Gender-specific Preoperative Anxiety Level and Postoperative Opioid Requirement After ENT Surgery.

Medical University of Vienna300 enrolled

Overview

The study will be designed to investigate the impact of the preoperative anxiety level on postoperative opioid requirement during the PACU stay, in order to improve postoperative pain treatment in the long term after ENT surgery. The present study can contribute to improve postoperative pain management in patients in the field of ENT surgery, as new influencing parameters and risk factors may be discovered.

Background Due to the frequency of surgeries, acute postsurgical pain (APSP) is a common clinical problem. In this study, the investigators will investigate pre-surgical psychological factors associated with the experience of APSP in ENT surgery. The study will be designed to investigate the impact of gender-specific preoperative anxiety states, using the STOA, APAIS, PCS and VAS-A scoring systems, on postoperative opioid consumption after elective ENT surgery. These findings may have important implications for developing more personalized strategies in acute postoperative pain therapy in selected patients. Aim Study aim is to investigate the impact of the preoperative anxiety level, using the validated STOA questionnaire, on postoperative opioid requirement during the PACU stay, in order to improve postoperative pain treatment in the long term after ENT surgery. The present study can contribute to improve postoperative pain management in patients in the field of ENT surgery, as new influencing parameters and risk factors may be discovered. The investigators hypothesize that a higher preoperative anxiety state, is a predictive factor of opioid requirement in the early postoperative period after ENT surgery. Methods Surgery-related psychological factors like anxiety state will be assessed gender-specific, in patients scheduled for elective ENT surgery by validated questionnaires (STOA, APAIS, PCS and VAS-A), filled out by the patient the day before surgery and on the day of surgery, to investigate the correlation with the postoperative opioid consumption.

Study Type

OBSERVATIONAL

Enrollment

300

Conditions

Anxiety Acute Post Operative Pain

Interventions

Anxiety level assessmentOTHER

To investigate the impact of psychological variables e.g. pre-surgical anxiety on postoperative opioid consumption and pain level, the investigators will perform the STOA, APAIS, PCS and the VAS-A anxiety questionnaires before surgery.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anesthesiology (ASA) physical status I-IV * able to read and understand the information sheet and to sign the consent form * being scheduled for elective ENT surgery under general anesthesia * written informed consent * age≥18 years Exclusion Criteria: * difficulty to understand study procedure, pain scoring system or questionnaires * surgical procedure warranting elective postoperative ventilation

Locations (1)

Medical University Vienna

Vienna, State of Vienna, Austria

RECRUITING

Outcomes

Primary Outcomes

Opioid consumption

cumulative opioid consumption within PACU stay

Time frame: during the stay in the recovery room assessed up to 2 hours

Secondary Outcomes

Postoperative Pain Score-VAS-PACU

mean pain level on an 11-point verbal Likert response score recorded at 30-minute intervals during the PACU stay, ranging between 0 and 10, with higher levels indicating higher pain intensity

Time frame: during the stay in the recovery room assessed up to 2 hours

Central Contacts

Marita Windpassinger, MD

CONTACT

+43 1 40400 41020 marita.windpassinger@meduniwien.ac.at

Olga Plattner, MD

CONTACT

+43 1 40400 41020 olga.plattner@meduniwien.ac.at

Data from ClinicalTrials.gov

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