scholarly journals Anxiety and Internet Research Before Percutaneous Ultrasound-guided Diagnostic Procedures

2021 ◽  
Author(s):  
Marcio Meira ◽  
Almir Galvão Vieira Bitencourt ◽  
Demian Jungklaus Travesso ◽  
Rubens Chojniak ◽  
Paula Nicole Vieira Pinto Barbosa
Keyword(s):  
Invasive Procedure ◽  
Diagnostic Procedures ◽  
Online Information ◽  
Invasive Procedures ◽  
Complementary Information ◽  
Diagnostic Investigation ◽  
Online Searching ◽  
Inadequate Information ◽  
Anxious Patient ◽  
Medical Diagnostic

Abstract Invasive procedures guided by ultrasound (US) are part of the routine medical diagnostic investigation. The lack of knowledge related to technical aspects about them can lead the patient to seek complementary information on the internet, which can trigger anxiety. However, the intersection between the areas of Radiology and Psychology is poorly studied. Here we show the profile of an anxious patient before an US-guided intervention. One hundred thirty-three patients were evaluated. The State-Trait Anxiety Inventory (STAI) was applied for psychometry. Higher anxiety scores were significantly observed in female patient, in those who believe they had received inadequate information from the referring physician, and in those who assessed the online information to be unreliable or difficult to access. Patients who defined themselves as proactive in online searching reported lower anxiety. Our results show that the profile of an anxious patient before an US-guided intervention can be established. The recognition of this profile can guide measures to reduce anxiety in patients who will undergo an US-guided invasive procedure.

Anxiety and internet searches before percutaneous ultrasound-guided diagnostic procedures (Preprint)

2020 ◽  
Author(s):  
Marcio Meira ◽  
Almir Galvão Vieira Bitencourt ◽  
Demian Jungklaus Travesso ◽  
Rubens Chojniak ◽  
Paula Nicole Vieira Pinto Barbosa
Keyword(s):  
Diagnostic Procedures ◽  
The Internet ◽  
Online Information ◽  
Sources Of Information ◽  
Online Searching ◽  
Inadequate Information ◽  
Anxious Patient ◽  
Patient Assessments ◽  
Internet Searches ◽  
Referring Physicians

BACKGROUND Percutaneous image-guided procedures are among the most widely-used medical innovations. With the advent of the Internet, a profusion of information has become widely available, however, the reliability of its content is a relevant concern. OBJECTIVE Our study investigated anxiety in patients before undergoing ultrasound (US)-guided invasive procedures and its association with patient assessments of information provided by referring physicians and complementary sources of information, specifically the Internet. METHODS Patients undergoing US-guided invasive elective procedures completed two questionnaires. Before the procedure, the State-Trait Anxiety Inventory (STAI) was applied. After the intervention, another questionnaire that addressed sociodemographic characteristics and assessments of online information was administered. RESULTS One hundred thirty-three patients were evaluated. Higher anxiety scores were significantly observed in female patients (P < 0.001), in those who believe they had received inadequate information from the referring physician (P = 0.002), and in those who assessed the online information to be unreliable (P = 0.002) or difficult to access (P = 0.025). Patients who defined themselves as proactive in online searching reported lower anxiety (P = 0.044). CONCLUSIONS Our results show that the profile of an anxious patient before an US-guided invasive intervention can be established. Information about the procedure, whether provided by the doctor or available on the internet, is also directly related to anxious states.

Pengaruh Clay Therapy terhadap Kecemasan Anak Usia Prasekolah yang Menjalani Prosedur Invasif di RSUD Al-Ihsan

2019 ◽  
Vol 13 (2) ◽  
pp. 72-86
Author(s):  
Depi Lukitasari
Keyword(s):  
Venous Blood ◽  
Intervention Group ◽  
Invasive Procedure ◽  
T Test ◽  
The Body ◽  
Preschool Age ◽  
Control Group ◽  
P Value ◽  
Invasive Procedures ◽  
Preschool Age Children

