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Journals / Haseki Tıp Bülteni / 2019 / Cilt: 57 - Sayı: 2

Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section

Gebelerde Preoperatif Anksiyetenin ve Genel Anestezi Uygulamalarının İntraoperatif Farkındalık Üzerine Etkisi

Özcan PİŞKİN
Mehmet İbrahim HARMA
Bengü Gülhan AYDIN
Hilal AYOĞLU
Dilek Rahşan OKYAY
Gamze KÜÇÜKOSMAN
Nilay Nur GENÇOĞLU
Üstün SEZER
Pages
114–121
Publication Date
2022-10-17
DOI
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There was no statisticallysignificant difference in IFA response between the groups (p>0.05).Group T had higher MAP at all times and NRS values at hour 0compared to the other groups (p

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Objective & Hypothesis:Aim: The aim was to investigate the effects of preoperative anxietyand general anesthetic administrations on intraoperative awarenessamong patients undergoing cesarean section.Methods: This prospective randomized study included 90 pregnantsubjects.
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Key Findings & Data:The patients were divided into three groups: group Preceived propofol 2.5 mg/kg, group T thiopental 5 mg/kg and groupK received ketamine 1 mg/kg.
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Conclusion & Impact:There was no statisticallysignificant difference in IFA response between the groups (p>0.05).Group T had higher MAP at all times and NRS values at hour 0compared to the other groups (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: The aim was to investigate the effects of preoperative anxietyand general anesthetic administrations on intraoperative awarenessamong patients undergoing cesarean section.Methods: This prospective randomized study included 90 pregnantsubjects. Preoperative anxiety was assessed using the Beck AnxietyInventory. The patients were divided into three groups: group Preceived propofol 2.5 mg/kg, group T thiopental 5 mg/kg and groupK received ketamine 1 mg/kg. Data on intraoperative hemodynamics,isolated forearm (IFA) responses and time to first pain and to firstanalgesic requirement evaluated using postoperative numerical ratingscale were recorded. The Modified Brice Scale (MBS) was used toassess awareness.Results: The preoperative anxiety levels in the groups were low anddemographic data were similar (p>0.05). There was no statisticallysignificant difference in IFA response between the groups (p>0.05).Group T had higher MAP at all times and NRS values at hour 0compared to the other groups (p

Özet

Amaç: Sezaryen seksiyo olgularında, preoperatif anksiyetenin ve genel anestezi uygulamalarının intraoperatif farkındalık üzerine etkilerinin araştırılması amaçlanmıştır. Yöntemler: Prospektif, randomize çalışmaya 90 gebe dahil edildi. Preoperatif anksiyeteleri, Beck Anksiyete ölçeği ile değerlendirildi. Üç gruba ayrılan olgulara indüksiyonda; propofol 2,5mg/kg (grup P), tiyopental 5mg/kg (grup T) ve ketamin 1mg/kg (grup K) uygulandı. İntraoperatif hemodinamik veriler, izole önkol (İÖK) yanıtları kaydedildi. Postoperatif dönemde Sayısal Ağrı Skoru (NRS), ilk analjezik yapılma zamanı ve Modifiye Brice Skalası (MBS) ile farkındalıkları değerlendirildi. Bulgular: Grupların preoperatif anksiyete seviyeleri düşük, demografik verileri benzerdi (p>0,05). İÖK yanıtlarında istatistiksel fark yoktu (p>0,05). Grup T’de tüm zamanlardaki ortalama arter basıncı ve 0. saatteki NRS değerleri diğer gruplardan yüksek (p

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Cite This Article

PİŞKİN, Ö., HARMA, M. İ., AYDIN, B. G., AYOĞLU, H., OKYAY, D. R., KÜÇÜKOSMAN, G., GENÇOĞLU, N. N., SEZER, Ü. (2022). Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section. Haseki Tıp Bülteni, Cilt: 57 - Sayı: 2, 114–121. https://ajindex.com/articles/535071

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References (15)

  1. Norris W, Baird WL. Pre-operative anxiety: a study of the incidence and aetiology. Br J Anaesth 1967;39:503-9.
  2. Shevde K, Panagopoulos G. A survey of 800 patients’ knowledge, attitudes, and concerns regarding anesthesia. Anesth Analg 1991;73:190-8.
  3. Badner NH, Nielson WR, Munk S, Kwiatkowska C, Gelb AW. Preoperative anxiety: detection and contributing factors. Can J Anaesth 1990;37:444-7.
  4. Vallejo MC, Phelps AL, Shepherd CJ, Kaul B, Mandell GL, Ramanathan S. Nitrous oxide anxiolysis for elective cesarean section. J Clin Anesth 2005;17:543-8.
  5. Wyatt SS, Jones DA, Peach MJ, Gurrin L. Anxiety in patients having caesarean section under regional anaesthesia: a questionnaire and pilot study. Int J Obstet Anesth 2001;10:278-83.
  6. Goldmann L, Ogg TW, Levey AB. Hypnosis and daycase anaesthesia. A study to reduce pre-operative anxiety and intra-operative anaesthetic requirements. Anaesthesia 1988;43:466-9.
  7. Ip HY, Abrishami A, Peng PW, Wong J, Chung F. Predictors of postoperative pain and analgesic consumption: a qualitative systematic review. Anesthesiology 2009;111:657-77.
  8. Sandin RH, Enlund G, Samuelsson P, Lennmarken C. Awareness during anaesthesia: a prospective case study. Lancet 2000;355:707-11.
  9. Paech MJ, Scott KL, Clavisi O, Chua S, McDonnell N; ANZCA Trials Group. A prospective study of awareness and recall associated with general anesthesia for Cesarean section. Int J Obstet Anesth 2008;17:298-303.
  10. Bischoff P, Rundshagen I. Awareness under general anesthesia. Dtsch Arztebl Int 2011;108:1-7.
  11. Birnbach DJ, Browne IM. Miller’s Anesthesia. 10th ed. Vol. 69. Philadelphia: Elsevier; 2010. Anesthesia for obstetrics; p. 2219. Robins K, Lyons G. Intraoperative awareness during general anesthesia for cesarean delivery. Anesth Analg 2009;109:886-90.
  12. Hadavi SM, Allahyary E, Asadi S. Evaluation of the adequacy of general anesthesia in cesarean section by bispectral index. Iran J Med Sci 2013;38:240-7.
  13. Myles PS, Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index monitoring to prevent awareness during anaesthesia: the B-Aware randomised controlled trial. Lancet 2004;363:1757-63.
  14. Chin KJ, Yeo SW. A BIS-guided study of sevoflurane requirements for adequate depth of anesthesia in Cesarean section. Anesthesia 2004;59:1064-8.
  15. Choi WJ, Kim SH, Koh WU, et al. Effect of pre-exposure to sevoflurane on the bispectral index in women undergoing Cesarean delivery under general anesthesia. Br J Anesth 2012;108:990-7. Tunstall ME. Detecting wakefulness during general anaesthesia for caesar