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Patients' Experience of Anxiety and Pain during Retrobulbar Injections prior to Vitrectomy
PURPOSE: The purpose of this study was to evaluate the correlation between pain associated with retrobulbar block and anxiety levels before the injection. METHODS: This prospective observational, noninterventional study included consecutive patients who received a retrobulbar block by a single surge...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701333/ https://www.ncbi.nlm.nih.gov/pubmed/31467696 http://dx.doi.org/10.1155/2019/8098765 |
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author | Mimouni, Michael Abualhasan, Hamza Mtanes, Kamal Mazzawi, Fares Barak, Yoreh |
author_facet | Mimouni, Michael Abualhasan, Hamza Mtanes, Kamal Mazzawi, Fares Barak, Yoreh |
author_sort | Mimouni, Michael |
collection | PubMed |
description | PURPOSE: The purpose of this study was to evaluate the correlation between pain associated with retrobulbar block and anxiety levels before the injection. METHODS: This prospective observational, noninterventional study included consecutive patients who received a retrobulbar block by a single surgeon prior to undergoing 25G PPV at the Department of Ophthalmology, Rambam Health Care Campus, between April 2016 and August 2017. Patients plotted their anxiety levels (scale 0–10) using the visual analogue scale for anxiety (VASA), and immediately after receiving the injection, they plotted their experienced level of pain (scale 0–10) using the visual analogue scale for pain (VAS), with scores ≥7 defined as severe. RESULTS: Overall, 48 eyes of 48 patients aged 68.4 ± 10.3 years were included, of which 62.5% were of male gender. Severe anxiety and pain were experienced by 10.4% and 12.5%, respectively. There was a significant correlation between VASA and VAS scores (r = 0.43, p=0.002) with no other preprocedural parameters demonstrating a significant association with the VAS score. In multivariate analysis, the VASA score was the only factor that was significant (p=0.01), and a patient with a severe VASA score was 20 times more likely of experiencing severe pain (p=0.006). The ROC curve analysis revealed an area under the curve of 0.89 (p < 0.001), and a VASA score >4 demonstrated a sensitivity of 83.3% and a specificity of 73.8% in predicting severe pain. CONCLUSIONS: Approximately 10% of patients experience severe anxiety and pain during retrobulbar blocks. Considering the importance of compliance, reducing anxiety and premedication may be considered, particularly in high-risk patients (VASA score > 4). |
format | Online Article Text |
id | pubmed-6701333 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-67013332019-08-29 Patients' Experience of Anxiety and Pain during Retrobulbar Injections prior to Vitrectomy Mimouni, Michael Abualhasan, Hamza Mtanes, Kamal Mazzawi, Fares Barak, Yoreh J Ophthalmol Clinical Study PURPOSE: The purpose of this study was to evaluate the correlation between pain associated with retrobulbar block and anxiety levels before the injection. METHODS: This prospective observational, noninterventional study included consecutive patients who received a retrobulbar block by a single surgeon prior to undergoing 25G PPV at the Department of Ophthalmology, Rambam Health Care Campus, between April 2016 and August 2017. Patients plotted their anxiety levels (scale 0–10) using the visual analogue scale for anxiety (VASA), and immediately after receiving the injection, they plotted their experienced level of pain (scale 0–10) using the visual analogue scale for pain (VAS), with scores ≥7 defined as severe. RESULTS: Overall, 48 eyes of 48 patients aged 68.4 ± 10.3 years were included, of which 62.5% were of male gender. Severe anxiety and pain were experienced by 10.4% and 12.5%, respectively. There was a significant correlation between VASA and VAS scores (r = 0.43, p=0.002) with no other preprocedural parameters demonstrating a significant association with the VAS score. In multivariate analysis, the VASA score was the only factor that was significant (p=0.01), and a patient with a severe VASA score was 20 times more likely of experiencing severe pain (p=0.006). The ROC curve analysis revealed an area under the curve of 0.89 (p < 0.001), and a VASA score >4 demonstrated a sensitivity of 83.3% and a specificity of 73.8% in predicting severe pain. CONCLUSIONS: Approximately 10% of patients experience severe anxiety and pain during retrobulbar blocks. Considering the importance of compliance, reducing anxiety and premedication may be considered, particularly in high-risk patients (VASA score > 4). Hindawi 2019-07-31 /pmc/articles/PMC6701333/ /pubmed/31467696 http://dx.doi.org/10.1155/2019/8098765 Text en Copyright © 2019 Michael Mimouni et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Mimouni, Michael Abualhasan, Hamza Mtanes, Kamal Mazzawi, Fares Barak, Yoreh Patients' Experience of Anxiety and Pain during Retrobulbar Injections prior to Vitrectomy |
title | Patients' Experience of Anxiety and Pain during Retrobulbar Injections prior to Vitrectomy |
title_full | Patients' Experience of Anxiety and Pain during Retrobulbar Injections prior to Vitrectomy |
title_fullStr | Patients' Experience of Anxiety and Pain during Retrobulbar Injections prior to Vitrectomy |
title_full_unstemmed | Patients' Experience of Anxiety and Pain during Retrobulbar Injections prior to Vitrectomy |
title_short | Patients' Experience of Anxiety and Pain during Retrobulbar Injections prior to Vitrectomy |
title_sort | patients' experience of anxiety and pain during retrobulbar injections prior to vitrectomy |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701333/ https://www.ncbi.nlm.nih.gov/pubmed/31467696 http://dx.doi.org/10.1155/2019/8098765 |
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