Khirurgii͡a
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A prospective comparative trial was performed to evaluate the effect of intraperitoneal Ievobupivacaine administration on postoperative pain in patients undergoing laparoscopic cholecystectomy. ⋯ Intraperitoneal administration of levobupivacaine is associated with modest analgesia following laparoscopic cholecystectomy.
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Preoperative anxiety has been suggested as a predictor of postoperative nausea and vomiting, but supporting data are lacking. The aim of this study was to evaluate the influence of preoperative anxiety on the risk of early postoperative nausea and vomiting. 30 patients participated in the study. The investigated factors--predictors and potential predictors--were: age, gender, smok ing history and preoperative anxiety. ⋯ The outcome was the occurrence of nausea and vomiting 12 h after surgery. 14 patients were with nausea and vomiting postoperatively and all of them were with a high preoperative anxiety. The most risk group for postoperative nausea and vomiting in this study is: young men, non smokers with high preoperative anxiety. There is an association between high level of preoperative anxiety and early postoperative nausea and vomiting.
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Anxiety is the most important psychological preoperative phenomenon. The aims of the present study are threefold: to assess the level of anxiety in patients awaiting operation on thyroid gland; to identify certain patient characteristics that predispose to high anxiety, to compare two measurements of anxiety to determine whether they can assess anxiety before surgery--STAI and VAS. 32 patients participated in the study and completed the state and the trail scales of the State - Trait Anxiety Inventory - STAI and the 100 mm Visual Analogue Scale - VAS the day before surgery. We studied anxiely factors: age, ASA. previous anesthesia. education and smoking. ⋯ STAI - T, VAS and STAL - S + VAS: 78.1%, 62.5%, 65.6% and 65.6%. Patients aged 50 - 59 and > 60 years. ASA III and IV, with previous anesthetic experience, less educated and non-smokers had higher frequency of preoperative anxiety.