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The operating room environment can be a source of anxiety for the patient, including in the context of outpatient surgery for which anxiolytic medication is rarely used. This anxiety-induced effect can be reinforced by the patient's lack of active participation.
Some studies have already shown the feasibility of patient walking to the operating room (OR) and advantages this approach(Kojima and Ina 2002; Lack 2016; Nagraj et al. 2006).
Moreover, recovery room complications and pain have also been shown to be greater after varicose vein surgery in patients with significant preoperative anxiety (Scavee et al. 2016).
Therefore, the investigators decided to test the effects of walking to OR for patients admitted for outpatient surgery for varicose vein surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Walk group | Experimental | Patients walked to operating room (OR) |
|
| Bed group | No Intervention | Patients go to OR while in bed |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Walking to OR | Behavioral | Patients, after being prepared for the OR, walk to the operating room |
|
| Measure | Description | Time Frame |
|---|---|---|
| Level of anxiety | French version of Preoperative Anxiety and Information Scale (APAIS) - Score between 6 (less anxious) and 30 (more anxious) | Preoperatively in the room |
| Level of anxiety | Numerical rating scale (NRS) between 0 (= no anxiety) and 10 (=worse anxiety) | Preoperatively in the room |
| Level of anxiety | Numerical rating scale (NRS) between 0 (= no anxiety) and 10 (=worse anxiety) | Preoperatively in front of OR |
| Level of anxiety | Numerical rating scale (NRS) between 0 (= no anxiety) and 10 (=worse anxiety) | Before departure of the outpatient unit |
| Measure | Description | Time Frame |
|---|---|---|
| Level of pain | Numerical rating scale (NRS) between 0 (= no pain) and 10 (=worse pain) | Within 1 hour after admission in the Post Anesthesia Care Unit after surgery |
| Level of pain | Numerical rating scale (NRS) between 0 (= no pain) and 10 (=worse pain) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Claude Hallet, MD | Centre Hospitalier Universitaire de Liege | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre hospitalier universitaire de Liege | Liège | 4000 | Belgium |
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| ID | Term |
|---|---|
| D014648 | Varicose Veins |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| Before departure of outpatient unit |
| Level of pain | Numerical rating scale (NRS) between 0 (= no pain) and 10 (=worse pain) | At Day 1 |
| Presence of nausea and vomiting | Yes or No | During the stay in the Post Anesthesia Care Unit after surgery assessed up to 12h |
| Presence of nausea and vomiting | Yes or no | During the stay in the outpatient unit after surgery assessed up to 12h |
| Presence of nausea and vomiting | Yes or no | at Day 1 |