The effects of preoperative anxiety on anesthetic recovery and postoperative pain in patients undergoing donor nephrectomy

Türksal, Erbil; Alper, Işık; Sergi̇n, Demet; Yüksel, Esra; Ulukaya, Sezgin

doi:10.1016/j.bjane.2020.06.004

Cited by 14 publications

(11 citation statements)

References 24 publications

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“…They also suggested early intervention to relieve preoperative anxiety (29). Other studies also concluded with same suggestions in various surgeries (18,30).…”

Section: Discussionsupporting

confidence: 78%

Influence of Preoperative Anxiety Level on Postoperative Pain After Cardiac Surgery

Kashif¹,

Hamid²,

Raza³

2021

Preprint

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IntroductionPreoperative anxiety is generally neglected in evaluation of cardiac surgery patients due to various reasons including insufficient literature and lack of simple assessment tool. In addition, association between anxiety and postoperative complications including pain has been scarcely studied.Present study was designed, to assess preoperative anxiety levels in all patients coming for cardiac surgery and then evaluate the effect of different levels of anxiety on postoperative pain scores. MethodsThis prospective cohort study was conducted in a single university hospital, from March 2018 to December 2019. 100 consecutive cardiac surgery patients between the ages of 18-65 year were enrolled in this study. Level of preoperative anxiety ( assessed by State Anxiety Inventory) and its effect on postoperative pain and morphine consumption was assessed.ResultsThe average age of the patients was 58.24±10.03 year in which 68% were male and 32% female. Preoperative mild anxiety was observed in 64% patients and moderate to severe anxiety in 36% patients. Post-operative mean pain score was significantly high in moderate to severe anxiety group as compared to mild anxiety group [Mean pain difference =1.64 (95%CI: 1.38-1.89) p=0.0005], [Mean pain difference =0.51 (95%CI: 0.29-0.73) p=0.0005] at 12 hour and 24 hour respectively. Intraoperative and postoperative morphine consumption was significantly high in patients with moderate to severe anxiety group.ConclusionsPatients with moderate to severe anxiety before cardiac surgery experienced higher pain scores at post-operative period which is significantly different from mild anxiety group. Intraoperative and postoperative analgesic requirements were also significantly increased.

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“…They also suggested early intervention to relieve preoperative anxiety (29). Other studies also concluded with same suggestions in various surgeries (18,30).…”

Section: Discussionsupporting

confidence: 78%

Influence of Preoperative Anxiety Level on Postoperative Pain After Cardiac Surgery

Kashif¹,

Hamid²,

Raza³

2021

Preprint

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“…Nesse contexto, em estudo feito na Colômbia com 234 pacientes, um terço chegou à SRPA com dores insuportáveis, sendo que apenas quatro em cada 10 pacientes haviam recebido alívio adequado da dor ao chegar na SRPA (LECOMPTE et al 2019). Já um estudo feito na Turquia, com pacientes sujeitos a nefrectomia para doação de rim, indicou que a ansiedade pré-operatória piora o tempo de recuperação e aumenta escores de dor pós-operatória (TURKSAL et al, 2020). Ou seja, são muitos os fatores que podem contribuir para a intensidade da dor, dependendo da natureza da cirurgia e do estado prévio do paciente, enfatizando a necessidade do manejo adequado da dor pós anestesia.…”

Section: Resultsunclassified

“…Analisando as formas descritas de controle da dor pós-anestésica, os estudos citam principalmente a administração de morfina (LECOMPTE et al, 2019;TURKSAL et al, 2020). A morfina é um opioide forte, muito utilizada no tratamento da dor de múltiplas etiologias, e deve ser oferecida em intervalos regulares, de acordo com a duração do efeito analgésico, e não utilizada somente "conforme necessário".…”

Section: Resultsunclassified

“…Seu uso deve ser cauteloso em pacientes com insuficiência renal, hepática e respiratória aguda, asma e aumento da pressão intracraniana (RIBEIRO et al, 2002). Além da morfina, relatou-se o uso de dipirona, paracetamol, cetoprofeno e dexmedetomidina, sendo que este último diminuiu a incidência de dor, no entanto prolongou o tempo de extubação dos pacientes (MORO et al, 2019;SHI et al, 2019;TURKSAL et al, 2020).…”

