The relationship between preoperative anxiety levels and vasovagal incidents during the administration of spinal anesthesia

Ekinci, Mine; Gölboyu, Birzat Emre; Dülgeroğlu, Onur; Aksun, Murat; Baysal, Pınar Karaca; Çelik, Erkan; Yeksan, Ayşe Nur

doi:10.1016/j.bjane.2016.07.017

Cited by 8 publications

(7 citation statements)

References 22 publications

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“…There are studies showing that this level of anxiety can even cause vasovagal symptoms. [ 16 ] Compared to the WALANT technique, this seems to be a disadvantage of spinal anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Metatarsal osteotomy for hallux valgus under wide-awake local anesthesia with no tourniquet technique

Pamuk¹

2022

Jt Dis Relat Surg

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Objectives The issue of performing a hallux valgus operation with the wide-awake local anesthesia with no tourniquet (WALANT) technique has not been evaluated before. The objective of this study was to compare the clinical results of patients who underwent the WALANT technique during hallux valgus operation and patients who underwent the procedure with traditional anesthesia (TA). Patients and methods In this cross-sectional, retrospective study, 34 patients (17 males, 17 females; mean age: 46.1±8.3 years; range, 36 to 62 years) who underwent first metatarsal osteotomy with the diagnosis of hallux valgus disease at the orthopedics and traumatology department of the Private Silivri Anadolu Hospital between November 1, 2018, and June 1, 2020, were divided into two groups according to the surgical approach determined by patient choice: the WALANT group and the TA group. Demographic characteristics, Visual Analog Scale (VAS) scores for pain and anxiety, postoperative satisfaction levels, and complications were recorded. Results There was no significant difference between the groups in terms of demographic characteristics. The VAS pain score during needle insertion was significantly higher in the WALANT group compared to the TA group (p<0.001). Conversely, the VAS anxiety score was significantly higher in the WALANT group compared to the TA group (p<0.001). The median follow-up time was 5.4 months (interquartile range, 5-6 months). Conclusion This is the first study demonstrating that adequate anesthetic efficacy can be achieved with the WALANT technique for the hallux valgus operation. Acceptable pain scores can be achieved with this technique, and costs are reduced.

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“…There are studies showing that this level of anxiety can even cause vasovagal symptoms. [ 16 ] Compared to the WALANT technique, this seems to be a disadvantage of spinal anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Metatarsal osteotomy for hallux valgus under wide-awake local anesthesia with no tourniquet technique

Pamuk¹

2022

Jt Dis Relat Surg

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“…Said another way, patients with lower pain at baseline might have a lower threshold for discomfort during interventional pain management procedures and therefore a lower threshold for developing a vasovagal reaction during the procedure. Other risk factors of vasovagal reaction proposed in the literature are baseline hypotension, bradycardia, dehydration, or anxiety [ 13 , 15 ].…”

Section: Risk Factorsmentioning

confidence: 99%

“…Anxiety is a well-established risk factor of vasovagal reactions, and fear of procedures increases the likelihood of a vasovagal response [ 15 , 23 ]. As such, anxiolytic medications, such as benzodiazepines, have been used in a variety of clinical settings—ranging from outpatient breast biopsy to dermatological procedures—to reduce preoperative anxiety levels [ 24 , 25 , 26 ].…”

Section: Preventionmentioning

confidence: 99%

Vasovagal Reactions during Interventional Pain Management Procedures—A Review of Pathophysiology, Incidence, Risk Factors, Prevention, and Management

Malave

Vrooman

2022

Medical Sciences

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Vasovagal reactions are a benign but common outcome of interventional pain management procedures that can negatively impact patient care, including aborted procedures and fear of future procedures that would otherwise help the patient. Research has been done on the incidence, risk factors, and management of vasovagal reactions resulting from such procedures, but less is known about how to prevent these reactions from occurring. In this paper, we present a literature review of the pathophysiology, incidence, risk factors, prevention, and management of vasovagal reactions during interventional pain management procedures, with an emphasis on the relative lack of research and conflicting advice on preventive measures. We found that moderate sedation and anxiolytics have been used prophylactically to prevent vasovagal reactions, but their side-effect profiles prevent them from being used commonly. Less studied is the prophylactic administration of antimuscarinics and IV fluids, despite the potential benefit of these measures and relatively low side-effect profile. We explore these topics here and offer advice for future research to fill the gaps in our knowledge.

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“…Global life satisfaction was measured using a Russian version of the Satisfaction with Life Scale (SWLS) by Dr. Diener, consisting of five items, each formulated as a seven-point Likert scale ranging from 1 ('strongly disagree') to 7 ('strongly agree'). The higher the summary score, the greater life satisfaction [20].…”

Section: Procedures and Measuresmentioning

confidence: 99%

Some Aspects of Emotional Functioning in Hard-of-Hearing Students

Almukhambetova

Bazhenova

Shuzhebaeva

et al. 2021

J. Intellect. Disabl. Diagn. Treat.

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Input at early ages, hearing loss can compromise emotional health and cause learning difficulties. Nonetheless, there are relatively few relevant investigations addressing emotional development in hearing-impaired students. The current research intended to compare the self-reported emotional functioning in hearing and hearing-impaired students in order to examine whether there are differences between them. A cross-sectional study was conducted on 94 hard-of-hearing individuals and 104 typical hearing subjects between 16 and 24 years of age from three institutions in Kazakhstan. The overall happiness, life satisfaction, level of anxiety, and emotional preferences were assessed with the Subjective Happiness Scale, Satisfaction with Life Scale, State-Trait Anxiety Inventory, and a questionnaire developed by Dodonov, respectively. The data were subjected to the multivariate analysis of variance. Children and adolescents with hearing loss are reportedly more likely than typical hearing peers to experience various psychosocial difficulties, antisocial disorders, and reactions. However, in the present research, both groups were similar regarding the emotional preferences, apart from the altruistic scale, which was significantly higher (P <0.001) in hearing-impaired participants relative to their hearing counterparts. When compared to normal-hearing persons, hard-of-hearing respondents had higher scores (P <0.001) for trait and state anxiety while having lower scores (P ≤0.001) for satisfaction with life and overall happiness, which could be seen as a matter of concern. As a potential future line of research, throwing more light on other aspects of emotional functioning in learners with hearing loss might be necessary. To our knowledge, this is the first report on the State-Trait Anxiety Inventory performed on hearing-impaired youth. The findings from this investigation could be of practical help to practitioners working with hard-of-hearing students, providing additional information on their emotional well-being.

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The relationship between preoperative anxiety levels and vasovagal incidents during the administration of spinal anesthesia

Cited by 8 publications

References 22 publications

Metatarsal osteotomy for hallux valgus under wide-awake local anesthesia with no tourniquet technique

Metatarsal osteotomy for hallux valgus under wide-awake local anesthesia with no tourniquet technique

Vasovagal Reactions during Interventional Pain Management Procedures—A Review of Pathophysiology, Incidence, Risk Factors, Prevention, and Management

Some Aspects of Emotional Functioning in Hard-of-Hearing Students

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