Preoperative anxiety differentiates post-surgical opioid use in patients undergoing anterior cruciate ligament reconstruction
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Pre-operative anxiety, not depression, increases opioid use in females after anterior cruciate ligament reconstruction (ACLR). This highlights the need for psychological assessments to guide pain management and reduce substance use disorder risk in these patients.
Area Of Science
- Orthopedic Surgery
- Pain Management
- Psychiatry
Background
- Opioid use after anterior cruciate ligament reconstruction (ACLR) may lead to substance use disorder.
- Understanding factors influencing post-operative opioid consumption is crucial for patient recovery and safety.
Purpose Of The Study
- To investigate if pre-operative anxiety and depression predict opioid intake following ACLR.
- To explore the influence of sex, age, and graft type on post-operative opioid usage.
Main Methods
- 237 participants undergoing ACLR completed pre-operative anxiety and depression scales (PROMIS).
- Post-operative opioid intake was assessed and analyzed in relation to psychological factors and demographics.
- Patients were categorized into 'anxious' or 'depressed' groups based on PROMIS scores.
Main Results
- Females with pre-operative anxiety reported significantly higher post-operative opioid intake compared to females without anxiety.
- No significant differences in opioid intake were observed between sexes, age groups, or graft types.
- Depression was not found to be a significant predictor of opioid use.
Conclusions
- Pre-operative anxiety is a risk factor for increased opioid use in females undergoing ACLR.
- Psychological factors, specifically anxiety, appear to play a more significant role than demographic or biological factors in post-operative opioid consumption.
- Biopsychosocial assessments are recommended for pre-operative counseling, particularly for female patients with anxiety undergoing ACLR, to mitigate risks associated with opioid use.
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.
Related Concept Videos
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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...
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...