Background. During hospitalization large number of invasive procedure recived by patient and preceived as threatening and anxiety experience. One of the invasive procedures that commonly done is the venous blood extraction. The children in preschool age preceived venous blood extraction as something that endanger the integrity of the body and lead to anxiety experience. To reduce the anxiety during the venous blood extraction, a nurse could perform a clay theraphy. The aim of this research is to ascertain the effect of clay therapy toward scoreof anxiety in preschool age children that undergoing venous blood extraction in RSUD Al-Ihsan.Methode. The study was quasi-experiment with nonequivalent control group posttest only. A total of 34 children who recieve venous blood extraction was assigned into 2 group, 17 children in control and 17 children in intevention. The children anxiety level measured using anxiety observation sheet before the procedure complete. Data were analyzed used independent t test for bivariate and logistik regresion for multivariate. Result Findings. The results  show a significat difference in anxiety score between control group and intervention group with p-value 0,001 < α 0.05 which means there is impact of clay therapy to level anxiety in preschool age children undergoing invasive procedure in RSUD Al-Ihsan. Conclusion. This research indicate that clay therapy may be used to reduce anxiety in children that undergoing venous blood extraction.

Family Presence During Cardiopulmonary Resuscitation and Invasive Procedures: Practices of Critical Care and Emergency Nurses

2003 ◽  
Vol 12 (3) ◽  
pp. 246-257 ◽  
Author(s):  
Susan L. MacLean ◽  
Cathie E. Guzzetta ◽  
Cheri White ◽  
Dorrie Fontaine ◽  
Dezra J. Eichhorn ◽  
...  
Keyword(s):  
Critical Care ◽  
Cardiopulmonary Resuscitation ◽  
American Association ◽  
Family Members ◽  
Invasive Procedure ◽  
Critical Care Nurses ◽  
Invasive Procedures ◽  
Emergency Nurses ◽  
Family Presence ◽  
Do So

• Background Increasingly, patients’ families are remaining with them during cardiopulmonary resuscitation and invasive procedures, but this practice remains controversial and little is known about the practices of critical care and emergency nurses related to family presence. • Objective To identify the policies, preferences, and practices of critical care and emergency nurses for having patients’ families present during resuscitation and invasive procedures. • Methods A 30-item survey was mailed to a random sample of 1500 members of the American Association of Critical-Care Nurses and 1500 members of the Emergency Nurses Association. • Results Among the 984 respondents, 5% worked on units with written policies allowing family presence during both resuscitation and invasive procedures and 45% and 51%, respectively, worked on units that allowed it without written policies during resuscitation or during invasive procedures. Some respondents preferred written policies allowing family presence (37% for resuscitation, 35% for invasive procedures), whereas others preferred unwritten policies allowing it (39% for resuscitation, 41% for invasive procedures). Many respondents had taken family members to the bedside (36% for resuscitation, 44% for invasive procedure) or would do so in the future (21% for resuscitation, 18% for invasive procedures), and family members often asked to be present (31% for resuscitation, 61% for invasive procedures). • Conclusions Nearly all respondents have no written policies for family presence yet most have done (or would do) it, prefer it be allowed, and are confronted with requests from family members to be present. Written policies or guidelines for family presence during resuscitation and invasive procedures are recommended.

scholarly journals Association of ionizing radiation dose from common medical diagnostic procedures and lymphoma risk in the Epilymph case-control study

PLoS ONE ◽  
2020 ◽  
Vol 15 (7) ◽  
pp. e0235658 ◽  
Author(s):  
Elisa Pasqual ◽  
Michelle C. Turner ◽  
Esther Gracia-Lavedan ◽  
Delphine Casabonne ◽  
Yolanda Benavente ◽  
...  
Keyword(s):  
Radiation Dose ◽  
Ionizing Radiation ◽  
Case Control Study ◽  
Diagnostic Procedures ◽  
Case Control ◽  
Medical Diagnostic ◽  
Control Study ◽  
Lymphoma Risk

