivered 50 microgram fentanyl. All cases underwent general
examinations, laboratory investigations and their satisfaction
with sedation was assessed with Iowa satisfaction with
anesthesia scale. Results: 15 (48.4%) patients recalled 0 theme,
7 (22.6%) patients recall 1 theme, 5 (16.1%) patients recalled 2
themes, and 4 (12.9%) patients recalled 3 themes among group I
cases, while in group II, there was no one recalled 0, 1 or 2
themes with significant difference among both groups, only one
patient (3.2%) who recalled 3 themes, 2 (6.5%) patients recalled 4 themes, 5 (16.1%)
patients recall 5 themes, 5 (16.1%) patients recalled 6 themes, and 7 (22.6%) patients
recalled 7 & 8 themes for each and two patients (6.5%) recalled for both 9 & 10 themes.
Conclusion: Our study revealed that the addition of midazolam dose to the sedation plan
would improve the Iowa Satisfaction with Anesthesia Scale and was associated with
recall of fewer themes from this scale