The relationship between preoperative anxiety levels and vasovagal incidents during the administration of spinal anesthesia
Abstract Background: It was aimed to investigate the relationship between preoperative anxiety and vasovagal symptoms observed during the administration of spinal anesthesia in patients undergoing surgery in the perianal and inguinal regions. Methods: The study included patients with planned surge...
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doaj-f4e2d2294f724d82af1413a366a1d4162020-11-25T00:24:45ZengSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia1806-907X67438839410.1016/j.bjane.2016.07.017S0034-70942017000400388The relationship between preoperative anxiety levels and vasovagal incidents during the administration of spinal anesthesiaMürsel EkinciBirzat Emre GölboyuOnur DülgeroğluMurat AksunPınar Karaca BaysalErkan Cem ÇelikAyşe Nur YeksanAbstract Background: It was aimed to investigate the relationship between preoperative anxiety and vasovagal symptoms observed during the administration of spinal anesthesia in patients undergoing surgery in the perianal and inguinal regions. Methods: The study included patients with planned surgery for inguinal hernia repair, anal fissure, hemorrhoid and pilonidal sinus excision. The study included a total of 210 patients of ASA I-II, aged 18-65 years. Patients were evaluated in respect of demographic characteristics, smoking and alcohol consumption, ASA grade and educational level. Correlations were evaluated between the number of attempts at spinal anesthesia and anesthesia history with vasovagal symptoms and educational level, gender, smoking and alcohol consumption and anesthesia history with anxiety scores. The instant (transient) state anxiety inventory part of the Transient State/Trait Anxiety Inventory (State Trait Anxiety Inventory - STAI) was used to determine the anxiety levels of the participants. Clinical findings of peripheral vasodilation, hypotension, bradycardia and asystole observed during the administration of spinal anesthesia were recorded. Results: Vasovagal incidences during the administration of spinal anesthesia were seen to increase in cases of high anxiety score, male gender, and an absence of anesthesia history. Educational level and the number of spinal needle punctures were not found to have any effect on vasovagal incidents. Conclusion: The determination of causes triggering vasovagal incidents seen during the application of spinal anesthesia, better patient information of regional anesthesia implementations and anxiety relief with preoperative anxiolytic treatment will help to eliminate potential vasovagal incidents.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000400388&lng=en&tlng=enAnxietySpinal anesthesiaSyncopeVasovagal |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mürsel Ekinci Birzat Emre Gölboyu Onur Dülgeroğlu Murat Aksun Pınar Karaca Baysal Erkan Cem Çelik Ayşe Nur Yeksan |
spellingShingle |
Mürsel Ekinci Birzat Emre Gölboyu Onur Dülgeroğlu Murat Aksun Pınar Karaca Baysal Erkan Cem Çelik Ayşe Nur Yeksan The relationship between preoperative anxiety levels and vasovagal incidents during the administration of spinal anesthesia Revista Brasileira de Anestesiologia Anxiety Spinal anesthesia Syncope Vasovagal |
author_facet |
Mürsel Ekinci Birzat Emre Gölboyu Onur Dülgeroğlu Murat Aksun Pınar Karaca Baysal Erkan Cem Çelik Ayşe Nur Yeksan |
author_sort |
Mürsel Ekinci |
title |
The relationship between preoperative anxiety levels and vasovagal incidents during the administration of spinal anesthesia |
title_short |
The relationship between preoperative anxiety levels and vasovagal incidents during the administration of spinal anesthesia |
title_full |
The relationship between preoperative anxiety levels and vasovagal incidents during the administration of spinal anesthesia |
title_fullStr |
The relationship between preoperative anxiety levels and vasovagal incidents during the administration of spinal anesthesia |
title_full_unstemmed |
The relationship between preoperative anxiety levels and vasovagal incidents during the administration of spinal anesthesia |
title_sort |
relationship between preoperative anxiety levels and vasovagal incidents during the administration of spinal anesthesia |
publisher |
Sociedade Brasileira de Anestesiologia |
series |
Revista Brasileira de Anestesiologia |
issn |
1806-907X |
description |
Abstract Background: It was aimed to investigate the relationship between preoperative anxiety and vasovagal symptoms observed during the administration of spinal anesthesia in patients undergoing surgery in the perianal and inguinal regions. Methods: The study included patients with planned surgery for inguinal hernia repair, anal fissure, hemorrhoid and pilonidal sinus excision. The study included a total of 210 patients of ASA I-II, aged 18-65 years. Patients were evaluated in respect of demographic characteristics, smoking and alcohol consumption, ASA grade and educational level. Correlations were evaluated between the number of attempts at spinal anesthesia and anesthesia history with vasovagal symptoms and educational level, gender, smoking and alcohol consumption and anesthesia history with anxiety scores. The instant (transient) state anxiety inventory part of the Transient State/Trait Anxiety Inventory (State Trait Anxiety Inventory - STAI) was used to determine the anxiety levels of the participants. Clinical findings of peripheral vasodilation, hypotension, bradycardia and asystole observed during the administration of spinal anesthesia were recorded. Results: Vasovagal incidences during the administration of spinal anesthesia were seen to increase in cases of high anxiety score, male gender, and an absence of anesthesia history. Educational level and the number of spinal needle punctures were not found to have any effect on vasovagal incidents. Conclusion: The determination of causes triggering vasovagal incidents seen during the application of spinal anesthesia, better patient information of regional anesthesia implementations and anxiety relief with preoperative anxiolytic treatment will help to eliminate potential vasovagal incidents. |
topic |
Anxiety Spinal anesthesia Syncope Vasovagal |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000400388&lng=en&tlng=en |
work_keys_str_mv |
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