Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section
Yıl: 2019 Cilt: 57 Sayı: 2 Sayfa Aralığı: 114 - 121 Metin Dili: İngilizce DOI: 10.4274/haseki.galenos.2018.4480 İndeks Tarihi: 04-11-2019
Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section
Öz: 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<0.05), and had shorter time to firstanalgesic requirement (p<0.05). MBS responses were evaluated asrecall 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 superiorityof agents used in induction over each other regarding awareness couldnot be shown.
Anahtar Kelime: Konular:
Gebelerde Preoperatif Anksiyetenin ve Genel Anestezi Uygulamalarının İntraoperatif Farkındalık Üzerine Etkisi
Öz: 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<0,05), ilk analjezik yapılma zamanı daha erkendi (p<0,05). MBS yanıtları incelendiğinde; grup K’de 12, grup P’de dört, grup T’de üç olguda hatırlama olduğu belirlendi. Sonuç: Gebelerdeki anksiyete düzeyleri düşüktü. İndüksiyonda kullanılan ajanların her birinin farkındalık üzerinde üstünlüğü gösterilememiştir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Gençoğlu N, Küçükosman G, KÖKSAL B, OKYAY R, PİŞKİN Ö, sezer ü, Harma M, Ayoglu H (2019). Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section. , 114 - 121. 10.4274/haseki.galenos.2018.4480 |
| Chicago | Gençoğlu Nilay Nur,Küçükosman Gamze,KÖKSAL Bengü Gülhan,OKYAY Rahşan Dilek,PİŞKİN Özcan,sezer üstün,Harma Mehmet Ibrahim,Ayoglu Hilal Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section. (2019): 114 - 121. 10.4274/haseki.galenos.2018.4480 |
| MLA | Gençoğlu Nilay Nur,Küçükosman Gamze,KÖKSAL Bengü Gülhan,OKYAY Rahşan Dilek,PİŞKİN Özcan,sezer üstün,Harma Mehmet Ibrahim,Ayoglu Hilal Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section. , 2019, ss.114 - 121. 10.4274/haseki.galenos.2018.4480 |
| AMA | Gençoğlu N,Küçükosman G,KÖKSAL B,OKYAY R,PİŞKİN Ö,sezer ü,Harma M,Ayoglu H Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section. . 2019; 114 - 121. 10.4274/haseki.galenos.2018.4480 |
| Vancouver | Gençoğlu N,Küçükosman G,KÖKSAL B,OKYAY R,PİŞKİN Ö,sezer ü,Harma M,Ayoglu H Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section. . 2019; 114 - 121. 10.4274/haseki.galenos.2018.4480 |
| IEEE | Gençoğlu N,Küçükosman G,KÖKSAL B,OKYAY R,PİŞKİN Ö,sezer ü,Harma M,Ayoglu H "Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section." , ss.114 - 121, 2019. 10.4274/haseki.galenos.2018.4480 |
| ISNAD | Gençoğlu, Nilay Nur vd. "Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section". (2019), 114-121. https://doi.org/10.4274/haseki.galenos.2018.4480 |
| APA | Gençoğlu N, Küçükosman G, KÖKSAL B, OKYAY R, PİŞKİN Ö, sezer ü, Harma M, Ayoglu H (2019). Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section. Haseki Tıp Bülteni, 57(2), 114 - 121. 10.4274/haseki.galenos.2018.4480 |
| Chicago | Gençoğlu Nilay Nur,Küçükosman Gamze,KÖKSAL Bengü Gülhan,OKYAY Rahşan Dilek,PİŞKİN Özcan,sezer üstün,Harma Mehmet Ibrahim,Ayoglu Hilal Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section. Haseki Tıp Bülteni 57, no.2 (2019): 114 - 121. 10.4274/haseki.galenos.2018.4480 |
| MLA | Gençoğlu Nilay Nur,Küçükosman Gamze,KÖKSAL Bengü Gülhan,OKYAY Rahşan Dilek,PİŞKİN Özcan,sezer üstün,Harma Mehmet Ibrahim,Ayoglu Hilal Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section. Haseki Tıp Bülteni, vol.57, no.2, 2019, ss.114 - 121. 10.4274/haseki.galenos.2018.4480 |
| AMA | Gençoğlu N,Küçükosman G,KÖKSAL B,OKYAY R,PİŞKİN Ö,sezer ü,Harma M,Ayoglu H Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section. Haseki Tıp Bülteni. 2019; 57(2): 114 - 121. 10.4274/haseki.galenos.2018.4480 |
| Vancouver | Gençoğlu N,Küçükosman G,KÖKSAL B,OKYAY R,PİŞKİN Ö,sezer ü,Harma M,Ayoglu H Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section. Haseki Tıp Bülteni. 2019; 57(2): 114 - 121. 10.4274/haseki.galenos.2018.4480 |
| IEEE | Gençoğlu N,Küçükosman G,KÖKSAL B,OKYAY R,PİŞKİN Ö,sezer ü,Harma M,Ayoglu H "Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section." Haseki Tıp Bülteni, 57, ss.114 - 121, 2019. 10.4274/haseki.galenos.2018.4480 |
| ISNAD | Gençoğlu, Nilay Nur vd. "Effects of Preoperative Anxiety and General Anesthetic Administration on Intraoperative Awareness in Patients Undergoing Cesarean Section". Haseki Tıp Bülteni 57/2 (2019), 114-121. https://doi.org/10.4274/haseki.galenos.2018.4480 |
