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Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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General Anesthesia: Overview

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Related Experiment Videos

Preoperative anxiety before elective surgery.

Masood Jawaid1, Asim Mushtaq, Sabih Mukhtar

  • 1Surgical Unit II, Civil Hospital, Karachi, Pakistan. Tel. +92 (21) 9215740 Ext. 2262. Fax. +92 (21) 5689860. Mobile 0300-9279786.

Neurosciences (Riyadh, Saudi Arabia)
|August 23, 2011
PubMed
Summary

Patients awaiting elective surgery experience high preoperative anxiety, particularly females. Addressing concerns about family, complications, and outcomes through counseling can significantly reduce patient anxiety.

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Area of Science:

  • Anesthesiology
  • Surgical Care
  • Psychology

Background:

  • Preoperative anxiety is a common concern for patients undergoing elective surgery.
  • Understanding the factors contributing to anxiety is crucial for patient care.

Purpose of the Study:

  • To determine the level of preoperative anxiety in patients admitted for elective surgery.
  • To identify the specific factors contributing to this anxiety in a tertiary care public hospital setting.

Main Methods:

  • Anxiety levels were assessed using Visual Analogue Scales (VAS) for surgery and anesthesia.
  • Patients completed questionnaires identifying factors contributing to their anxiety.
  • Data was collected from patients at Civil Hospital, Karachi, Pakistan.

Main Results:

  • Mean anxiety scores were 57.65 for surgery and 38.14 for anesthesia.
  • Females reported significantly higher preoperative anxiety than males (p<0.01).
  • Key anxiety factors included concern for family (89.6%), fear of complications (87%), and expected results (82.4%).

Conclusions:

  • Patients undergoing elective surgery exhibit high levels of preoperative anxiety.
  • Preoperative anxiety can be effectively measured and managed.
  • Preoperative counseling and informed consent are vital for reducing patient anxiety.