Preoperative Area
Conditions
Keywords
anxiety, pain, preoperative area, premedication
Brief summary
Anxiety is associated with discomfort but also with an increased risk of pain and/or analgesic consumption. A prescription of anxiolytics is very common in pre-anesthetic consultation but without considering the real anxiety level of the patients. The objective of this premedication is mainly to improve patient comfort, to reduce patient anxiety and to improve patient cooperation. According to a study conducted in the 1990s, 40 to 80% of patients are anxious before surgery. Consequences of anxiety are somatic (tachycardia, hypertension, difficulty to falling asleep), behavioural (aggressiveness, regression, fight against anaesthesia induction) and postoperative pain. Preoperative area is a place of convergence for patients who need surgery or an interventional procedure. Staying in the preoperative area may be a source of anxiety and may affect the patient management. The investigators will interview patients undergoing surgery or interventional procedure to assess their level of anxiety, pain and their experiences during their stay in preoperative area. The objective is to analyse the level of anxiety and / or pain and their clinical consequences, and then to assess the relationship with any potential premedication.
Interventions
OTHERQuestionnaires
Completion of questionnaires on tablet computers in the preoperative area by 6 nurse anesthetists, 1 hospital physician and 1 resident physician.
Sponsors
Hospices Civils de Lyon
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient in preoperative area before surgery or interventional procedure * Patient to receive general anesthesia, local, locoregional, sedation, * Agreeing to participate in the study after receiving information note, * ≥ 18 years of age.
Exclusion criteria
* \< 18 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of anxiety in preoperative area, by using 3 questionnaires. | Day 0 | With 3 questionnaires: * visual analog scale of anxiety * APAIS score * COVI Score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of sedation | Day 0 | Scale of sedation (during the stay in preoperative area) |
| Evaluation of pain | Day 0 | visual analog scale of pain (during the stay in preoperative area) |
| Experiences of patient | Day 0 | questionnaire (during the stay in preoperative area) |
| Evaluation of patient premedication | Day 0 | questionnaire (during the stay in preoperative area) |
Outcome results
None listed