The effect of skin surface warming on pre-operative anxiety in neurosurgery patients
| Autor: | Oliver Kimberger, U. Illievich, R. Lenhardt |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Psychometrics medicine.drug_class Midazolam Anxiety Placebo Anxiolytic Neurosurgical Procedures law.invention Heating Randomized controlled trial law Preoperative Care Skin surface medicine Humans Aged Psychiatric Status Rating Scales business.industry Middle Aged Combined Modality Therapy Surgery Anesthesiology and Pain Medicine Anti-Anxiety Agents Anesthesia Premedication Neurosurgery medicine.symptom Skin Temperature business medicine.drug |
| Zdroj: | Anaesthesia. 62:140-145 |
| ISSN: | 1365-2044 0003-2409 |
| DOI: | 10.1111/j.1365-2044.2007.04934.x |
| Popis: | Skin surface warming of patients not only improves thermal comfort, but has been shown to reduce anxiety in a pre-hospital setting. We tested the hypothesis that pre-operative warming can reduce pre-operative anxiety as effectively as a conventional dose of intravenous midazolam in patients undergoing neurosurgery. We randomly allocated 80 patients to four groups in the pre-operative holding area. Treatment was applied for 30-45 min with (1) passive insulation and placebo; (2) passive insulation and intravenous midazolam (30 microg.kg-1); (3) warming with forced-air and placebo; and (4) warming with forced-air and intravenous midazolam (30 microg.kg-1). Thermal comfort levels (VAS 0-100 mm) and anxiety levels (VAS 0-100 mm, Spielberger State-Trait Anxiety Inventory) were assessed twice: before the designated treatment was started and before induction of anaesthesia. In the midazolam and the midazolam/warming groups, anxiety VAS and Spielberger state anxiety scores decreased by -19 (95% CI: -29 to -9, p |
| Databáze: | OpenAIRE |
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