Prevention of perioperative anxiety: Interest of audiovisual distraction

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Published Oct 8, 2024
https://doi.org/10.62438/tunismed.v102i10.4468
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Vol. 102 No. 10 (2024): Tunis Med oct 2024

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Faten Haddad
Department of Anesthesia and Intensive Care, Mongi Slim Hospital, La Marsa, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
Sirine Rais
Department of Anesthesia and Intensive Care, Mongi Slim Hospital, La Marsa, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
Hajer Arfaoui
Department of Anesthesia and Intensive Care, Mongi Slim Hospital, La Marsa, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
Emna Kammoun
Department of Anesthesia and Intensive Care, Mongi Slim Hospital, La Marsa, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
Skander Naimi
Department of Anesthesia and Intensive Care, Mongi Slim Hospital, La Marsa, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
M’hamed Sami Mebazaa
Department of Anesthesia and Intensive Care, Mongi Slim Hospital, La Marsa, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia

Abstract

Introduction : Audiovisual distraction (AVD) is one of the non-pharmacological means of anxiety prevention. However, few studies have evaluated its perioperative effect in adults.


Aim : To evaluate the contribution of audio-visual distraction in the prevention of perioperative anxiety in adult patients proposed for surgery under spinal anesthesia.


Methods : This was a prospective randomized controlled study lasting three months from July 1, 2021. We included ASA I to III over 18 years patients, proposed for visceral or orthopedic surgery under spinal anesthesia. We didn’t include patients operated in lateral or prone positions or with a history of anxiety disorders or communication difficulties. 90 patients were randomized into two groups: a control group T and a group A who had an AVD throughout the operation. The primary outcome was anxiety as assessed by the visual analogue scale (VAS). 


Results: Demographic characteristics, Amsterdam preoperative anxiety and information scale (APAIS) and pain levels were comparable between the two groups. During the surgery, 22 (48.9 %) patients in group T versus 3 (6.7 %) in group A required Midazolam (p < 0.001). Anxiety assessed by VAS at the end of the act was lower in group A (p < 0.001). The pain levels also were lower in patients who received AVD (p = 0.004). A patient satisfaction score (Iowa Satisfaction with Anesthesia Scale French version) ≥ 5.4 was more frequently observed in group A (p < 0.001).  


Conclusion : AVD reduced perioperative anxiety and decreased  ...(abstract truncated at 250 words).

Keywords:

Technology , Perioperative Period , Anxiety , Anesthesia, Spinal

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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