Cataract Surgery
Conditions
Keywords
Cataract surgery, Anxiety, Fasting
Brief summary
The aim of this prospective study was to investigate whether non-fasting recommendation could reduce preoperative anxiety level, incidence of anesthetist interventions, and number of surgical complications in elective cataract surgery patients.
Detailed description
Fear of aspiration makes anesthetists reluctant to challenge standard pre-operative fasting guidelines recommending stopping eating solids and drinking clear fluid 6 hours and 2 hours, respectively before anesthesia. However, hunger and thirst exacerbates patients' anxiety, adversely impacts the patient's comfort and satisfaction, and enhances pain response leading to additional need for analgesia. Patients undergoing non-invasive procedures requiring no or light sedation may benefit from non-fasting recommendations. The need for preoperative fasting in patients undergoing cataract surgery under topical anesthesia remains controversial. Patients are not fasted before standard cataract surgery under local anesthesia in many cataract centers, in accordance with the UK national guideline published in 2012. However, this practice is not supported by a high level of evidence from prospective clinical trials. So far, the lack of international professional consensus on the matter, local practices are based on institutional recommendations obviating the need for starvation in routine cataract surgery under topical anesthesia.
Interventions
OTHERState-Trait Anxiety Inventory (STAI) scale
State-Trait Anxiety Inventory (STAI) scale
OTHERSatisfaction scale
Satisfaction scale
Sponsors
URC-CIC Paris Descartes Necker Cochin
Assistance Publique - Hôpitaux de Paris
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Information and collection of patient consent * Age greater than or equal to 18 years * Affiliation to a social insurance * Undergoing cataract surgery under topical anesthesia * Intervention on the 1st eye
Exclusion criteria
* Refusal to participate * Language barrier incompatible with the performance of a reliable assessment * Behavior disorders * Anesthesia other than topical * Voluntary control disorder * Intervention on the 2nd eye * Taking psychotropic drugs. * Legal protection regime
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| State-Trait Anxiety Inventory (STAI) scale score | Baseline (Before surgery) | preoperative anxiety level |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of vitreous outbreaks perceived by the operator | During surgery | Incidence of vitreous outbreaks perceived by the operator |
| Incidence of capsular ruptures | During surgery | Incidence of capsular ruptures |
| Satisfaction scale score | Immediately after surgery | Satisfaction scale score (scale from 0 to 10) |
| Incidence of oxygen desaturations | During surgery | Incidence of oxygen desaturations (SpO2 \<93%) |
| Proportion of patients who took their usual antihypertensive therapy | Baseline (Before surgery) | Proportion of patients who took their usual antihypertensive therapy |
Countries
France
Outcome results
None listed