Impact of anxiety on sedative medication dosage in patients undergoing esophagogastroduodenoscopy

Wideochirurgia i inne techniki mało inwazyjne = Videosurgery and other miniinvasive techniques
Bünyamin GürbulakFiliz Tüzüner

Abstract

Esophagogastroduodenoscopy (EGD) is a diagnostic method used in the investigation of upper gastrointestinal system diseases. A high level of anxiety of patients who undergo EGD increases the duration of the procedure and the sedation and analgesic requirements. Sedation is used to increase patient comfort and tolerance by reducing the anxiety and pain associated with endoscopic procedures. In this study, the effect of anxiety scores on medication doses was investigated in patients who underwent EGD under sedation. A psychiatrist, an endoscopist and an anesthesiologist conducted a prospective observational study blindly to investigate the effect of pre-procedural (before EGD) anxiety level on medication doses for sedation. Patients were divided into two groups, with and without additional medication doses. The study included 210 consecutive patients who underwent EGD under sedation. The average STAI-S score was 40.28 and the average STAI-T score was 40.18. There was no relationship between anxiety scores and gender (p = 0.058, p = 0.869). Statistically significant results were obtained for anxiety scores with additional sedation dosing (p < 0.05). It was observed that an additional dose of medication was affected by age, body ma...Continue Reading

Citations

Jun 4, 2019·Frontiers in Psychology·Marco LauriolaStefano Pontone

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Methods Mentioned

BETA
sedation
biopsy

Software Mentioned

STAI

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