Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section
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.
| Yazar |
Gencoglu, Nliay Nur Kucukosman, Gamze Aydin, Bengu Golhan Okyay, Dilek Rahsan Piskin, Ozcan Sezer, Ustun Harma, Mehmet Ibrahim |
| Yayın Türü | Article |
| Tek Biçim Adres | https://hdl.handle.net/20.500.12628/2504 |
| Tek Biçim Adres | 10.4274/haseki.galenos.2018.4480 |
| Konu Başlıkları |
Anxiety
bispectral index cesarean section end-tidal sevoflurane awareness isolated forearm |
| Koleksiyonlar |
Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD WoS İndeksli Yayınlar Koleksiyonu |
| Dergi Adı | HASEKI TIP BULTENI-MEDICAL BULLETIN OF HASEKI |
| Dergi Cilt Bilgisi | 57 |
| Dergi Sayısı | 2 |
| Sayfalar | 114 - 121 |
| Yayın Yılı | 2019 |
| Eser Adı [dc.title] | Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section |
| Yazar [dc.contributor.author] | Gencoglu, Nliay Nur |
| Yazar [dc.contributor.author] | Kucukosman, Gamze |
| Yazar [dc.contributor.author] | Aydin, Bengu Golhan |
| Yazar [dc.contributor.author] | Okyay, Dilek Rahsan |
| Yazar [dc.contributor.author] | Piskin, Ozcan |
| Yazar [dc.contributor.author] | Sezer, Ustun |
| Yazar [dc.contributor.author] | Harma, Mehmet Ibrahim |
| Yayın Yılı [dc.date.issued] | 2019 |
| Yayıncı [dc.publisher] | GALENOS YAYINCILIK |
| Yayın Türü [dc.type] | article |
| Özet [dc.description.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. |
| Açıklama [dc.description] | WOS: 000462506200002 |
| Kayıt Giriş Tarihi [dc.date.accessioned] | 2019-12-23 |
| Açık Erişim Tarihi [dc.date.available] | 2019-12-23 |
| Yayın Dili [dc.language.iso] | eng |
| Konu Başlıkları [dc.subject] | Anxiety |
| Konu Başlıkları [dc.subject] | bispectral index |
| Konu Başlıkları [dc.subject] | cesarean section |
| Konu Başlıkları [dc.subject] | end-tidal sevoflurane |
| Konu Başlıkları [dc.subject] | awareness |
| Konu Başlıkları [dc.subject] | isolated forearm |
| Haklar [dc.rights] | info:eu-repo/semantics/openAccess |
| ISSN [dc.identifier.issn] | 1302-0072 |
| ISSN [dc.identifier.issn] | 2147-2688 |
| İlk Sayfa Sayısı [dc.identifier.startpage] | 114 |
| Son Sayfa Sayısı [dc.identifier.endpage] | 121 |
| Dergi Adı [dc.relation.journal] | HASEKI TIP BULTENI-MEDICAL BULLETIN OF HASEKI |
| Dergi Sayısı [dc.identifier.issue] | 2 |
| Dergi Cilt Bilgisi [dc.identifier.volume] | 57 |
| Tek Biçim Adres [dc.identifier.uri] | https://dx.doi.org/10.4274/haseki.galenos.2018.4480 |
| Tek Biçim Adres [dc.identifier.uri] | https://hdl.handle.net/20.500.12628/2504 |
