Preoperative anxiety induces no clinically relevant effect on intraoperative nociceptive levels during breast surgery under general anesthesia
Anxiety can affect acute and chronic postoperative pain after breast surgery. Nociceptive response during surgery might also be affected by preoperative anxiety even under unconscious state during general anesthesia. The aim of this retrospective study was to investigate nociceptive responses during...
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| Veröffentlicht in: | Journal of anesthesia 2015-12, Vol.29 (6), p.967-970 |
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| creator | Hashimoto, Kazuma Iwayama, Sachiko Sano, Yuka Tatara, Tsuneo Hirose, Munetaka |
| description | Anxiety can affect acute and chronic postoperative pain after breast surgery. Nociceptive response during surgery might also be affected by preoperative anxiety even under unconscious state during general anesthesia. The aim of this retrospective study was to investigate nociceptive responses during breast surgery under general anesthesia in patients with or without preoperative anxiety. Patients (
n
=
45) were divided into a low-anxiety group (
n
=
25) and a high-anxiety group (
n
=
20) in accordance with preoperative scores for the State Trait Anxiety Inventory. We performed discriminant analysis to compare nociception during surgery using three intraoperative averaged values: heart rate; systolic blood pressure; and perfusion index. No significant differences in discriminant score were seen between groups (
p
= 0.10). Although we performed propensity score-matching to reduce the bias due to confounding variables in this retrospective study, there was also no significant difference in levels of nociceptive response between groups (
p
= 0.06). In conclusion, the level of nociception during breast surgery is not significantly affected by preoperative anxiety. |
| doi_str_mv | 10.1007/s00540-015-2032-x |
| format | Article |
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n
=
45) were divided into a low-anxiety group (
n
=
25) and a high-anxiety group (
n
=
20) in accordance with preoperative scores for the State Trait Anxiety Inventory. We performed discriminant analysis to compare nociception during surgery using three intraoperative averaged values: heart rate; systolic blood pressure; and perfusion index. No significant differences in discriminant score were seen between groups (
p
= 0.10). Although we performed propensity score-matching to reduce the bias due to confounding variables in this retrospective study, there was also no significant difference in levels of nociceptive response between groups (
p
= 0.06). In conclusion, the level of nociception during breast surgery is not significantly affected by preoperative anxiety.</description><identifier>ISSN: 0913-8668</identifier><identifier>EISSN: 1438-8359</identifier><identifier>DOI: 10.1007/s00540-015-2032-x</identifier><identifier>PMID: 25995061</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Adult ; Anesthesia, General - methods ; Anesthesiology ; Anxiety - psychology ; Blood Pressure ; Critical Care Medicine ; Emergency Medicine ; Female ; General anesthesia ; Health aspects ; Heart Rate ; Humans ; Hysterectomy ; Intensive ; Medicine ; Medicine & Public Health ; Middle Aged ; Pain Medicine ; Pain, Postoperative - epidemiology ; Retrospective Studies ; Short Communication</subject><ispartof>Journal of anesthesia, 2015-12, Vol.29 (6), p.967-970</ispartof><rights>Japanese Society of Anesthesiologists 2015</rights><rights>COPYRIGHT 2015 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c590t-b578b38688a2d797be5f0277ecc4cac708d956f5cd488d6ff80916f55c4126483</citedby><cites>FETCH-LOGICAL-c590t-b578b38688a2d797be5f0277ecc4cac708d956f5cd488d6ff80916f55c4126483</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00540-015-2032-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00540-015-2032-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25995061$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hashimoto, Kazuma</creatorcontrib><creatorcontrib>Iwayama, Sachiko</creatorcontrib><creatorcontrib>Sano, Yuka</creatorcontrib><creatorcontrib>Tatara, Tsuneo</creatorcontrib><creatorcontrib>Hirose, Munetaka</creatorcontrib><title>Preoperative anxiety induces no clinically relevant effect on intraoperative nociceptive levels during breast surgery under general anesthesia</title><title>Journal of anesthesia</title><addtitle>J Anesth</addtitle><addtitle>J Anesth</addtitle><description>Anxiety can affect acute and chronic postoperative pain after breast surgery. Nociceptive response during surgery might also be affected by preoperative anxiety even under unconscious state during general anesthesia. The aim of this retrospective study was to investigate nociceptive responses during breast surgery under general anesthesia in patients with or without preoperative anxiety. Patients (
n
=
45) were divided into a low-anxiety group (
n
=
25) and a high-anxiety group (
n
=
20) in accordance with preoperative scores for the State Trait Anxiety Inventory. We performed discriminant analysis to compare nociception during surgery using three intraoperative averaged values: heart rate; systolic blood pressure; and perfusion index. No significant differences in discriminant score were seen between groups (
p
= 0.10). Although we performed propensity score-matching to reduce the bias due to confounding variables in this retrospective study, there was also no significant difference in levels of nociceptive response between groups (
p
