Less stress, better success: a scoping review on the effects of anxiety on anesthetic and analgesic consumption

Preoperative anxiety has an incidence of 11–80% in patients undergoing surgical or interventional procedures. Understanding the role of preoperative anxiety on intraoperative anesthetic requirements and postoperative analgesic consumption would allow personalized anesthesia care. Over- or under-anes...

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Bibliographic Details
Published in:Journal of anesthesia 2022-08, Vol.36 (4), p.532-553
Main Authors: Chen, Yun-Yun K., Soens, Mieke A., Kovacheva, Vesela P.
Format: Article
Language:English
Subjects:
Analysis
Anesthesia
Anesthesiology
Cognition disorders
Critical Care Medicine
Emergency Medicine
Intensive
Medicine
Medicine & Public Health
Pain Medicine
Review Article
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Summary:Preoperative anxiety has an incidence of 11–80% in patients undergoing surgical or interventional procedures. Understanding the role of preoperative anxiety on intraoperative anesthetic requirements and postoperative analgesic consumption would allow personalized anesthesia care. Over- or under-anesthetizing patients can lead to complications such as postoperative cognitive dysfunction in elderly patients, or procedural discomfort, respectively. Our scoping review focuses on the current evidence regarding the association between preoperative anxiety and intraoperative anesthetic and/or postoperative analgesic consumption in patients undergoing elective surgical or interventional procedures. Based on 44 studies that met the inclusion criteria, we found that preoperative anxiety has a significant positive correlation effect on intraoperative propofol and postoperative opioid consumption. The analysis of the literature is limited by the heterogeneity of preoperative anxiety tools used, study designs, data analyses, and outcomes. The use of shorter, validated preoperative anxiety assessment tools may help optimize the intraoperative anesthetic and postoperative analgesic regimen. Further research to determine the most feasible and clinically relevant preoperative anxiety tool and subsequent implementation has the potential to optimize perioperative care and improve patient outcomes.
ISSN:0913-8668
1438-8359
DOI:10.1007/s00540-022-03081-4