[2026-01-26] Child and/or Guardian Satisfaction With Pediatric Anesthesia Services and Understanding of Enhanced Recovery After Surgery Protocols at Srinagarind Hospital

Duangned Litu; Sirirat Tribuddharat; Darunee Sripadungkul; Thepakorn Sathitkarnmanee; Pantipha Talsoi; Junjira Kaewaun

doi:10.33165/rmj.2026.e274256

Authors

Duangned Litu Nurse Anesthetist Division, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand https://orcid.org/0009-0002-1164-0073
Sirirat Tribuddharat Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand https://orcid.org/0000-0001-9434-4792
Darunee Sripadungkul Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Thepakorn Sathitkarnmanee Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand https://orcid.org/0000-0002-8401-1510
Pantipha Talsoi Nurse Anesthetist Division, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Junjira Kaewaun Nurse Anesthetist Division, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand https://orcid.org/0009-0009-5660-4130

DOI:

https://doi.org/10.33165/rmj.2026.e274256

Keywords:

Patient satisfaction, Anesthesia service, Pediatric anesthesia, ERAS program

Abstract

Background: Pediatric anesthesia presents unique challenges requiring specialized expertise in managing both patient care and parental anxiety. Patient satisfaction has become a crucial quality indicator in anesthesia services, with satisfaction rates varying from 78% to over 95%. Enhanced recovery after surgery (ERAS) protocols have shown improved perioperative outcomes, but require significant patient education. However, most studies have been conducted in Western settings, with limited data from Southeast Asian healthcare contexts.

Objectives: To assess satisfaction with pediatric anesthesia care among children and their guardians at Srinagarind Hospital, while also evaluating their understanding of ERAS protocols.

Methods: A descriptive cross-sectional study collected data from 103 children/guardians between September 2024 to October 2024 using questionnaires with 4-point Likert scales. High satisfaction or understanding was defined as scores 3 to 4, and low satisfaction or understanding as 1 to 2.

Results: Respondents were predominantly female (87.4%) and aged 31 to 40 years (43.7%). General anesthesia was used in 94.2% of cases. Full satisfaction (100%) was reported for preoperative, intraoperative, and postanesthesia care unit services, with mean (SD) overall satisfaction scores of 3.96 (0.05), 3.99 (0.01), and 3.99 (0.01), respectively. Ward follow-up satisfaction reached 96.8%, with mean (SD) overall satisfaction scores of 3.88 (0.01). ERAS protocol understanding varied, with mean (SD) overall understanding score of 3.07 (0.79); high for fasting guidelines (99.0%), low for thrombosis prophylaxis (22.3%), and smoking cessation (23.3%).

Conclusions: While child/guardian satisfaction with anesthesia services was excellent, particularly during perioperative periods, targeted improvements in ERAS education are recommended, especially regarding thrombosis prophylaxis and lifestyle modifications.

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