A Feasibility Study of Lavender Aromatherapy in an Awake Craniotomy Environment

Cathey, Kailah; Gunyon, Nichole; Chung, Nancy; Conway, Nancy; Ames, Diane; Singh, Maharaj; Kassam, Amin; Rovin, Richard

doi:10.17294/2330-0698.1716

Cited by 7 publications

(15 citation statements)

References 23 publications

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“…The lowest reported mean age among AC patients was 15 years, 63 and the highest was 60 years (Table 1). 62 Patients younger than 50 years had a higher level of preoperative anxiety compared with older patients ( P = .037). 5 Another study reported that intraoperative anxiety was higher in patients younger than 60 years ( P = .0145).…”

Section: Resultsmentioning

confidence: 93%

“…Fourteen studies (58.3%) did not specify intraoperative complications. 5,43,49,50,52-54,58,59,61,62,65,67,68…”

Section: Resultsmentioning

confidence: 99%

“…43,54,58 The visual analog scale 74 and questionnaires developed by investigators were the most common tools used in the articles reviewed (Table 2). Five studies (20.8%) used visual analog scale, 49,50,55,57,62 and another 5 studies (20.8%) used a selfdeveloped questionnaire. 32,48,54,56,60 Among those who used a self-developed questionnaire, Whittle et al 48 developed a 10-item questionnaire asking patients about their memories of operation, sensation experience, level of fear, relaxation, comfort, adequacy of preoperative explanation, awake phase length, their views on the number of staff present, and recommendations for change.…”

Section: Details Of Psychiatric Assessmentsmentioning

confidence: 99%

“…43 Eight studies (33.3%) did not specify the anesthetic protocol used. 49,50,52,53,59,62,65,67 The shortest follow-up was 3 to 7 days, 51 and the longest follow-up was 13 months. 68 Postoperative anxiety was not significantly different at the 1-month (P = .99) and 6-month (P = .26) follow-up compared with preoperative anxiety.…”

Section: Nomentioning

confidence: 99%

“…Fourteen studies (58.3%) did not specify intraoperative complications. 5,43,49,50,[52][53][54]58,59,61,62,65,67,68 DISCUSSION AC is a well-established surgical intervention for pathologies in eloquent brain areas that maximize patient outcomes and minimize neurological deficits. Several studies have shown evidence for positive patient perception and tolerance of AC.…”

Section: Intraoperative Complicationsmentioning

confidence: 99%

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Stress, Anxiety, and Depression Associated With Awake Craniotomy: A Systematic Review

et al. 2022

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BACKGROUND: Awake craniotomy (AC) enables real-time monitoring of cortical and subcortical functions when lesions are in eloquent brain areas. AC patients are exposed to various preoperative, intraoperative, and postoperative stressors, which might affect their mental health. OBJECTIVE: To conduct a systematic review to better understand stress, anxiety, and depression in AC patients. METHODS: PubMed, Scopus, and Web of Science databases were searched from January 1, 2000, to April 20, 2022, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline. RESULTS: Four hundred forty-seven records were identified that fit our inclusion and exclusion criteria for screening. Overall, 24 articles consisting of 1450 patients from 13 countries were included. Sixteen studies (66.7%) were prospective, whereas 8 articles (33.3%) were retrospective. Studies evaluated stress, anxiety, and depression during different phases of AC. Twenty-two studies (91.7%) were conducted on adults, and 2 studies were on pediatrics (8.3 %). Glioma was the most common AC treatment with 615 patients (42.4%). Awake-awakeawake and asleep-awake-asleep were the most common protocols, each used in 4 studies, respectively (16.7%). Anxiety was the most common psychological outcome evaluated in 19 studies (79.2%). The visual analog scale and self-developed questionnaire by the authors (each n = 5, 20.8%) were the most frequently tools used. Twenty-three studies (95.8%) concluded that AC does not increase stress, anxiety, and/or depression in AC patients. One study (4.2%) identified younger age associated with panic attack. CONCLUSION: In experienced hands, AC does not cause an increase in stress, anxiety, and depression; however, the psychiatric impact of AC should not be underestimated.

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Section: Resultsmentioning

confidence: 93%

“…Fourteen studies (58.3%) did not specify intraoperative complications. 5,43,49,50,52-54,58,59,61,62,65,67,68…”

Section: Resultsmentioning

confidence: 99%