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Insomnia and wake up and recovery from anesthesia: a prospective observational study

Yıl 2023, Cilt: 48 Sayı: 1, 283 - 288, 31.03.2023
https://doi.org/10.17826/cumj.1226061

Öz

Purpose: The aim of this study was to investigate whether wake up and recovery from anesthesia is earlier or later in patients with insomnia.
Material and Methods: This study included adult patients who were scheduled for elective ureteroscopy under general anesthesia. Using the Jenkins-Sleep Questionnaire (JSQ), the patients were separated into two groups: Insomnia Group and Control Group. Anaesthesia was standardized. After anesthesia induction, 4-6 % desflurane in nitrous oxide/oxygen (60-40%) concentration at flow of 3 L min¯¹ was administered. The parameters recorded were noninvasive arterial blood pressure, heart rate, peripheral oxygen saturation, end-tidal carbon dioxide values, inspiratory and expiratory concentrations of desflurane, anesthesia time, surgery time, time of eye opening, time of transfer to the recovery room. Pain was assessed with a Visual Analogue Scale (VAS) and recovery with the Modified Aldrete Recovery Score (MARS).
Results: Evaluation was made of 80 patients, comprising 25 females and, 55 males, grouped as 42 patients in the insomnia group and 38 in the control group. The demographic and hemodynamic data were not significantly different between the groups. The time of eye opening, transfer to the recovery room, VAS and MARS values were similar in both groups. When operation times were classified as ˂ 30 min. and ≥ 30 min, no significant differences were determined between the groups in respect of wake up, recovery and pain parameters.
Conclusion: Compared with normal sleepers, patients with insomnia showed no differences in respect of wake up and recovery from anesthesia.

