Is the choice of anesthesia during gastrointestinal endoscopic procedures a result of anxiety?

Erdal, Harun; Gündoğmuş, İbrahi̇m; Aydın, Mehmet Sinan; Çelik, Bülent; Bolu, Abdullah; Çelebi, Gürkan; Sakin, Yusuf Serdar; Erçin, Cemal Nuri; Uygun, Ahmet; Gülşen, Mustafa

doi:10.1016/j.ajg.2020.09.006

Cited by 4 publications

(6 citation statements)

References 17 publications

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Section: Discussionmentioning

confidence: 99%

“…In a study, the State and Trait Anxiety Inventory (STAI) was used to compare the anxiety levels of two groups of patients based on whether or not they were going to have anaesthesia-guided endoscopic intervention (34). It was found that the anxiety levels of those who were going to have anaesthesia were lower (34). In our clinic, we routinely apply sedation in the presence of an anaesthesiologist to all our patients scheduled for gastrointestinal endoscopic interventions.…”

Section: Discussionmentioning

confidence: 99%

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Gastrointestinal endoskopiler öncesinde uygulanan sedasyon hastaların gelecekteki işlemler için kaygı düzeyini nasıl etkiler?

SAYİN KART,

DALKİLİNC HOKENEK

2023

J Med Palliat Care / JOMPAC / jompac

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Aim: The application of sedoanalgesia during gastrointestinal endoscopic procedures increases the success of the procedure as well as patient comfort and safety. The aims of this study are to investigate the anxiety levels of patients and potential early complications who practised sedoanalgesia in gastrointestinal endoscopic procedures before and two days after. Material and Method: The study was designed as a prospective, randomized, single-centre clinical trial. Patients over the age of 18 and had American Society of Anaesthesiology (ASA) physical status score 1-3 who were practised elective gastrointestinal endoscopy, between April 2022 and September 2022 were included to the study. The patients who refused to participate, were above ASA 3, and were illiterate, had an Ejection Fraction <30%, and had a diagnosis and treatment of psychiatric disease were excluded from the study. Informed consent obtained from all patients. Anxiety levels of the patients were evaluated with Beck Anxiety Inventory (BAI). Hemodynamic changes, blood test results were recorded and compared before and after the procedure. Results: One hundred four patients included to the study with the age of 23 to 79. Preoperative and postoperative BAI scores were found statistically significant (p<0.05). The patients’ satisfactions have seen very high after procedure. The complications have seen on 7 (%6.7) patients. All of the complications were due to nature of the procedure as epistaxis/mucosal trauma (n=3), equipment damage(n=4). There have been no serious or life-threatening complications during procedures.Conclusion: Reducing anxiety by anaesthesia, patients will be more efficiently persuaded to execute endoscopy and by thus early diagnosis can be achieved. Patients who have undergone an endoscopy procedure while sedated have significantly fewer concerns about the future. This may increase the procedure's chances of success every time.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Gastrointestinal endoskopiler öncesinde uygulanan sedasyon hastaların gelecekteki işlemler için kaygı düzeyini nasıl etkiler?

SAYİN KART,

DALKİLİNC HOKENEK

2023

J Med Palliat Care / JOMPAC / jompac

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“…Gastrointestinal endoscopy has been considered an important method for providing preventive measures and diagnosing digestive tract diseases, in which polyps and adenomas can be removed [1][2][3] . However, endoscopy is an invasive procedure that can cause anxiety, fear, and nausea in almost all patients [4] .…”

Section: Introductionmentioning

confidence: 99%

Application of Propofol Target-Controlled Infusion Combined with Etomidate in Painless Gastrointestinal Endoscopy: A Prospective, Randomized Controlled Study

