Effect of Pre-operative Anxiety on Post-operative Analgesia and Anesthesia Recovery in patientsundergoing Laparoscopic Cholecystectomy
Abstract
BACKGROUND AND OBJECTIVES: Preoperative anxiety is common among surgical patients and affects various
perioperative domains. This study investigates how preoperative anxiety impacts postoperative
analgesia and anesthetic recovery in patients undergoing laparoscopic cholecystectomy.
METHODOLOGY: A comprehensive literature review was conducted to identify relevant studies published
between 2010 and 2023. We focused on studies examining the relationship between preoperative anxiety and
postoperative outcomes, including pain intensity, analgesic consumption, recovery time from anesthesia, and
patient satisfaction. Data synthesis and analysis were performed to understand possible mechanisms and assess
evidence quality.
RESULTS: Fifteen studies met the inclusion criteria. Results consistently showed that higher preoperative anxiety
was associated with increased postoperative pain, greater need for analgesics, prolonged recovery from anesthesia,
and lower patient satisfaction. Potential mechanisms include alterations in stress hormone levels,
increased pain sensitivity, and psychological factors affecting healing.
CONCLUSION: Preoperative anxiety significantly influences postoperative analgesia and anesthetic recovery in
laparoscopic cholecystectomy patients. Implementing anxiety-reducing strategies, such as psychological counseling,
patient education, and pharmacological interventions, could enhance perioperative outcomes and patient
care. Further research is needed to clarify the underlying mechanisms and optimize strategies for managing
preoperative anxiety.
KEYWORDS: Preoperative anxiety, postoperative pain, analgesia, anesthesia recovery, laparoscopic cholecystectomy.
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