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Related Concept Videos

General Anesthesia: Overview01:24

General Anesthesia: Overview

270
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
270
Stages of General Anesthesia01:22

Stages of General Anesthesia

589
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
589
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

185
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
185
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

444
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
444
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

484
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
484
Local Anesthetics: Adverse Effects01:12

Local Anesthetics: Adverse Effects

480
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
480

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Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers
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Patients' Fears and Perceptions Associated with Anesthesia.

Ksenija Jovanovic1,2, Nevena Kalezic1,2, Sandra Sipetic Grujicic3

  • 1Center for Anesthesiology and Resuscitation, University Clinical Center of Serbia, 11000 Belgrade, Serbia.

Medicina (Kaunas, Lithuania)
|November 11, 2022
PubMed
Summary

Patient preoperative fears, particularly concerning anesthesia, are common. Factors like female sex, lower education, and socioeconomic status increase risk, highlighting a need for better patient education on anesthesia.

Keywords:
anesthesia knowledgeanesthesiologists’ rolefear of anesthesiapatients’ perceptions

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Area of Science:

  • Anesthesiology
  • Perioperative Medicine
  • Patient Psychology

Background:

  • Preoperative patient fears and anxiety can impact surgical outcomes.
  • Limited research exists on the specific fears and perceptions patients associate with anesthesia.
  • Understanding these factors is crucial for improving the perioperative experience.

Purpose of the Study:

  • To explore preoperative fears in vascular surgery patients.
  • To identify risk factors and reasons for patient fears.
  • To evaluate patient perspectives and knowledge regarding anesthesia and anesthesiologists.

Main Methods:

  • A questionnaire-based study involving 385 vascular surgery patients.
  • Data collected on demographics, fears, and anesthesia perceptions.
  • Statistical analyses included descriptive statistics and multivariate logistic regression.

Main Results:

  • Top fears included surgery (53.2%), complications (46.5%), and anesthesia (40%).
  • Female sex, lower education, and socioeconomic status predicted increased fear.
  • Previous surgical experience reduced fear; over 25% of patients lacked basic knowledge about anesthesiologists.

Conclusions:

  • Anesthesia fears are influenced by surgery type, prior experience, and familiarity with anesthesiologists.
  • Vulnerable groups include women, less educated, and lower socioeconomic status patients.
  • Poor patient knowledge and perception of anesthesiologists necessitate enhanced patient education.