L’anxiété préopératoire : manifestations cliniques, évaluation et prévention

Amouroux, Rémy; Rousseau-Salvador, C.; Annequin, D.

doi:10.1016/j.amp.2009.10.017

Cited by 15 publications

(8 citation statements)

References 41 publications

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“…In addition, the procedure, which is usually painless, can become painful at different stages of the test: at the time of the puncture, during the progression of the probes along tortuous, spastic or highly calcified arteries, or during the placement of stent. In general, whether performed as an emergency or as a scheduled procedure, there is preoperative anxiety [ 7 ]. Anxiety can also affect the success of the procedure [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Hypnosis for the Prevention of Anxiety During Coronary Angiography (HYPCOR study): a prospective randomized study

Vuillaume

Gentilhomme

Weber

et al. 2022

BMC Complement Med Ther

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Background Coronary angiography is the gold standard for the diagnosis of coronary artery disease. This intervention is nevertheless a source of anxiety for the patient both by its discomfort and by the consequences linked to the discovery of potential diseases. Objectives The aim of this study was to determine the effectiveness of hypnosis in reducing anxiety in patients undergoing coronary angiography. Methods One hundred sixty-nine patients with planned coronary angiography and no history of coronary angiography were randomized to a hypnosis or control group. Patients in the hypnosis group underwent a hypnosis session with self-hypnosis posthypnotic suggestions, while those in the control group had a conversational interview with the hypnotherapist. The primary endpoint was pre-exam anxiety level assessed by the Spielberger State-Trait Anxiety Inventory (STAI-Y A). Results Performing a hypnosis session did not result in a significant decrease in anxiety before the intervention. Age, high trait anxiety, high state anxiety the day before, and belief that hypnosis works in general were associated with increased anxiety before the procedure. No adverse events were reported after hypnosis. There was no statistically significant difference between the 2 groups for the occurrence of complications of the intervention. Conclusion In this study, performing a hypnosis session before coronary angiography did not reduce the state of anxiety measured just before the intervention. In all cases, the hypnotic experience appears to be positive for the patient, encouraging further research efforts. Trial registration The research protocol has been registered on the ClinicalTrials.gov registry (NCT02818101; 29/06/2016) and with the ANSM (IDRCB 2016-A00205-46; 02/02/2016).

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Hypnosis for the Prevention of Anxiety During Coronary Angiography (HYPCOR study): a prospective randomized study

Vuillaume

Gentilhomme

Weber

et al. 2022

BMC Complement Med Ther

View full text Add to dashboard Cite

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“…In addition, in principle painless, the procedure can become painful at various steps during the test: at the time of the puncture, during the progression of the probes along tortuous, spastic or highly calci ed arteries, or at the time of balloon. In general, and whether performed in emergency conditions or as a scheduled procedure, there is preoperative anxiety (7). This psychological state can moreover condition the success of the procedure (8).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Hypnosis for the Prevention of Anxiety During Coronary Angiography (HYPCOR Study): a prospective randomized study

Vuillaume

Gentilhomme

Weber

et al. 2022

Preprint

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Background – Coronary angiography is the gold standard for the diagnosis of coronary artery disease. This procedure is nevertheless a source of anxiety given the inconvenience caused by its invasiveness but also due to the consequences linked to the discovery of potential diseases.Aim - The aim of this study was to determine the effectiveness of hypnosis on reducing patient anxiety prior to coronary angiography.Methods – A total of 169 patients with non-urgent indications of coronary angiography and no history of prior coronary angiography were randomized to a hypnosis or control group. Patients in the hypnosis group underwent a hypnosis session with posthypnotic suggestions in self hypnosis, while those in the control group had a conversational interview with the hypnotherapist. The primary endpoint was the level of anxiety prior to the exam assessed by the Spielberger State-Trait Anxiety Inventory (STAI-Y A).Results - Performing a hypnosis session did not translate into a significant decrease in anxiety prior to the procedure. Age, trait anxiety, state anxiety the day before and belief that hypnosis works in general were associated with anxiety prior to the procedure. There was no adverse effect secondary to hypnosis. There was no statistically significant difference between the 2 groups for the occurrence of complications due to the procedure.Conclusion - In the present study, performing a hypnosis session upstream of a coronary angiography, did not reduce the state anxiety measured immediately before the intervention. In all cases, the hypnotic experience seems to be positive for the patient, which encourages further research efforts.Trial registration - The research protocol was registered on the ClinicalTrials.gov registry (NCT02818101; 29/06/2016) and with the ANSM (IDRCB 2016-A00205-46; 02/02/2016).

