THE EFFECT OF PRE- AND INTRAOPERATIVE ANXIETY ON HEMODYNAMIC CHANGES AFTER SPINAL ANAESTHESIA IN CESAREAN SECTION

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NIKOOSERESHT MAHSHID; HAJIAN POURAN; ALIPOUR NASIM; BABAMIRI MOHAMMAD; SHIRMOHAMMADI KHORRAM NASRIN

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Journal: Avicenna Journal of Clinical Medicine Year:2018 | Volume:24 | Issue:4 (SN 86) Page(s): 291-298

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Title

THE EFFECT OF PRE- AND INTRAOPERATIVE ANXIETY ON HEMODYNAMIC CHANGES AFTER SPINAL ANAESTHESIA IN CESAREAN SECTION

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Keywords

ANXIETYQ1

BRADYCARDIAQ2

HYPOTENSIONQ1

Abstract

Background and Objective: Preoperative ANXIETY affects outcomes of anesthesia and surgery. HYPOTENSION is a common and major complication after spinal anesthesia, which may delay post-anesthetic care unit (PACU) discharge, prolong hospital stay, and increase the cost of hospitalization. Thus, we sought to determine the effect of pre- and intraoperative ANXIETY on hemodynamic changes after spinal anesthesia in cesarean section.Materials and Methods: This descriptive analytical study was carried out among 100 patients admitted to Fatemieh Hospital of Hamadan in 2016. The participants were chosen through convenience sampling method. Spielberger’s questionnaire and Visual Analogue Scale were used for assessing preoperative and intraoperative ANXIETY, respectively. Spinal anesthesia was performed using hyperbaric bupivacaine 10 mg and fentanyl 25 mg. Blood pressure and heart rate were measured at baseline, during surgery, and in the recovery room. HYPOTENSION was treated by the standardized protocol (fluid bolus and ephedrine). The effects of low, medium, and high levels of ANXIETY were investigated. The data were analyzed by performing Pearson correlation coefficient, Chi-squared test, and Fisher's exact test in SPSS, version 18.Results: Most of the patients had moderate ANXIETY level. There were no significant relationships between state and trait ANXIETY and HYPOTENSION and BRADYCARDIA (P³0.05). In addition, there were no significant associations between intraoperative ANXIETY and HYPOTENSION (P=0.275) and BRADYCARDIA (P=0.404).Conclusion: Pre- and intraoperative ANXIETY have no effect on hemodynamic changes in patients undergoing spinal anesthesia.

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APA: Copy

NIKOOSERESHT, MAHSHID, HAJIAN, POURAN, ALIPOUR, NASIM, BABAMIRI, MOHAMMAD, & SHIRMOHAMMADI KHORRAM, NASRIN. (2018). THE EFFECT OF PRE- AND INTRAOPERATIVE ANXIETY ON HEMODYNAMIC CHANGES AFTER SPINAL ANAESTHESIA IN CESAREAN SECTION. AVICENNA JOURNAL OF CLINICAL MEDICINE (SCIENTIFIC JOURNAL OF HAMADAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES), 24(4 (SN 86) ), 291-298. SID. https://sid.ir/paper/17942/en

Vancouver: Copy

NIKOOSERESHT MAHSHID, HAJIAN POURAN, ALIPOUR NASIM, BABAMIRI MOHAMMAD, SHIRMOHAMMADI KHORRAM NASRIN. THE EFFECT OF PRE- AND INTRAOPERATIVE ANXIETY ON HEMODYNAMIC CHANGES AFTER SPINAL ANAESTHESIA IN CESAREAN SECTION. AVICENNA JOURNAL OF CLINICAL MEDICINE (SCIENTIFIC JOURNAL OF HAMADAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES)[Internet]. 2018;24(4 (SN 86) ):291-298. Available from: https://sid.ir/paper/17942/en

IEEE: Copy

MAHSHID NIKOOSERESHT, POURAN HAJIAN, NASIM ALIPOUR, MOHAMMAD BABAMIRI, and NASRIN SHIRMOHAMMADI KHORRAM, “THE EFFECT OF PRE- AND INTRAOPERATIVE ANXIETY ON HEMODYNAMIC CHANGES AFTER SPINAL ANAESTHESIA IN CESAREAN SECTION,” AVICENNA JOURNAL OF CLINICAL MEDICINE (SCIENTIFIC JOURNAL OF HAMADAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES), vol. 24, no. 4 (SN 86) , pp. 291–298, 2018, [Online]. Available: https://sid.ir/paper/17942/en

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