= 0.06). In conclusion, the level of nociception during breast surgery is not significantly affected by preoperative anxiety.</description><subject>Adult</subject><subject>Anesthesia, General - methods</subject><subject>Anesthesiology</subject><subject>Anxiety - psychology</subject><subject>Blood Pressure</subject><subject>Critical Care Medicine</subject><subject>Emergency Medicine</subject><subject>Female</subject><subject>General anesthesia</subject><subject>Health aspects</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Intensive</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Pain Medicine</subject><subject>Pain, Postoperative - epidemiology</subject><subject>Retrospective Studies</subject><subject>Short Communication</subject><issn>0913-8668</issn><issn>1438-8359</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks-OFCEQxonRuOPqA3gxJF689Ap0000fN5v1T7KJHvRMaLoY2TDQQvdm5iV8ZmvsUWMyMRygyO-rooqPkJecXXHGureFMdmwinFZCVaLav-IbHhTq0rVsn9MNqzndaXaVl2QZ6XcM8Zazuun5ELIvpcYbMiPzxnSBNnM_gGoiXsP84H6OC4WCo2J2uCjtyaEA80Q4MHEmYJzYGeaIoJzNn_1MVlvYfp1RhZCoeOSfdzSIYMpMy1L3kI-0CWOkOkWIioDloUyf4PizXPyxJlQ4MVpvyRf391-uflQ3X16__Hm-q6ysmdzNchODbVqlTJi7PpuAOmY6DqwtrHGdkyNvWydtGOj1Ng6p3AUGEvbcNE2qr4kb9a8U07fF6yud75YCAGfkpaiedd0NZOtaBF9vaJbE0D76BK2bI-4vm4aoXqBU0aqOkOdGkwRnMfrf_irMzyuEXbenhXwVWBzKiWD01P2O5MPmjN9dINe3aDRDfroBr1HzatTl8uwg_GP4vf3IyBWoEzHX4Ks79OSI07-P1l_AqymwkU</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Hashimoto, Kazuma</creator><creator>Iwayama, Sachiko</creator><creator>Sano, Yuka</creator><creator>Tatara, Tsuneo</creator><creator>Hirose, Munetaka</creator><general>Springer Japan</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>Preoperative anxiety induces no clinically relevant effect on intraoperative nociceptive levels during breast surgery under general anesthesia</title><author>Hashimoto, Kazuma ; Iwayama, Sachiko ; Sano, Yuka ; Tatara, Tsuneo ; Hirose, Munetaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c590t-b578b38688a2d797be5f0277ecc4cac708d956f5cd488d6ff80916f55c4126483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Anesthesia, General - methods</topic><topic>Anesthesiology</topic><topic>Anxiety - psychology</topic><topic>Blood Pressure</topic><topic>Critical Care Medicine</topic><topic>Emergency Medicine</topic><topic>Female</topic><topic>General anesthesia</topic><topic>Health aspects</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Intensive</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Pain Medicine</topic><topic>Pain, Postoperative - epidemiology</topic><topic>Retrospective Studies</topic><topic>Short Communication</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hashimoto, Kazuma</creatorcontrib><creatorcontrib>Iwayama, Sachiko</creatorcontrib><creatorcontrib>Sano, Yuka</creatorcontrib><creatorcontrib>Tatara, Tsuneo</creatorcontrib><creatorcontrib>Hirose, Munetaka</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hashimoto, Kazuma</au><au>Iwayama, Sachiko</au><au>Sano, Yuka</au><au>Tatara, Tsuneo</au><au>Hirose, Munetaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative anxiety induces no clinically relevant effect on intraoperative nociceptive levels during breast surgery under general anesthesia</atitle><jtitle>Journal of anesthesia</jtitle><stitle>J Anesth</stitle><addtitle>J Anesth</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>29</volume><issue>6</issue><spage>967</spage><epage>970</epage><pages>967-970</pages><issn>0913-8668</issn><eissn>1438-8359</eissn><abstract>Anxiety can affect acute and chronic postoperative pain after breast surgery. Nociceptive response during surgery might also be affected by preoperative anxiety even under unconscious state during general anesthesia. The aim of this retrospective study was to investigate nociceptive responses during breast surgery under general anesthesia in patients with or without preoperative anxiety. Patients (
n
=
45) were divided into a low-anxiety group (
n
=
25) and a high-anxiety group (
n
=
20) in accordance with preoperative scores for the State Trait Anxiety Inventory. We performed discriminant analysis to compare nociception during surgery using three intraoperative averaged values: heart rate; systolic blood pressure; and perfusion index. No significant differences in discriminant score were seen between groups (
p
= 0.10). Although we performed propensity score-matching to reduce the bias due to confounding variables in this retrospective study, there was also no significant difference in levels of nociceptive response between groups (
p
= 0.06). In conclusion, the level of nociception during breast surgery is not significantly affected by preoperative anxiety.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>25995061</pmid><doi>10.1007/s00540-015-2032-x</doi><tpages>4</tpages></addata></record> |
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| ispartof | Journal of anesthesia, 2015-12, Vol.29 (6), p.967-970 |
| issn | 0913-8668 1438-8359 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1747305626 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Anesthesia, General - methods Anesthesiology Anxiety - psychology Blood Pressure Critical Care Medicine Emergency Medicine Female General anesthesia Health aspects Heart Rate Humans Hysterectomy Intensive Medicine Medicine & Public Health Middle Aged Pain Medicine Pain, Postoperative - epidemiology Retrospective Studies Short Communication |
| title | Preoperative anxiety induces no clinically relevant effect on intraoperative nociceptive levels during breast surgery under general anesthesia |
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