Thrombopoietin Receptor Agonists in Patients with Chronic Liver Disease

2020 ◽  
Vol 46 (06) ◽  
pp. 682-692
Author(s):  
Saro Khemichian ◽  
Norah A. Terrault
Keyword(s):  
Liver Disease ◽  
Chronic Liver Disease ◽  
Invasive Procedure ◽  
Bleeding Risk ◽  
Chronic Liver ◽  
Bleeding Complications ◽  
Invasive Procedures ◽  
Platelet Counts ◽  
Receptor Agonists ◽  
Platelet Transfusions

AbstractThrombocytopenia is one of the most common hematologic complications in cirrhosis. Despite limited data linking platelet count and bleeding risk in patients with cirrhosis, the use of platelets transfusions for invasive procedures has been a common practice. Recently, thrombopoietin (TPO) receptor agonists have been approved for use in patients with chronic liver disease (CLD) undergoing invasive procedures. The aim of this study was to review current literature on bleeding risk in patients with cirrhosis and the use of platelet transfusions and TPO receptor agonists in the context of invasive procedures. PubMed search was conducted to find articles relating to cirrhosis, thrombocytopenia, and new novel treatments for this condition. Search terms included CLD, cirrhosis, thrombocytopenia, bleeding, thrombosis, coagulopathy, hemostasis, and TPO receptor agonists. Romiplostim, eltrombopag, avatrombopag, and lusutrombopag are approved TPO receptor agonists, with avatrombopag and lusutrombopag specifically approved for use in patients with CLD undergoing invasive procedures. In patients with platelet counts < 50,000/mm3, avatrombopag and lusutrombopag increased the platelet counts above this threshold in the majority of treated patients and reduced the frequency of platelet transfusions. At the approved doses, incidence of thrombosis was not increased and therapies were well tolerated. Studies were not powered to assess whether risk of bleeding complications was reduced and the fundamental question of whether correction of thrombocytopenia is warranted in patients undergoing invasive procedures remains unanswered. The use of TPO receptor agonists has resulted in less requirement for platelet transfusions. In patients with cirrhosis undergoing invasive procedures for whom platelet transfusion is planned, TPO receptor agonists are an alternative and avoid the risks associated with transfusions. However, there is need for a thoughtful approach to manage bleeding risk in patients with cirrhosis undergoing procedures, with the consideration of a comprehensive hemostatic profile, the severity of portal hypertension, and the complexity of the invasive procedure to guide decisions regarding transfusions or use of TPO receptor agonists.

scholarly journals Prenatal Invasive Procedures during the Peak of COVID-19 Pandemic

2021 ◽  
Author(s):  
Chanchal Singh ◽  
Gazala Shahnaz ◽  
Seema Thakur
Keyword(s):  
Maternity Care ◽  
Health Resources ◽  
Invasive Procedure ◽  
Healthcare Services ◽  
Invasive Procedures ◽  
Medical Termination Of Pregnancy ◽  
Upper Limit ◽  
Medical Termination ◽  
Life Saving ◽  
Restricted Mobility

The current Coronavirus Disease 2019 (COVID-19) has had an immense adverse effect on provision of routine healthcare services including maternity care. Prenatal invasive procedures are amongst the most affected due to their availability at limited centres, reallocation of health resources, restricted mobility of individuals and the perceived ‘semi-elective’ nature of these procedures. However, these are essential procedures, even life-saving in cases of fetal anaemia, and time-sensitive especially considering the upper limit of legal age of medical termination of pregnancy in India. Data on COVID-19 is currently limited and the risk of vertical transmission is unknown. We present our experience of prenatal invasive procedure during April 2020 and May 2021, the peak months of COVID-19 and stringent lockdown.

scholarly journals Cost of incorrect application of antithrombotic prophylaxis prior to invasive procedures

2019 ◽  
Author(s):  
María Victoria Cuevas ◽  
Ignacio Martínez-Sancho ◽  
Jana Arribas ◽  
Covadonga García-Díaz ◽  
Beatriz Cuevas
Keyword(s):  
Hospital Stay ◽  
Breast Biopsy ◽  
Invasive Procedure ◽  
Low Risk ◽  
Invasive Procedures ◽  
Bridging Therapy ◽  
Total Cost ◽  
Sex Type ◽  
The Cost ◽  
Bridging Anticoagulation

