Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section
Journal Title: HASEKİ TIP BÜLTENİ - Year 2019, Vol 57, Issue 2
Abstract
Aim: The aim was to investigate the effects of preoperative anxiety and general anesthetic administrations on intraoperative awareness among patients undergoing cesarean section. Methods: This prospective randomized study included 90 pregnant subjects. Preoperative anxiety was assessed using the Beck Anxiety Inventory. The patients were divided into three groups: group P received propofol 2.5 mg/kg, group T thiopental 5 mg/kg and group K received ketamine 1 mg/kg. Data on intraoperative hemodynamics, isolated forearm (IFA) responses and time to first pain and to first analgesic requirement evaluated using postoperative numerical rating scale were recorded. The Modified Brice Scale (MBS) was used to assess awareness. Results: The preoperative anxiety levels in the groups were low and demographic data were similar (p>0.05). There was no statistically significant difference in IFA response between the groups (p>0.05). Group T had higher MAP at all times and NRS values at hour 0 compared to the other groups (p<0.05), and had shorter time to first analgesic requirement (p<0.05). MBS responses were evaluated as recall in 12 cases in group K, four in group P and three in group T. Conclusion: As the anxiety levels in pregnants were low, the superiority of agents used in induction over each other regarding awareness could not be shown.
Authors and Affiliations
Nilay Nur Gençoğlu, Gamze Küçükosman, Bengü Gülhan Aydın, Dilek Rahşan Okyay, Özcan Pişkin, Üstün Sezer, Mehmet İbrahim Harma, Hilal Ayoğlu
Keywords
Related Articles
- EP ID EP541758
- DOI 10.4274/haseki.galenos.2018.4480
- Views 54
- Downloads 0
Flow-Mediated Dilatation and Asymmetric Dimethylarginine Do Not Predict Mortality in Peritoneal Dialysis Patients
Aim: Asymmetric dimethylarginine (ADMA) is associated with increased coronary artery disease risk through endothelial dysfunction in dialysis patients. We aimed to investigate the role of flow-mediated dilatation (FMD),...
Evaluation of Excessive Daytime Sleepiness with Sleep Apnea and Determining the Relationship Between Life Quality
Aim: Obstructive Sleep Apnea syndrome (OSAS) is an important health issue characterized by repetitive episodes of upper airway obstruction affecting many different systems in the human body. In this study, we aimed to ex...
Role of Peritoneal Ultrafiltration in Heart Failure Treatment
Cardiorenal syndrome (CRS) is a general term that can reflect different clinical conditions in which cardiac and renal dysfunctions coexist. The main pathogenetic mechanisms playing a role in heart failure (HF) and CRS a...
Radiological and Clinical Manifestations of Metastatic Pulmonary Calcification in a Patient with Parathyroid Hyperplasia
Metastatic pulmonary calcification (MPC) is the deposition of calcium salts in the walls of the alveoli and small blood vessels in normal tissue. MPC may be associated with end-stage renal disease, primary and secondary...
Effect of Antiepileptic Drug Treatment on Thyroid Hormone Levels in Epilepsy Patients
Aim: Antiepileptic drugs (AEDs) can have an effect on hormone metabolism and function, and alter serum levels of some hormones. This study aimed to determine the effects of AEDs on thyroid function test results in epilep...