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• W1977306672 abstract "Editor'Chooi and colleagues1Chooi C White A Tan S Dowling K Cyna A Pain vs comfort scores after Caesarean section: a randomized trial.Br J Anaesth. 2013; 110: 780-787Abstract Full Text Full Text PDF PubMed Scopus (48) Google Scholar have once again drawn our attention to the noxious power of ill-chosen words.2Cyna A Andrew M Tan S Communication skills for the anaesthetist.Anaesthesia. 2009; 64: 658-665Crossref PubMed Scopus (44) Google Scholar Our speciality is beginning to realize that sophisticated anaesthetic techniques can be sabotaged by simple, thoughtless errors in communication. We now believe that there is an opportunity for the Royal College of Anaesthetists to embrace the current evidence and thus catalyse two desirable developments. First, widespread adoption of ‘evidence based language’ has the capacity to attenuate the distress of invasive medical procedures. Lang and Laser's3Lang E Laser E Patient Sedation Without Medication. Createspace, 2009Google Scholar excellent textbook catalogues a wide range of linguistic and behavioural approaches (supported by data) with the potential to alleviate pain and anxiety. It remains depressingly common to hear anaesthetists using expressions such as ‘bee sting’ and ‘sharp scratch’. These clumsy verbal relics from the 1970s were asserted, without evidence, to be beneficial. Dutt-Gupta and colleagues4Dutt-Gupta J Brown T Cyna A Effect of communication on pain during intravenous cannulation: a randomized controlled trial.Br J Anaesth. 2007; 99: 871-875Abstract Full Text Full Text PDF PubMed Scopus (58) Google Scholar demonstrated that the opposite was true. We are concerned that trainees are still being taught to use these obsolete language rituals. Secondly, we should consider the implications of careless language for informed consent on the day of surgery. In the weeks preceding elective surgery, it is entirely sensible for patients to receive as much balanced information as possible. However, we suggest that the day of surgery should be handled differently. For decades, anaesthetists have acquiesced under constant threat from our friends in the legal profession. In consequence, one hears ever more exhaustive lists of complications being discussed in the minutes before induction of anaesthesia. Patients are naturally tuned in to hear the worrying bits. And so, ironically, in an era when anaesthesia has never been safer, patients have never been more convinced that they are doomed! Officious recital of endless lurid complications on the day of surgery is, in our opinion, both professionally clumsy and ethically questionable. We feel that our College is ideally placed to confront the lawyers and to spell out the deleterious effects of legalistic defensiveness on our patients. Language matters to patients. Rarely does an opportunity to alleviate distress with zero cost present itself. It is time to follow the evidence. None declared." @default.
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• W1977306672 title "Evidence-based language" @default.
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