Kaynakça

  • McCarley RW. Neurobiology of REM and NREM sleep. Sleep Med. 2007;8:302–30.
  • Lydic R, Baghdoyan HA. Sleep, anesthesiology, and the neurobiology of arousal state control. Anesthesiology. 2005;103:1268–95.
  • Eikermann M, Zaremba S. Sleep medicine. In Miller’s Anesthesia (Ed MA Gropper):267-293.e8. Philadelphia, Elsevier, 2000.
  • Evers A, Crowder M. Cellular and molecular mechanisms of anesthesia. In Clinical Anesthesia (Eds Barash PG, Cullen BF, Stoelting RK, Cahalan M, Stock MC): 95-114. New York, Lippincott Williams & Wilkins, 2006.
  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Washington, DC, American Psychiatric Association, 2013.
  • Su T-P, Huang S-R, Chou P. Prevalence, and risk factors of insomnia in community-dwelling Chinese elderly: a Taiwanese urban area survey. Aust N Z J Psychiatry. 2004;38:706–13.
  • Kraus SS, Rabin LA. Sleep America: managing the crisis of adult chronic insomnia and associated conditions. J Affect Disord. 2012;138:192–212.
  • Taylor DJ, Lichstein KL, Durrence HH. Insomnia as a health risk factor. Behav Sleep Med 2003;1:227–47.
  • Riemann D, Spiegelhalder K, Feige B, Voderholzer U, Berger M, Perlis M et al. The hyperarousal model of insomnia: a review of the concept and its evidence. Sleep Med Rev. 2010;14:19-31.
  • Jenkins CD, Stanton BA, Niemcryk SJ, Rose RM. A scale for the estimation of sleep problems in clinical research. J Clin Epidemiol. 1988;41:313-21.
  • Duruöz MT, Ünal Ç, Ulutatar F, Toprak CS, Gündüz OH. The Validity and reliability of Turkish Version of the Jenkins Sleep Evaluation Scale in rheumatoid arthritis. Arch Rheumatol. 2018;33:16067.
  • Juhola J, Arokoski JPA, Ervasti J, Kiwimaki M, Vahtera J, Myllyntausta S et al. Internal consistency and factor structure of Jenkins Sleep Scale: cross-sectional cohort study among 80 000 adults. BMJ Open. 2021;11:e043276.
  • Ito H, Watanabe Y, Isshiki A, Uchino H. Neuroprotective properties of propofol and midazolam, but not pentobarbital, on neuronal damage induced by forebrain ischemia, based on the GABAA receptors. Acta Anaesthesiol Scand. 1999;43:153–62.
  • Luppi PH, Fort P. Sleep–wake physiology. Handb Clin Neurol. 2019;160:359-70.
  • Akerstedt T, Billiard M, Bonnet M, Ficca G, Garma L, Mariotti M et al. Awakening from sleep. Sleep Med Rev. 2002;6:267-86.
  • Laterza RD, Keech BM, Chandler M, Roberts MJ. Introduction to anesthesia. In Anesthesia Secrets (Eds BM Keech, RD Laterza):5-10. New York, Elsevier, 2021.
  • Singh M, Chung F. Sleep medicine and anesthesia. In Basics of Anesthesia (Eds PC Pardo, RD Miller):845-59. New York, Elsevier, 2018.
  • Tung A, Mendelson WB. Anesthesia and sleep. Sleep Med Rev. 2004;8:213-25.
  • Tung A, Bergmann BM, Herrera S, Cao D, Mendelson WB. Recovery from sleep deprivation occurs during propofol anesthesia. Anesthesiology. 2004;100:1419-26.
  • Roth T. Insomnia: definition, prevalence, etiology, and consequences. J Clin Sleep Med. 2007;3:7-10.
  • Erden V, Abitağaoglu S, Guler C, Dogan Z, Kırgezen S, Abut Y. Insomnia may increase anesthetic requirement. J Clin Anesth. 2016;34:367–72.
  • Mirkheshti A, Vishteh M, Tajbakhsh A, Abtahi D, Falahinejadghajari R, Memary E. The difference between induction and maintenance dosages of propofol for general anesthesia in patients with and without sleep quality disorder. Perioper Care Oper Room Manag. 2020;21:100125.
  • Ho CN, Fu PH, Chen JY, Hung KC, Chang JH, Peng CK et al. Heart rate variability and surgical pleth index under anesthesia in poor and normal sleepers. J Clin Monit Comput. 2020;34:131119.
  • Sivertsen B, Lallukka T, Petrie KJ, Steingrimsdottir OA, Stubhaug A, Nielsen CS. Sleep and pain sensitivity in adults. Pain. 2015;156:1433-9.
  • Generaal E, Vogelzangs N, Penninx BW, Dekker J. Insomnia, sleep duration, depressive symptoms, and the onset of chronic multisite musculoskeletal pain. Sleep. 2017;40(1):zsw030.
  • Luo ZY, Li LL, Wang D, Wang HY, Pei FX, Zhou ZK. Preoperative sleep quality affects postoperative pain and function after total joint arthroplasty: a prospective cohort study. J Orthop Surg Res. 2019;14:378.
  • Lin D, Huang X, Wang J, Hao Y, Geng M, Wei C. Effect of preoperative anxiety, depression, and insomnia on acute postoperative pain after non-cardiac surgery. Research Square. 2021; doi: 10.21203/rs.3.rs-429163/v1.

Uykusuzluk ve anesteziden uyanma ve derlenme: prospektif gözlemsel çalışma

Yıl 2023, Cilt: 48 Sayı: 1, 283 - 288, 31.03.2023
https://doi.org/10.17826/cumj.1226061

