Correlation Between Anxiety, Depression and Hemodynamic Changes in Office-Based Laryngeal Surgery

Area of Science:

• Otolaryngology
• Cardiovascular Physiology
• Anesthesiology

Background:

• Office-based laryngeal surgery (OBLS) is increasingly common.
• Hemodynamic stability during OBLS is crucial for patient safety.
• The influence of psychological factors like anxiety and depression on hemodynamic responses during OBLS is not well understood.

Purpose of the Study:

• To investigate the correlation between anxiety, depression, and hemodynamic changes during OBLS.
• To identify potential psychological predictors of hemodynamic instability in patients undergoing OBLS.

Main Methods:

• A prospective study included 45 patients undergoing OBLS.
• Vital signs (systolic blood pressure, diastolic blood pressure, heart rate, O2 saturation) were monitored at 5-minute intervals.
• Anxiety and depression severity were assessed using the Generalized Anxiety Disorder scale-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9), respectively.

Main Results:

• Significant increases in systolic blood pressure (30.16 mmHg), diastolic blood pressure (31.44 mmHg), and heart rate (14.2 bpm) were observed.
• A significant decrease in mean O2 saturation (0.4%) was also noted.
• No significant correlation was found between anxiety or depression levels and changes in systolic blood pressure, diastolic blood pressure, heart rate, or O2 saturation.

Conclusions:

• Patients undergoing OBLS experience significant hemodynamic changes, including hypertension, tachycardia, and decreased oxygen saturation.
• Anxiety and depression do not appear to correlate with these observed hemodynamic alterations during OBLS.
• Further research is warranted to elucidate the causes of hemodynamic instability in OBLS.