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Influence of preoperative anxiety on hypotension after spinal anaesthesia in women undergoing Caesarean delivery  S. Orbach-Zinger, Y. Ginosar, J. Elliston,

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Presentation on theme: "Influence of preoperative anxiety on hypotension after spinal anaesthesia in women undergoing Caesarean delivery  S. Orbach-Zinger, Y. Ginosar, J. Elliston,"— Presentation transcript:

1 Influence of preoperative anxiety on hypotension after spinal anaesthesia in women undergoing Caesarean delivery  S. Orbach-Zinger, Y. Ginosar, J. Elliston, C. Fadon, M. Abu-Lil, A. Raz, Y. Goshen-Gottstein, L.A. Eidelman  British Journal of Anaesthesia  Volume 109, Issue 6, Pages (December 2012) DOI: /bja/aes313 Copyright © 2012 The Author(s) Terms and Conditions

2 Fig 1 Primary and secondary independent variables were normally distributed. Subjects were divided into low, medium, and high anxiety groups. The primary independent variable was subjective anxiety rated using VAS (0–10), where low anxiety=0–3, medium anxiety=4–6, and high anxiety=7–10. Secondary independent variables were STAI-s (see text) where low anxiety <40, medium anxiety 40–55, and high anxiety <55; and salivary amylase (log10) where low anxiety <3, medium anxiety 3–4, and high anxiety <4. British Journal of Anaesthesia  , DOI: ( /bja/aes313) Copyright © 2012 The Author(s) Terms and Conditions

3 Fig 2 The effect of subjective anxiety (VAS 0–10) in the preoperative ward on SAP at (a) baseline and (b–d) after spinal anaesthesia. (b) The lowest recorded SAP, (c) the maximal % change in SAP and (d) the maximal absolute change in SAP. *(P-value) Statistical significance; error bars represent the standard error of the mean. British Journal of Anaesthesia  , DOI: ( /bja/aes313) Copyright © 2012 The Author(s) Terms and Conditions

4 Fig 3 The effect of subjective anxiety (STAI-s) in the preoperative ward on SAP at (a) baseline and (b–d) after spinal anaesthesia. (b) The lowest recorded SAP, (c) the maximal % change in SAP, and (d) the maximal absolute change in SAP. *(P-value) Statistical significance; error bars represent the standard error of the mean. British Journal of Anaesthesia  , DOI: ( /bja/aes313) Copyright © 2012 The Author(s) Terms and Conditions

5 Fig 4 The use of vasopressors (either ephedrine or phenylephrine) in low, medium, and high anxiety groups (based on VAS), after the administration of spinal anaesthesia. See text for protocol for vasopressor use. Although there appeared to be a trend to increased vasopressor use with increasing anxiety, this was not significant (χ2 test P=0.24; for ordinal series Spearman’s correlation P=0.093). British Journal of Anaesthesia  , DOI: ( /bja/aes313) Copyright © 2012 The Author(s) Terms and Conditions


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