Öz

Amaç: Bu çalışmanın amacı uykusuzluk çeken hastaların anesteziden uyanma ve derlenmesinin daha erken mi geç mi olduğunu araştırmak
Gereç ve Yöntem: Bu çalışma genel anestezi altında elektif üreteroskopi planlanan erişkin hastaları kapsamaktadır. Jenkins- Uyku Anketi (JSQ) kullanılarak hastalar iki gruba ayrıldı: Uykusuzluk Grubu ve Kontrol Grubu. Anestezi standardize edildi. Anestezi indüksiyonu sonrası desfluran 4-6 konsantrasyonda, nitröz oksit/oksijen (%40/60) konsantrasyonda ve akım 3 L dk¯¹olarak uygulandı. Noninvaziv kan basıncı, kalp hızı, periferal oksijen satürasyonu, end- tidal karbondioksit değerleri, inspire ve ekshale edilen desfluran konsantrasyonları, anestezi süresi, cerrahi süresi, göz açma zamanı, derlenme odasına transfer zamanı kaydedildi. Görsel Ağrı Skalası (VAS) ağrıyı değerlendirmek, Modifiye Aldrete Derlenme Skoru (MARS) derlenmeyi değerlendirmek için kullanıldı.
Bulgular: Değerlendirme 25’i kadın, 55’i erkek olmak üzere 80 hasta ile yapıldı; Uykusuzluk grubunda 42, kontrol grubunda 38 hasta vardı. Demografik ve hemodinamik veriler gruplar arasında anlamlı farklılık göstermedi. Göz açma zamanı, derlenme odasına transfer zamanı, VAS ve MARS değerleri her iki grupta benzerdi. Operasyon süreleri 30 dakikanın altında ve 30 dakika ve üzeri olarak sınıflandırıldığında; uyanma, derlenme ve ağrı parametrelerinin karşılaştırılması açısından gruplar arası önemli farklılık görülmedi.
Sonuç: Normal uyuyanlarla karşılaştırıldığında, uykusuzluk çeken hastaların anesteziden uyanma ve derlenme açısından farkları olmadığı sonucuna varıldı.