Abstract Background We analyze the cost of an incorrect application, by the haematologist, of bridging anticoagulation in patients with low-risk atrial fibrillation (AF) needing interruption of treatment prior to a scheduled invasive procedure. Although not recommended, bridging therapy is widely used, resulting in avoidable costs and increased workload. Methods Observational retrospective study. We recorded demographic and clinical data including age, sex, type of procedure, use of bridging therapy with low molecular weight heparin (LMWH), and haemorrhagic complications within 30 days of acenocoumarol withdrawal. Results Acenocoumarol was stopped in 161 patients, 97 (60%) were male and 64 (40%) female. Average age was 76,11 ± 8,45 years. Procedures included: minor surgical intervention 58 (36%), colonoscopy 61 (38%), gastroscopy 11 (7%), breast biopsy 4 (2.5%), prostate biopsy 4 (2.5%), infiltration 5 (3%), and other 18 (11%). All patients received bridging anticoagulation with LMWH (40mg enoxaparin per day) 3 days before and 3 days after the procedure (6 doses). We used a total of 966 doses, at €4.5 per unit, resulted in €4,347 of total cost. No complications occurred in 156 patients (97%). Haemorrhage was observed in 5 cases: 1 major haemorrhage needing 6 days of hospital stay and transfusion, and 4 minor haemorrhages (2 patients needed emergency attendance and 2 required hospital admission for 3 and 2 days, respectively). The cost of emergency care was €237.36, and the cost of hospital stay was €6860.81 (€623.71 per day, for 11 days). The total cost of the incorrect application of the protocol was €11445.17. Conclusion Guidelines about bridging anticoagulation in low risk AF patients undergoing scheduled invasive procedures were not followed. This practice increments the complications and supposes an increase in costs besides to an inadequate use of the human resources.

scholarly journals An additional lysis procedure during arthrocentesis of the temporomandibular joint

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Keon-Mo Lee ◽  
Wan-Hee Jang ◽  
Myoung-Sang You ◽  
Bu-Kyu Lee
Keyword(s):  
Temporomandibular Joint ◽  
Arthroscopic Surgery ◽  
Mouth Opening ◽  
Invasive Procedure ◽  
Joint Space ◽  
Temporomandibular Joint Disorders ◽  
Invasive Procedures ◽  
The Mean ◽  
Mechanical Lysis ◽  
Over Time

Abstract Background Arthrocentesis of the temporomandibular joint (TMJ) is an easy, highly efficient, minimally invasive procedure for treating temporomandibular joint disorders (TMDs). However, in some cases of mouth opening limitation (MOL), routine arthrocentesis is ineffective due to severe fibrotic adhesion in the superior joint space of the TMJ. In this condition, mechanical lysis of the adhesions might be needed to resolve the MOL, as well as other symptoms, such as chronic pain. Currently, this can be achieved by arthroscopic surgery or open TMJ surgery. The objective of this study was to introduce and evaluate our trial of the adhesion lysis procedure during arthrocentesis of the TMJ using normal 18-gauge needles. Results In this study, 40 patients with MOL due to disc derangement underwent conventional arthrocentesis at first and then physical detachment was conducted using the same needle. The change in maximum mouth opening (MMO) and the pain at the TMJ were recorded before, during, and after treatment according to our protocol. The mean increase in MMO after conventional arthrocentesis was 6.6 ± 4.2mm. The mean increase in MMO after the detachment procedure with the same needle was 4.2 ± 2.0 mm. The MMO in ten patients was significantly increased after the detachment procedure than after arthrocentesis alone. In all cases, the pain intensity in the TMJ significantly decreased over time, whereas the MMO increased over time. No adverse effect was observed in all joints during our observation periods. Conclusion We confirmed that our simple lysis procedure with the same needle of the arthrocentesis of the TMJ could not only improve the MMO more than after a conventional arthrocentesis but also resolve severe adhesion of the joint space that was ineffective by conventional arthrocentesis. Although this additional lysis procedure is simple, it might reduce the number of cases of more invasive procedures such as arthroscopic surgery or open TMJ surgery.

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