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Faten Haddad1, Sirine Rais1, Hajer Arfaoui1

  • 1Department of Anesthesia and Intensive Care, Mongi Slim Hospital, La Marsa, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

La Tunisie Medicale
|October 23, 2024
PubMed
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Audiovisual distraction (AVD) significantly reduced perioperative anxiety and intraoperative midazolam use in adult patients undergoing spinal anesthesia. This non-pharmacological intervention also improved patient satisfaction and lowered pain perception.

Area of Science:

  • Anesthesiology
  • Perioperative Medicine
  • Psychology

Background:

  • Audiovisual distraction (AVD) is a non-pharmacological method for anxiety prevention.
  • Limited research exists on its perioperative efficacy in adults.

Purpose of the Study:

  • To assess the effectiveness of AVD in preventing perioperative anxiety in adult surgical patients under spinal anesthesia.

Main Methods:

  • Prospective randomized controlled trial (July-September 2021).
  • Included 90 adult patients (ASA I-III) undergoing visceral or orthopedic surgery under spinal anesthesia.
  • Compared a control group with an audiovisual distraction group, measuring anxiety via Visual Analogue Scale (VAS).

Main Results:

  • Significantly lower intraoperative midazolam requirement in the AVD group (6.7% vs. 48.9%).
Keywords:
AnesthesiaAnxietyPerioperative PeriodSpinalTechnology

Related Experiment Videos

  • Lower anxiety (VAS) and pain levels in the AVD group.
  • Higher patient satisfaction scores (Iowa Satisfaction with Anesthesia Scale) in the AVD group.

    • Conclusions:

    • AVD effectively reduces perioperative anxiety during spinal anesthesia.
    • AVD decreases intraoperative midazolam administration.
    • AVD enhances patient satisfaction and pain management.