The effect of demographic characteristics on anxiety and hemodynamic response during intubation in patients undergoing septoplasty

Aim: To investigate whether the demographic characteristics of patients scheduled for septoplasty had an effect on their trait andpreoperative state anxiety and hemodynamic response caused by endotracheal intubation.Material and Methods: In our prospective observational study, after the demographic characteristics of the patients were recorded,the State-Trait Anxiety Inventory (STAI) was administered three times to measure preoperative trait (STAI-1), preoperative state(STAI-2) and postoperative state (STAI-3) anxiety. The preoperative basal hemodynamic parameters were noted. The percentagechanges in the hemodynamic responses of the patients during intubation (systolic arterial pressure, diastolic arterial pressure,and mean arterial pressure) were evaluated. The relationship between the severity of anxiety and hemodynamic changes wasinvestigated.Results: Preoperative state anxiety was present in 85% of the patients (STAI-2≥50). The mean STAI-1 score was found to bestatistically significantly lower in men (42.81) than in women (45.46) (p=0.005). The mean STAI-2 score, showing preoperative stateanxiety, was statistically significantly lower in males (53.89) than in females (57.72) (p=0.001). The mean STAI-2 score was 58.05in patients aged 45 and over and 54.15 in those under 45 years (p

PDF

___

1. Zeleníková R, Homzová P, Homza M, et al. Validity and reliability of the Czech version of the Amsterdam preoperative anxiety and information scale (APAIS). J Perianesth Nurs 2017;32:429-37.
2. Woldegerima YB, Fitwi GL, Yimer HT, et al. Prevalence and factors associated with preoperative anxiety among elective surgical patients at University of Gondar Hospital, Gondar, Northwest Ethiopia, 2017. A cross-sectional study. Int J Surg Open 2018;10:21-9.
3. Sigdel S. Perioperative anxiety: A short review. Global Anesthesia and Perioperative Medicine 2015;1:107-8.
4. Bayrak A, Sagiroglu G, Copuroglu E. Effects of Preoperative Anxiety on Intraoperative Hemodynamics and Postoperative Pain. J Coll Physicians Surg Pak 2019;29:868-73.
5. Vileikyte L. Stress and wound healing. Clin Dermatol 2007;25:49–55.
6. Bailey L. Strategies for decreasing patient anxiety in the perioperative setting. AORN J 2010;92:445-60.
7. Jlala HA, French J, Foxall GL, et al. Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. Br J Anaesth 2010;104:369-74.
8. Park K, Jang SB, Kweon TD, et al. The effect of beta1-adrenergic receptor gene polymorphism on prolongation of corrected QT interval during endotracheal intubation under sevoflurane anesthesia. Korean J Anesthesiol 2011;61:117-21.
9. Inoue S, Tanaka Y, Kawaguchi M, et al. The efficacy of landiolol for suppressing the hyperdynamic response following laryngoscopy and tracheal intubation: a systematic review. Anaesth Intensive Care 2009;37:893-902.
10. Hernandez-Torres V, Ratzlaff R, et al. The Use of a Novel Endotracheal Tube and Airway Management System to Prevent Complications in Lung Transplantation. Cureus 2019;11:5170.
11. Seder DB, Bösel J. Airway management and mechanical ventilation in acute brain injury. Handb Clin Neurol 2017;140:15-32.
12. Spielberger CD, Auerbach SM, Wadsworth AP, Dunn TM, Taulbee ES. Emotional reactions to surgery. J Consult Clin Psychol 1973;40:33-8.
13. Akinsulore A, Owojuyigbe AM, Faponle AF, et al. Assessment of preoperative and postoperative anxiety among elective major surgery patients in a tertiary hospital in Nigeria. Middle East J Anaesthesiol 2015;23:235-40.
14. Nigussie S, Belachew T, Wolancho W. Predictors of preoperative anxiety among surgical patients in Jimma University specialized teaching hospital, South Western Ethiopia. BMC Surg 2014;14:1-19.
15. Carr E, Brockbank K, Allen S, et al. Patterns and frequency of anxiety in women undergoing gynaecological surgery. J Clin Nurs 2006;15:341-52.
16. Millar K, Jelicic M, Bonke B, et al. Assessment of preoperative anxiety: comparison of measures in patients awaiting surgery for breast cancer. Br J Anaesth 1995;74:180-3.
17. Jafar MF, Khan FA. Frequency of preoperative anxiety in Pakistani surgical patients. J Pak Med Assoc 2009;59:359.
18. Kim WS, Byeon GJ, Song BJ, et al. Availability of preoperative anxiety scale as a predictive factor for hemodynamic changes during induction of anesthesia. Korean J Anesthesiol 2010;58:328-33.
19. Perks A, Chakravarti S, Manninen P. Preoperative anxiety in neurosurgical patients. J Neurosurg Anesthesiol 2009;21:127-30.
20. Matthias AT, Samarasekera DN. Preoperative anxiety in surgical patients experience of a single unit. Acta Anaesthesiol Taiwanica 2012;50:3-6.
21. Ebirim L, Tobin M. Factors responsible for preoperative anxiety in elective surgical patients at a university teaching hospital: A pilot study. Int J Anesth 2010;29:1-6.
22. Uddin I, Kurkuman A, Jamil T. Pre-operative anxiety in patients admitted for elective surgery in king Saud hospital, Unaizah, Al-Qassim, Kingdom of Saudi Arabia. Pak J Med Sci 2002;18:306-10.
23. Mulugeta H, Ayana M, Sintayehu M, Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwotreferral hospitals, Northwest Ethiopia. BMC Anesthesiol 2018;18:155.
24. Sun GC, Hsu MC, Chia YY, et al. Effects of age and gender on intravenous midazolam premedication: a randomized double-blind study. Br J Anaesth 2008; 101:632-9.
25. Saini S, Dayal M. Preoperative Anxiety in Indian Surgical Patients-Experience of a Single Unit. Indian J Appl Res 2016;6:476-9.
26. İsmail S, Azam SI, Khan FA. Effect of age on haemodynamic response to tracheal intubation. A comparison of young, middle-aged and elderly patients. Anaesth Intensive Care 2002;30:608-14.
27. Bullington J, Mouton Perry SM, Rigby J, et al. The effect of advancing age on the sympathetic response to laryngoscopy and tracheal intubation. Anesth Analg 1989;68:603-8.
28. Derbyshire DR, Chmielewski A, Fell D, et al. Plasma catecholamine responses to tracheal intubation. Br J Anaesth 1983;55:855-60.