Preoperative anxiety and implications on postoperative recovery. What we can do to change our history.

Preoperative anxiety and implications on postoperative recovery. What we can do to change our history. Minerva Anestesiol. 2018 Apr 05;: Authors: Stamenkovic DM, Rancic NK, Latas MB, Neskovic V, Rondovic GM, Wu JD, Cattano D Abstract Preoperative anxiety can influence the intensity of postoperative pain and anesthesia and analgesia requirement. In certain types of surgery, anxiety may even increase postoperative morbidity and mortality. The goal of this narrative review is to remind anesthesiologists that anxiety measurement using specific tools can be done in clinical practice, to present the implications of preoperative anxiety on postoperative patient recovery, and to acknowledge the importance of a dedicated anesthesia plan in the management of anxious adult patients. Preoperative assessment performed several weeks before surgery in an outpatient clinic is a reasonable option to give information about surgery, anesthesia and postoperative pain. This is the time to assess patient preoperative anxiety by using VAS-A. If high anxiety level is detected early, the patient can be referred to a psychologist for preoperative preparation. This is consistent with the guidelines for enhanced recovery after surgeries, which underline the importance of patient-doctor discussion about hospitalization and perioperative care. Patients with preoperative anxiety could benefit from multimodal analgesia, including non- pharmacological methods, such as cognitive therapy a...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

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This study aimed to measure the degree of pain during administration of anesthesia and determine the latency time and duration of pulpal anesthesia using two anesthetic methods in the maxilla. Materials and Methods: A randomized, single-blind, split-mouth clinical trial was conducted with 41 volunteers who required class I restorations in the maxillary first molars. Local anesthesia was administered with a needleless jet injection system (experimental group) or with a carpule syringe (control) using a 30-gauge short needle. The method of anesthesia and laterality of the maxilla were randomized. A pulp electric tester measu...
Source: Journal of Applied Oral Science - Category: Dentistry Source Type: research
Canadian figure skater Gabrielle Daleman put her career on hold so she could concentrate on her mental health. Her mother Rhonda has agonized over her daughter’s pain, and reveals the anguish of watching her child go through gripping anxiety and depression.
Source: CBC | Health - Category: Consumer Health News Tags: Sports/Olympics/Winter Sports/Figure Skating Source Type: news
ST. LOUIS - A disability insurer reasonably concluded that a claimant's disability was caused by depression and anxiety rather than fibromyalgia because the objective medical records did not support the claimant's complaints of physical pain, the Eighth Circuit U.S. Court of Appeals said Jan. 9 (Marianne Thiry v. United of Omaha Life Insurance Co., et al., No. 17-3288, 8th Cir., 2019 U.S. App. LEXIS 613).
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - Category: Medical Law Source Type: news
Parents are important influencers of symptoms and functioning in youth with chronic pain.37 A number of parental factors are associated with child pain and functioning, including responses to child pain (e.g., protectiveness),10, 33 psychological functioning (e.g., anxiety),4, 34 and chronic pain history.4, 7, 22, 40 However, these parental factors typically have been evaluated as separate domains with few studies examining their interrelations.28, 30, 37, 45, 46, 56 Understanding the extent to which parental factors are interrelated, and exhibit differential associations with child adjustment to chronic pain may help impr...
Source: The Journal of Pain - Category: Materials Science Authors: Tags: Original Reports Source Type: research
Pain control in infants and children has come a long way over the past few decades. Experts know how to provide appropriate anesthesia when children need surgery and understand the ways that even very young children express distress when they're hurting afterward. There is a lot of evidence about reducing the pain and anxiety that can accompany immunizations and blood draws, and there is increasing expertise about helping children who struggle with chronic pain.But today's parents may be shocked to learn that was not always the case. As recently as the early 1980s, the pain of children and infants was thought to be...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
By Sandee LaMotte, CNN (CNN) — Here’s another reason why getting a good night’s sleep should be on your must-do list: Sleeping fewer than six hours a night or waking frequently raises your risk of developing damaging plaque in arteries throughout your body, not just your heart. Previous research has shown poor sleep to be strongly associated with coronary heart disease, but “This is the first study to show that objectively measured sleep is independently associated with atherosclerosis throughout the body,” José Ordovás, director of nutrition and genomics at the Jean Mayer USDA H...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Boston News Health CNN Heart Disease Sleep Tufts University Source Type: news
A covert narcissist is just as much a narcissist as your typical extroverted narcissist. Some narcissists emphasize one personality trait more than others. One person with outgoing personality might always show off and need to be the center of attention, while another narcissist might be a vindictive bully, an entitled playboy, an imperious authoritarian, or an exacting know-it-all, as articulated by Madonna, “Listen, everyone is entitled to my opinion.” Some public figures and celebrities exemplify extroverted narcissists — people who are, grandiose and crave attention. Radio host and psychologist Dr. We...
Source: Psych Central - Category: Psychiatry Authors: Tags: Bullying Narcissism Personality Source Type: news
AbstractPurposeWe sought to examine the prevalence of depression and anxiety in adults with skeletal dysplasias, and to assess any correlations with pain.MethodsParticipation was via an anonymous REDCap survey, which consisted of sociodemographic questions followed by the brief pain inventory-short form (BPI-SF), patient health questionnaire-8 (PHQ-8), and generalized anxiety disorder-7 (GAD-7) questionnaires. These assessed pain, depression, and anxiety respectively.ResultsOf the 336 usable responses, 16.1% scored 10 or greater on the PHQ-8 consistent with current depression while 17.3% scored 10 or greater on the GAD-7 c...
Source: Quality of Life Research - Category: Health Management Source Type: research
ConclusionHigher mindfulness is associated with less pain interference, lower impact of fibromyalgia, and better psychological health and quality of life in people with fibromyalgia. Mindfulness moderates the influence of fibromyalgia impact on anxiety, suggesting mindfulness may alter how patients cope with fibromyalgia. Future studies should assess how mind-body therapies aiming to cultivate mindfulness may impact the well-being of patients with fibromyalgia.Key points• Higher mindfulness was associated with better psychological health and lower overall impact of fibromyalgia.• Mindfulness moderated the relatio...
Source: Clinical Rheumatology - Category: Rheumatology Source Type: research
ConclusionsOur study confirms the presence of high symptom burden in dialysis patients in Uruguay. Several symptom clusters were identified having significant impact on the patients’ well-being. The identification of symptom clusters can help to understand common underlying pathways. It is possible that the management of symptom clusters may reduce symptom burden in these patients.
Source: Value in Health Regional Issues - Category: International Medicine & Public Health Source Type: research
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