The effect of preoperative anxiety on postoperative analgesia and anesthesia recovery in patients undergoing laparascopic cholecystectomy

• Published in: Journal of anesthesia Vol. 28; no. 2; pp. 222 - 227
• Main Authors: Ali, Achmet, Altun, Demet, Oguz, Bahadir Hakan, Ilhan, Mehmet, Demircan, Fatma, Koltka, Kemalettin
• Format: Journal Article
• Language: English
• Published: Tokyo Springer Japan 01.04.2014; Springer
• Subjects: Adolescent; Adult; Aged; Analgesia; Analgesia - adverse effects; Analgesia - methods; Analgesics, Opioid - adverse effects; Analgesics, Opioid - therapeutic use; Anesthesia; Anesthesia - adverse effects; Anesthesia - methods; Anesthesiology; Anxiety; Anxiety - complications; Anxiety - diagnosis; Cholecystectomy; Cholecystectomy, Laparoscopic - methods; Critical Care Medicine; Emergency Medicine; Female; Gallbladder - surgery; Health aspects; Humans; Intensive; Male; Medicine; Medicine & Public Health; Middle Aged; Original Article; Pain Medicine; Pain, Postoperative - complications; Pain, Postoperative - drug therapy; Preoperative Period; Tramadol - adverse effects; Tramadol - therapeutic use; Young Adult; Turkey; Cholecystectomy; Anxiety; Recovery from anesthesia; Postoperative analgesia
• ISSN: 0913-8668; 1438-8359
• DOI: 10.1007/s00540-013-1712-7

Purpose In patients who are hospitalized for surgery, anxiety disorders are frequently observed. Anxiety affects the patient’s perception of postoperative pain and has a negative impact on recovery from anesthesia. This study attempted to compare the effect of preoperative anxiety on postoperative pain control and recovery from anesthesia in patients undergoing laparoscopic cholecystectomy. Methods A total of 80 patients were enrolled who were undergoing laparoscopic cholecystectomy. Demographic characteristics of the patients were recorded. Beck’s anxiety ınventory (BAI) was administered to the patients: patients with anxiety were included in the high-anxious patient group (group H) and patients without anxiety were enrolled in the low-anxious group (group L). Duration of surgery, duration of anesthesia, extubation time, and adverse effects were recorded. During the postoperative period, patient-controlled analgesia with tramadol was used for pain control. Visual analog scale (VAS) scores and tramadol consumption of all patients were recorded. Results Among all patients, 31 (38.75 %) patients had preoperative anxiety, and significant correlation was found between the days of hospitalization and preoperative score of BAI. In group L, extubation time, the time for the modified Aldrete score to reach 9, was seen as significantly shorter and fewer postoperative side effects were determined. Also in group L, postoperative VAS score and tramadol consumption were significantly lower, and less tenoxicam was needed. Conclusion A high preoperative anxiety level negatively affects recovery from anesthesia and control of postoperative pain. In this patient group, the increased need for postoperative analgesia must be adequately met.