5: Do preoperative anxiolytics improve patient satisfaction?

Jul 24, 2019

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We investigate pro and con positions on preoperative anxiolytics.

Pro claim: Preoperative anxiolytics improve patient satisfaction.

Con claim: Preoperative anxiolytics delay recovery and discharge.

My guest is Dr. Matthew Vanneman, an attending cardiothoracic anesthesiologist at the Massachusetts General Hospital.

Full show notes available at depthofanesthesia.com.

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References

C. Boncyk, A. S. Hess, A. Gaskell, J. Sleigh, R. D. Sanders, on behalf of the ConsCIOUS group, Does benzodiazepine administration affect patient satisfaction: a secondary analysis of the ConCIOUS study, BJA: British Journal of Anaesthesia, Volume 118, Issue 2, February 2017, Pages 266–267, https://doi.org/10.1093/bja/aew456

Kain ZN, Sevarino FB, Rinder C, et al. Preoperative anxiolysis and postoperative recovery in women undergoing abdominal hysterectomy. Anesthesiology 2001;94:415–22.

Maurice-Szamburski A, Auquier P, Viarre-Oreal V, et al; for the PremedX Study Investigators. Effect of sedative premedication on patient experience after general anesthesia: a randomized clinical trial. JAMA. doi:10.1001/jama.2015.1108

Richardson MG, Wu CL, Hussain A. Midazolam premedication increases sedation but does not prolong discharge times after brief outpatient general anesthesia for laparoscopic tubal sterilization. Anesth Analg. 1997;85:301–5.

van Vlymen JM, Sá Rêgo MM, White PF. Benzodiazepine premedication: can it improve outcome in patients undergoing breast biopsy procedures? Anesthesiology 1999; 90:740.

Walker KJ, Smith AF. Premedication for anxiety in adult day surgery. Cochrane Database of Systematic Reviews 2009, Issue 4. Art. No.: CD002192. DOI: 10.1002/14651858.CD002192.pub2.

By listening to this podcast, you agree not to use information as medical advice to treat any medical condition in either yourself or others, including but not limited to patients that you are treating. Opinions expressed are solely those of the host and guests and do not express the views or opinions of Massachusetts General Hospital.