Preoperative Anxiolysis and Postoperative Recovery in Women Undergoing Abdominal Hysterectomy

Kain, Zeev N.; Sevarino, Ferne B.; Rinder, Christine S.; Pincus, Sharon; Alexander, Gerianne M.; Ivy, Michael; Heninger, George R.

doi:10.1097/00000542-200103000-00009

Cited by 57 publications

(35 citation statements)

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“…We also found that in patients undergoing minor urologic surgery 0.03 mg/kg midazolam given intravenously before surgery resulted lower postoperative pain scores and earlier home readiness compared with the control patients. Our results are in accordance with the results of the study by Kain et al (9) . In an other study by the same authors (Kain et al), in patients undergoing abdominal hysterectomy who were given oral lorezepam the night before surgery and 5 mg midazolam im in the morning of surgery any significant difference in postoperative pain scores between the groups were not detected.…”

Section: Tablo 1 Groups' Demographic Data Asa Status the Type Of Osupporting

confidence: 94%

The postoperative effects of preoperative midazolam application in outpatient elective urological surgery

Yoldaş¹,

Deni̇z²,

Yoldaş³

et al. 2016

Terh

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Objective: Preoperative medication, involves the psychological and a pharmaceutical preparation of patients to surgical procedures. The postoperative effects of preoperative midazolam application were evaluated in this prospective, randomized, double-blind study in urologic day case surgery. Methods: Sixty-four ASA I-II group male patients aged between 18-65 years undergoing daily urological surgery (varicocele, testicular sperm extraction, hydrocele) were included in the study. STAI test was performed in all patients before they brought to the operating room. Twenty minutes before the intervention, an anesthesiologist not included in the study administered 0.03 mg/kg midazolam to Group I, and saline solution to Group 2. During the postoperative period vital signs, the degree of sedation (Ramsay Sedation Score), postoperative pain scores (VAS 0-10), side effects (nausea, vomiting) of the patients were recorded. Home readiness criteria (PADSS ≥9) of the patients were also recorded. Between 4-6 hours postoperatively, STAI test was performed again on all patients. Results: Groups were comparable with respect to demographic data and duration of surgery. Preoperative STAI values, postoperative Ramsay Sedation Scores were similar in both groups. Although postoperative STAI values were lower in Group 1, the difference did not reach statistical significance. Time for home readiness was shorte in Group I. Postoperative pain scores in Group II were significantly higher than Group I. Conclusions: We concluded that in patients who underwent day case urologic interventions administration of 0.03 mg/kg iv midazolam can decrease pain scores without adversely effecting early postoperative recovery, and sedation scores, and shorten the time interval to home readiness criteria which may provide advantage in patients undergoing daily urological surgery.

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Section: Tablo 1 Groups' Demographic Data Asa Status the Type Of Osupporting

confidence: 94%

The postoperative effects of preoperative midazolam application in outpatient elective urological surgery

Yoldaş¹,

Deni̇z²,

Yoldaş³

et al. 2016

Terh

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“…3,4 Two more recent studies have evaluated the role of preoperative midazolam with regard to postoperative recovery and stress response up to one month postoperatively. 5,6 Hypothesizing that preoperative midazolam has beneficial perioperative effects in addition to anxiolysis, we undertook this prospective, randomized, placebo-controlled study to evaluate the effects of midazolam on the global perioperative experience, including patient satisfaction, postoperative nausea and vomiting (PONV), postoperative pain, and perioperative anxiety and amnesia, for a large diverse ambulatory patient population up to 24 hours after surgery.…”

Section: Introductionmentioning

confidence: 99%

Preoperative intravenous midazolam: benefits beyond anxiolysis

Bauer

Dom

Ramírez

et al. 2004

Journal of Clinical Anesthesia

101

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“…These study results are in accordance to our study. In contrary, a study showed no correlation between pre-operative anxiety and post-operative pain in patients undergoing major surgeries [27].…”

Section: Relationship Of Anxiety To Painmentioning

confidence: 89%

Relationship Between Dental Anxiety and Pain Experience During Dental Extractions

Kumar

2017

Asian J Pharm Clin Res

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Preoperative Anxiolysis and Postoperative Recovery in Women Undergoing Abdominal Hysterectomy

Abstract: Benzodiazepines administered before surgery have minimal beneficial effects on the postoperative clinical course of women undergoing abdominal hysterectomy.

Cited by 57 publications

References 0 publications

The postoperative effects of preoperative midazolam application in outpatient elective urological surgery

The postoperative effects of preoperative midazolam application in outpatient elective urological surgery

Preoperative intravenous midazolam: benefits beyond anxiolysis

Relationship Between Dental Anxiety and Pain Experience During Dental Extractions

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