Preoperative assessment and management of patient with psychiatric comorbidity

Abstract

This article explains the most frequent psychiatric disorders such as co-morbidity in the acute surgical treatment, along with its position and importance for the surgical procedure. Besides basic features of these disorders, epidemiology and clinical expression, this article holds the latest therapeutic approach, side effects, toxicity and drug interactions, during the surgical procedure. Frequent postoperative problems, delirium, and postoperative cognitive disorders are noted in these patients. To avoid these complications, it is recommended to use a mini-mental score examination to re-evaluate the decision and indication for high risk surgery patient.

Postoperative Patient Pain Severity and Its Association With Anxiety, Depression, and Sleep Quality

“…In the breast cancer population, patients undergoing radical modified mastectomy, anxiety, depression, and reported to be unmarried correlated with greater postoperative pain and dissatisfaction with postoperative analgesia and patient satisfaction [ 5 ].…”

“…A patient in the acute postsurgical pain setting may feel a constant bombardment of nociceptive input from the surgical site; this in turn influences psychological factors that determine the overall emotional experience of pain, which is significant [4]. In the breast cancer population, patients undergoing radical modified mastectomy, anxiety, depression, and reported to be unmarried correlated with greater postoperative pain and dissatisfaction with postoperative analgesia and patient satisfaction [5].…”