Section: Resultsunclassified

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Monitorização Anestésica

Siqueira¹,

Oliveira²,

Filho³

et al. 2022

Anestesiologia Para Acadêmicos De Medicina: Uma Visão Contemporânea

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acadêmicos de medicina: uma visão contemporânea está licenciado sob CC BY 4.0. Esta licença exige que as reutilizações deem crédito ao criador. Ele permite que os reutilizadores distribuam, remixem, adaptem e construam o material em qualquer meio ou formato, mesmo para fins comerciais. O conteúdo da obra e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, não representando a posição oficial da Editora Amplla. É permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores. Todos os direitos para esta edição foram cedidos à Editora Amplla.

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“…This coincides with several studies which stated that high level of preoperative anxiety was significantly correlated with poor post-anesthesia recovery. Anxiety is strongly linked with postoperative physical pain and dependence, slower recovery (Andersson et al, 2020;Turksal et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Surgical-associated anxiety and postoperative anesthesia recovery among elderly patients subjected to laparoscopic abdominal surgeries: The impact of educationalbased intervention

Khalil

Sorour

Shaala

et al. 2021

Egyptian Journal of Health Care

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Background: Considerable number of elderly patients still experience preoperative anxiety and poor postoperative anesthesia recovery, despite magnitude advances in laparoscopic management and improved anesthetic techniques, resulted from many improper connotations such as the complexity of anesthesia and surgery, fear of experiencing pain, physiologic response, patient unique characteristics, or being improperly informed. To date, anxiety and recovery in an elderly population undergoing laparoscopic abdominal surgeries have received very little attention and interventional studies with a structured preoperative teaching program addressing such variables are so limited. Teaching elderly patients the appropriate modification of activities and effective use of anxiety-reduction techniques all impact favorably upon their recovery outcome. Thus, the focus of this study is to evaluate the impact of laparoscopic surgery and anesthesia-related educational program on preoperative-associated anxiety and postoperative quality of anesthesia recovery for elderly patients subjected to laparoscopic abdominal surgeries. Methodology: A randomized pretest-posttest and follow-up control group research design was utilized, in two specialized laparoscopic abdominal surgical departments affiliated to Alexandria Main University Hospital, between the first of January to the end of August 2020. We interviewed 86 elderly patients scheduled for elective laparoscopic abdominal surgeries divided randomly into control and intervention groups, for investigating the following study variables: (1) preoperative anxiety (using State-Trait Anxiety Inventory on primary admission and the 2 nd day of admission just before surgery), and (2) postoperative quality of anesthesia recovery (using Quality of Recovery Score-15 in the initial 24-hours post-surgery, before discharge, and on the 7th day follow-up schedule). The proposed Arabic-version instructional program was introduced to the intervention group, then a comparison of the means between the predetermined groups was performed. Results: Degree of anxiety for the intervention group following the instruction scheme proved to be significantly lowered than those in routine hospital care group. The program conduction confirmed to have a statistically significant effect on the intervention group's recovery outcome than those in the parallel group including an amelioration in pain, physical discomfort, physical independence, as well as emotional dimensions, as evidenced by the marked percent improvement through the whole application periods. Conclusion: Preoperative engagement in the interventional informative sessions offers benefits to diminish the level of anxiety through gained knowledge and application of anxiety-relief manipulations in the subjected group. Through practiced skills of discharge self-management, quality of anesthesia recovery proved to be better than those in the control group with a statistically significant discrepancy between them. Recommendations: The pursuit of anxiety and recove...

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The effects of preoperative anxiety on anesthetic recovery and postoperative pain in patients undergoing donor nephrectomy

Cited by 14 publications

References 24 publications

Influence of Preoperative Anxiety Level on Postoperative Pain After Cardiac Surgery

Influence of Preoperative Anxiety Level on Postoperative Pain After Cardiac Surgery

Monitorização Anestésica

Surgical-associated anxiety and postoperative anesthesia recovery among elderly patients subjected to laparoscopic abdominal surgeries: The impact of educationalbased intervention

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