Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 3 2022 06 11 213 218 Isidore Kouamé Department of Critical Care, Yopougon University Hospital, University of Abidjan Medical Sciences, Abidjan, Ivory Cost. N'Guessan Francis Department of Critical Care, Angré University Hospital, University of Abidjan Medical Sciences, Abidjan, Ivory Cost. Nkan Michael Mobio Department of Critical Care, University Hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan, Ivory Cost. Kouesseu Bouh Department of Critical Care, Yopougon University Hospital, University of Abidjan Medical Sciences, Abidjan, Ivory Cost. Klinna Coulibaly Department of Critical Care, University Hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan, Ivory Cost. Kouassi Konan Department of Critical Care, Yopougon University Hospital, University of Abidjan Medical Sciences, Abidjan, Ivory Cost. Lacina Soro Department of Critical Care, Yopougon University Hospital, University of Abidjan Medical Sciences, Abidjan, Ivory Cost. 2021 11 15 2021 12 21 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. https://aacc.tums.ac.ir/index.php/aacc/article/view/439