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“…Es importante para los anestesiólogos apreciar el impacto que tiene la ansiedad preoperatoria en los niños, no solo por ser causa de sufrimiento y angustia antes de la intervención quirúrgica, sino también por el impacto negativo que tiene en la recuperación postoperatoria inmediata y por las reacciones fisiológicas y psicológicas adversas. En la población pediátrica la prevalencia de ansiedad preoperatoria varía entre un 40-60% según los diferentes estudios (11,12).…”

Section: Ansiedad Preoperatoriaunclassified

“…Clínicamente es un sentimiento subjetivo que el niño experimenta con terror, nerviosismo, agitación y llanto. Los niños con niveles más altos de ansiedad en el preoperatorio son más vulnerables a presentar agitación al despertar de una anestesia general, alteraciones del comportamiento en el postoperatorio, así como mayor incidencia de dolor postoperatorio y necesidad de analgésicos (11,13) Por otro lado, la ansiedad activa la respuesta humana al estrés aumentando la concentración sérica de hormonas neuroendocrinas (cortisol, catecolaminas) y citoquinas (interluquina 6) lo que ocasiona un aumento del catabolismo, retraso en la cicatrización e inmunosupresión postoperatoria. Los niños son especialmente vulnerables a esta respuesta sistémica debido a su limitada reserva energética, gran masa encefálica y los grandes requerimientos de glucosa (11,14).…”

Section: Ansiedad Preoperatoriaunclassified

“…Se estima que alrededor del 60% de los niños presentan un cierto grado de estrés previo a la cirugía (11,12), variando entre un 40 y un 70% según los diversos estudios (17). La frecuencia con la que se presentan los TCPO aumenta con el grado de ansiedad que manifiesta el niño durante la inducción, multiplicándose su riesgo por 3,5 en aquellos extremadamente ansiosos (17).…”

Section: Ansiedad Preoperatoriaunclassified

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Alteraciones del comportamiento en el postoperatorio de cirugía pediátrica y saturación cerebral de oxígeno

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Diferencia del contenido arterio-venoso de O 2 yugular BHE: Barrera hematoencefálica BIS: Índice biespectral Caa3: Citocromo oxidasa aa3 CaO 2 : Concentración arterial de oxígeno CEC: Circulación extracorpórea cm: Centímetros CFTO: Citrato de fentanilo transmucosa CjvO 2 : Contenido venoso yugular de oxígeno CMRO 2 : Consumo metabólico regional de oxígeno CO 2 : Dióxido de carbono DAVO 2 : Diferencia arterio-venosa de oxígeno DO 2 : Aporte cerebral de oxígeno ECG: Electrocardiograma EEG: Electroencefalograma EMG: Electromiograma EtCO 2 : Concentración de CO 2 al final de la espiración FC: Frecuencia cardiaca FDA: Agencia de alimentos y medicamentos (Food and Drug Administration) FIR: Infrarrojo lejano (Far infrared) FSC: Flujo sanguíneo cerebral g: Gramos GC: Gasto cardiaco

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L’anxiété préopératoire : manifestations cliniques, évaluation et prévention

Cited by 15 publications

References 41 publications

Effectiveness of Hypnosis for the Prevention of Anxiety During Coronary Angiography (HYPCOR study): a prospective randomized study

Effectiveness of Hypnosis for the Prevention of Anxiety During Coronary Angiography (HYPCOR study): a prospective randomized study

Effectiveness of Hypnosis for the Prevention of Anxiety During Coronary Angiography (HYPCOR Study): a prospective randomized study

Alteraciones del comportamiento en el postoperatorio de cirugía pediátrica y saturación cerebral de oxígeno

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