• Home
  • E-submission
  • Sitemap
  • Contact us
  • Search
  • Advanced Search
Anesth Pain Med Search

CLOSE

Anesth Pain Med > Volume 10(4); 2015 > Article
Clinical Research
Obstetric Anesthesia
Anesthesia and Pain Medicine 2015;10(4):271-277.
DOI: https://doi.org/10.17085/apm.2015.10.4.271    Published online October 31, 2015.
The relationship of preoperative anxiety with failure of extension of epidural analgesia for cesarean section
Hea Jo Yoon, Seung In Park
Department of Anesthesiology and Pain Medicine, Cheil General Hospital and Women's Healthcare Center, Dankook University College of Medicine, Seoul, Korea. heajo7890@hanmail.net
Received: 2 April 2015   • Revised: 12 June 2015   • Accepted: 12 June 2015
Abstract
BACKGROUND
Patients anesthetized by extension of epidural analgesia during labor frequently experience intraoperative visceral pain during cesarean section. Visceral pain is known to be related to anxiety. We evaluated pain and preoperative anxiety using the numeric rating scale (NRS-11), and examined the relationship of anxiety with failure of extension of epidural analgesia due to intraoperative pain.
METHODS
Patients received continuous epidural infusion at a rate of 10 ml/h for labor pain. Two percent lidocaine mixed with 100 microg fentanyl, 1:200,000 epinephrine, and 2 mEq bicarbonate was injected through the epidural catheter for cesarean section. Failure of epidural anesthesia was defined as the need for conversion to general anesthesia or supplementation with opioids, sedatives, or inhalants after epidural anesthesia for cesarean section. We investigated the relationship of preoperative factors including preoperative anxiety with failure of epidural anesthesia.
RESULTS
Heavier weight of parturients, more cervical dilatation at the time of epidural analgesia administration, higher pain NRS score after epidural analgesia, higher pain NRS score before epidural analgesia for cesarean section, and lower rate of iv pethidine due to shivering were associated with a higher failure rate of epidural anesthesia. The failure rate of epidural anesthesia was comparable between the high anxiety group (NRS > 4) and the low anxiety group (NRS < or = 4).
CONCLUSIONS
Preoperative anxiety evaluated by NRS may not be associated with failure of extension of epidural analgesia due to visceral pain during intrapartum cesarean section.
Key Words: Anxiety, Extension of epidural analgesia, Failure of epidural anesthesia, Visceral pain
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 0 Crossref
  •    
  • 1,902 View
  • 27 Download
Related articles in Anesth Pain Med

The question of preoperative anxiety and depression in older patients and family protectors2020 April;15(2)

The Effects of Volume Preloading on Spinal Anesthesia for Elective Caesarean Section2006 July;1(1)

The onset and duration of 0.2% ropivacaine with a varying dose of fentanyl in epidural labor analgesia2010 July;5(3)

The correlation of cerebrospinal fluid pressure according to the degree of flexion and spinal block level in spinal anesthesia for Cesarean section2013 April;8(2)

Effectiveness of spinal anesthesia after epidural labor analgesia versus spinal anesthesia only for intrapartum cesarean section2015 July;10(3)

ABOUT
ARTICLE & TOPICS
Article category

Browse all articles >

Topics

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: apm@anesthesia.or.kr                

Copyright © 2024 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next