Kaynakça

  • McCarley RW. Neurobiology of REM and NREM sleep. Sleep Med. 2007;8:302–30.
  • Lydic R, Baghdoyan HA. Sleep, anesthesiology, and the neurobiology of arousal state control. Anesthesiology. 2005;103:1268–95.
  • Eikermann M, Zaremba S. Sleep medicine. In Miller’s Anesthesia (Ed MA Gropper):267-293.e8. Philadelphia, Elsevier, 2000.
  • Evers A, Crowder M. Cellular and molecular mechanisms of anesthesia. In Clinical Anesthesia (Eds Barash PG, Cullen BF, Stoelting RK, Cahalan M, Stock MC): 95-114. New York, Lippincott Williams & Wilkins, 2006.
  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Washington, DC, American Psychiatric Association, 2013.
  • Su T-P, Huang S-R, Chou P. Prevalence, and risk factors of insomnia in community-dwelling Chinese elderly: a Taiwanese urban area survey. Aust N Z J Psychiatry. 2004;38:706–13.
  • Kraus SS, Rabin LA. Sleep America: managing the crisis of adult chronic insomnia and associated conditions. J Affect Disord. 2012;138:192–212.
  • Taylor DJ, Lichstein KL, Durrence HH. Insomnia as a health risk factor. Behav Sleep Med 2003;1:227–47.
  • Riemann D, Spiegelhalder K, Feige B, Voderholzer U, Berger M, Perlis M et al. The hyperarousal model of insomnia: a review of the concept and its evidence. Sleep Med Rev. 2010;14:19-31.
  • Jenkins CD, Stanton BA, Niemcryk SJ, Rose RM. A scale for the estimation of sleep problems in clinical research. J Clin Epidemiol. 1988;41:313-21.
  • Duruöz MT, Ünal Ç, Ulutatar F, Toprak CS, Gündüz OH. The Validity and reliability of Turkish Version of the Jenkins Sleep Evaluation Scale in rheumatoid arthritis. Arch Rheumatol. 2018;33:16067.
  • Juhola J, Arokoski JPA, Ervasti J, Kiwimaki M, Vahtera J, Myllyntausta S et al. Internal consistency and factor structure of Jenkins Sleep Scale: cross-sectional cohort study among 80 000 adults. BMJ Open. 2021;11:e043276.
  • Ito H, Watanabe Y, Isshiki A, Uchino H. Neuroprotective properties of propofol and midazolam, but not pentobarbital, on neuronal damage induced by forebrain ischemia, based on the GABAA receptors. Acta Anaesthesiol Scand. 1999;43:153–62.
  • Luppi PH, Fort P. Sleep–wake physiology. Handb Clin Neurol. 2019;160:359-70.
  • Akerstedt T, Billiard M, Bonnet M, Ficca G, Garma L, Mariotti M et al. Awakening from sleep. Sleep Med Rev. 2002;6:267-86.
  • Laterza RD, Keech BM, Chandler M, Roberts MJ. Introduction to anesthesia. In Anesthesia Secrets (Eds BM Keech, RD Laterza):5-10. New York, Elsevier, 2021.
  • Singh M, Chung F. Sleep medicine and anesthesia. In Basics of Anesthesia (Eds PC Pardo, RD Miller):845-59. New York, Elsevier, 2018.
  • Tung A, Mendelson WB. Anesthesia and sleep. Sleep Med Rev. 2004;8:213-25.
  • Tung A, Bergmann BM, Herrera S, Cao D, Mendelson WB. Recovery from sleep deprivation occurs during propofol anesthesia. Anesthesiology. 2004;100:1419-26.
  • Roth T. Insomnia: definition, prevalence, etiology, and consequences. J Clin Sleep Med. 2007;3:7-10.
  • Erden V, Abitağaoglu S, Guler C, Dogan Z, Kırgezen S, Abut Y. Insomnia may increase anesthetic requirement. J Clin Anesth. 2016;34:367–72.
  • Mirkheshti A, Vishteh M, Tajbakhsh A, Abtahi D, Falahinejadghajari R, Memary E. The difference between induction and maintenance dosages of propofol for general anesthesia in patients with and without sleep quality disorder. Perioper Care Oper Room Manag. 2020;21:100125.
  • Ho CN, Fu PH, Chen JY, Hung KC, Chang JH, Peng CK et al. Heart rate variability and surgical pleth index under anesthesia in poor and normal sleepers. J Clin Monit Comput. 2020;34:131119.
  • Sivertsen B, Lallukka T, Petrie KJ, Steingrimsdottir OA, Stubhaug A, Nielsen CS. Sleep and pain sensitivity in adults. Pain. 2015;156:1433-9.
  • Generaal E, Vogelzangs N, Penninx BW, Dekker J. Insomnia, sleep duration, depressive symptoms, and the onset of chronic multisite musculoskeletal pain. Sleep. 2017;40(1):zsw030.
  • Luo ZY, Li LL, Wang D, Wang HY, Pei FX, Zhou ZK. Preoperative sleep quality affects postoperative pain and function after total joint arthroplasty: a prospective cohort study. J Orthop Surg Res. 2019;14:378.
  • Lin D, Huang X, Wang J, Hao Y, Geng M, Wei C. Effect of preoperative anxiety, depression, and insomnia on acute postoperative pain after non-cardiac surgery. Research Square. 2021; doi: 10.21203/rs.3.rs-429163/v1.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma
Yazarlar

Tuna Şahin 0000-0002-2170-8476

Zehra Hatipoğlu 0000-0001-7581-5966

Yayımlanma Tarihi 31 Mart 2023
Kabul Tarihi 19 Mart 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 48 Sayı: 1

Kaynak Göster

MLA Şahin, Tuna ve Zehra Hatipoğlu. “Insomnia and Wake up and Recovery from Anesthesia: A Prospective Observational Study”. Cukurova Medical Journal, c. 48, sy. 1, 2023, ss. 283-8, doi:10.17826/cumj.1226061.