Anxiety Level of Patients Undergoing Oral Surgical Procedures

Acharya, Sudeep; Joshi, Sandhya; Pradhan, Amita

doi:10.3126/jnhrc.v16i1.19359

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…The findings of study showed that 90.54 % of respondents had very low anxiety, 6.75% had moderate anxiety and 2.70% had severe anxiety. The study conducted by Acharya et al 9 in Kathmandu, Nepal shows 70% had very low anxiety, 23.20% had moderate anxiety and 7% had severe anxiety which is only comparable with this present study…”

Section: Discussionsupporting

confidence: 87%

Study Of Prevalence Of Anxiety And its Contributing Factors Among Patients Undergoing Surgery In a Tertiary Care Hospital

Subedi¹,

Paudel²,

Koirala³

et al. 2019

J Psychiatr Assoc Nepal

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Introduction: Anxiety is a vague, uneasy feeling, the source of which is often non-specific but known to cause abnormal hemodynamic changes as a consequence of sympathetic, parasympathetic and endocrine stimulation. Most patients awaiting elective surgery experience anxiety. The degree, to which patient develops anxiety depends on many factors like age, gender, type and extent of the proposed surgery, previous surgical experience, and personal susceptibility to stressful situations. This study was conducted to find out the prevalence of preoperative anxiety and factors contributing to it. Material and Method: This is a cross-sectional study done among 74 pre-operative patients admitted the day before elective surgery in Department Of Surgery Universal College Of Medical Sciences Teaching Hospital, Bhairahawa. Socio-demographic as well contributing factor questionnaire, semi structured pro forma by interview method and Beck Anxiety Inventory Scale (BAI) Nepali Version were used to collect the data. Results: The findings of the study revealed that 90.54%, had very low level of anxiety and 2.70% of patients had severe pre-operative anxiety. The bivariate logistic regression analysis showed statistically significant association between family income (p= 0.004, AOR=2.03, CI= 0.009-2.567), family support (p< 0.001, AOR= 2.34, CI= 0.003-3.368), expected duration of hospital stay (p= 0.049, AOR=8.889, CI= 78.051-78.051), clarity on given information by health care providers (p< 0.001, AOR= 53.33, CI=7.165-396.99), staffs friendliness (p< 0.001, AOR= 21.01, CI= 3.450-127.82), fear of nil per oral (p= 0.015, AOR= 2.32, CI= 0.26-3.67) and level of pre-operative anxiety. Conclusion: It is concluded that varying degree of pre-operative anxiety were found in patients undergoing surgery. Providing adequate information about Peri-Operative procedure can help in reducing these anxiety.

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Section: Discussionsupporting

confidence: 87%

Study Of Prevalence Of Anxiety And its Contributing Factors Among Patients Undergoing Surgery In a Tertiary Care Hospital

Subedi¹,

Paudel²,

Koirala³

et al. 2019

J Psychiatr Assoc Nepal

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show abstract

“…Demographic differences among patients can affect differences in the degree of dental anxiety. Acharya et al 12 and Udoye et al 13 have reported significant differences in dental phobia according to sex and age, using the DAS questionnaire. Similar results were also reported in a study by Appukuttan et al 14 , which used the Tamil version of the modified DAS questionnaire.…”

Section: Discussionmentioning

confidence: 99%

Comparison of vital sign stability and cost effectiveness between midazolam and dexmedetomidine during third molar extraction under intravenous sedation

Kim

Park

Han

et al. 2022

JKAOMS

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Objectives: To compare the vital sign stability and cost of two commonly used sedatives, midazolam (MDZ) and dexmedetomidine (DEX). Patients and Methods: This retrospective study targeted patients who underwent mandibular third molar extractions under intravenous sedation using MDZ or DEX. The predictor variable was the type of sedative used. The primary outcome variables were vital signs (heart rate and blood pressure), vital sign outliers, and cost of the sedatives. A vital sign outlier was defined as a 30% or more change in vital signs during sedation; the fewer changes, the higher the vital sign stability. The secondary outcome variables included the observer's assessment of alertness/sedation scale, level of amnesia, patient satisfaction, and bispectral index score. Covariates were sex, age, body mass index, sleeping time, dental anxiety score, and Pederson scale. Descriptive statistics were computed including propensity score matching (PSM). The P-value was set at 0.05. Results: The study enrolled 185 patients, 103 in the MDZ group and 82 in the DEX group. Based on the data after PSM, the two samples had similar baseline covariates. The sedative effect of both agents was satisfactory. Heart rate outliers were more common with MDZ than with DEX (49.3% vs 22.7%, P=0.001). Heart rate was higher with MDZ (P=0.000). The cost was higher for DEX than for MDZ (29.27±0.00 USD vs 0.37±0.04 USD, P=0.000). Conclusion: DEX showed more vital sign stability, while MDZ was more economical. These results could be used as a reference to guide clinicians during sedative selection.

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“…Every surgical procedure may lead to apprehension and anxiety, and good sedation is effective to reduce pain and anxiety for improved patient cooperation and satisfaction. [ 21 – 25 ] The comparative evaluation of midazolam and dexmedetomidine is conducted by the intravenous or intranasal route. One study compares intravenous propofol with fentanyl and midazolam with fentanyl for third molar surgery and finds no significant reduction in vital parameters (SpO 2 , pulse rate, and blood pressure).…”

Section: Discussionmentioning

confidence: 99%

Comparison of dexmedetomidine with midazolam for dental surgery

Zhang¹,

Li²,

Shi³

et al. 2020

Medicine

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Introduction: Dexmedetomidine and midazolam have become important approaches for the sedation of dental surgery. However, the comparison of these 2 drugs for the sedation of dental surgery has not been well established. We conduct a systematic review and meta-analysis to evaluate the efficacy of dexmedetomidine versus midazolam for dental surgery. Methods: PubMed, Embase, and the Cochrane Central Register of Controlled Trials are searched. Randomized controlled trials (RCTs) assessing the influence of dexmedetomidine versus midazolam on dental surgery are included. Two investigators independently have searched articles, extracted data, and assessed the quality of included studies. Meta-analysis is performed using the random-effect model. Results: Five RCTs and 420 patients are included in the meta-analysis. Compared with midazolam intervention for dental surgery, dexmedetomidine intervention has similar lowest SpO 2 , lowest heart rate and lowest systolic blood pressure, duration of surgery, and total volume of local anesthetic, but is associated with stable and reduced lowest diastolic blood pressure. Conclusions: Similar benefits of dexmedetomidine and midazolam intervention are observed for the sedation of dental surgery in terms of SpO 2 , heart rate, systolic blood pressure, and the volume of local anesthetic, but dexmedetomidine may result in more stable diastolic blood pressure.

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Anxiety Level of Patients Undergoing Oral Surgical Procedures

Cited by 4 publications

References 7 publications

Study Of Prevalence Of Anxiety And its Contributing Factors Among Patients Undergoing Surgery In a Tertiary Care Hospital

Study Of Prevalence Of Anxiety And its Contributing Factors Among Patients Undergoing Surgery In a Tertiary Care Hospital

Comparison of vital sign stability and cost effectiveness between midazolam and dexmedetomidine during third molar extraction under intravenous sedation

Comparison of dexmedetomidine with midazolam for dental surgery

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