Luo,

Zheng,

Chen

et al. 2023

Preprint

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Background Propofol has been widely used in painless gastrointestinal endoscopy; however, it frequently leads to cardiovascular adverse events and respiratory depression. Propofol target-controlled infusion (TCI) can provide safe sedation but may require higher dosages of propofol. On the contrary, etomidate offers hemodynamic stability. This study aimed to investigate the efficacy and safety of propofol TCI combined with etomidate in painless gastrointestinal endoscopy. Methods A total of 330 patients from Fujian Provincial Hospital were randomly divided into three groups: P, 0.1EP, and 0.15EP. Patients in the P group received propofol TCI only, with an initial effect-site concentration of the propofol TCI system of 3.0 µg/mL. Patients in the 0.1EP and 0.15EP groups received 0.1 and 0.15 mg/kg etomidate intravenous injection, respectively, followed by propofol TCI. Results Patients in the 0.15EP group had higher mean blood pressure (MBP) after induction than the other groups (P < 0.05). Propofol consumption significantly decreased in the 0.15EP group compared with that in the other groups (P < 0.05). The induction time was longer in the P group than in the other groups (P < 0.01). The recovery time was shorter in the 0.15EP group than in the other groups (P < 0.01). The incidence of hypotension and injection pain was lower in the 0.15EP group than in the other groups (P < 0.05). Furthermore, the incidence of respiratory depression was lower in the 0.15EP group than in the P group (P < 0.05). Additionally, the satisfaction of the patient, endoscopist, and anesthesiologist was higher in the 0.15EP group than in the other groups (P < 0.05). Conclusions Our findings suggest that 0.15 mg/kg etomidate plus propofol TCI can significantly reduce propofol consumption, which is followed by fewer cardiovascular adverse events and respiratory depression, along with higher patient, endoscopist, and anesthesiologist satisfaction. Thus, this anesthesia strategy is suitable for painless gastrointestinal endoscopy.

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“…imely diagnosis of gastrointestinal disorders is as vital as early diagnoses of other body organ problems [1]. Upper gastrointestinal endoscopy is one of the main diagnostic tools for evaluating and examining the upper gastrointestinal tract [2].…”

Section: Introductionmentioning

confidence: 99%

Damask Rose Aromatherapy and the Anxiety of Endoscopic Candidate Patients: A Clinical Trial

Jirdehi

Monfared

Ghanaei

et al. 2021

J Holist Nurs Midwifery

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Introduction: Anxiety is one of the common problems among patients before undergoing invasive diagnostic techniques. One of these diagnostic techniques is gastrointestinal endoscopy. Aromatherapy is one of the complementary therapies to reduce anxiety. Objective: This study aimed to determine the effect of aromatherapy with Damask rose on the anxiety of the patients before undergoing endoscopy. Materials and methods: This study is a clinical trial performed on patients referred to the Endoscopy Department of one of the educational and therapeutic centers in Rasht City, Iran, in 2019. The study sample was 70 patients divided into the intervention and control groups. After giving the informed consent form, the samples completed the demographic information questionnaire and Spielberger anxiety questionnaire. The intervention group received aromatherapy with 10% Damask rose essential oil, and the control group received aromatherapy with a placebo for 30 minutes. The anxiety questionnaire was completed again 30 minutes after aromatherapy. The data were analyzed using descriptive and inferential statistics (the paired t test, Chi-square, independent t test, and covariance test). Results: Results showed that the mean ± SD age of participants was 41.05 ±13.15 years in the intervention (ranged 22-65 years) and 45.82 ±16.81 years in the control groups. Most participants were female (57.1%). After the intervention, the mean score of anxiety in the aromatherapy group (39.88±11.51) was lower than that in the control group with placebo (49.94±12.30), which was statistically significant (P=0.001). Because of significant differences in hospitalization history between the two study groups before the intervention, the covariance test was performed. The results showed no interaction between aromatherapy and hospitalization history. So it seems that the hospitalization variable did not affect post-intervention anxiety. Conclusions: This study showed that aromatherapy with Damask rose essential oil was effective on pre-endoscopic anxiety of the patients. Since complementary medicine is increasingly practiced in nursing care, Damask rose aromatherapy, because of its low cost, safety and simplicity, can be used as a complementary measure to reduce anxiety in patients before endoscopy. However, more studies with intervention, control, and routine groups are needed to confirm the effectiveness of aromatherapy in endoscopy.

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Is the choice of anesthesia during gastrointestinal endoscopic procedures a result of anxiety?

Cited by 4 publications

References 17 publications

Gastrointestinal endoskopiler öncesinde uygulanan sedasyon hastaların gelecekteki işlemler için kaygı düzeyini nasıl etkiler?

Gastrointestinal endoskopiler öncesinde uygulanan sedasyon hastaların gelecekteki işlemler için kaygı düzeyini nasıl etkiler?

Application of Propofol Target-Controlled Infusion Combined with Etomidate in Painless Gastrointestinal Endoscopy: A Prospective, Randomized Controlled Study

Damask Rose Aromatherapy and the Anxiety of Endoscopic Candidate Patients: A Clinical Trial

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