Effect of Preoperative Anxiety on Postoperative Hemodynamics and Recovery in Laparoscopic Cholecystectomy


  • Nasir Ali Department of Anaesthesia Sciences, The University of Faisalabad-Pakistan.
  • Awais Ahmad Khaliq Department of Anaesthesia Sciences, The University of Faisalabad-Pakistan.
  • Noor Fatima Department of Anaesthesia Sciences, The University of Faisalabad-Pakistan.




Preoperative Anxiety, Postoperative Hemodynamics, Laparoscopic Cholecystectomy


The present study investigates the impact of preoperative anxiety on postoperative hemodynamics and recovery in patients undergoing laparoscopic cholecystectomy. Preoperative anxiety is a common concern that may have detrimental effects on surgical outcomes and patient well-being. Understanding the relationship between anxiety levels and postoperative parameters is crucial for improving the quality of care provided to surgical patients. A total of 51 patients, including 29 females and 22 males, scheduled for laparoscopic cholecystectomy, participated in the study. Patients were categorized based on their preoperative anxiety levels. The gender distribution showed that females constituted approximately 56.9% of the participants, while males accounted for 43.1%.Preoperative anxiety was assessed using the Generalized Anxiety Disorder 7-item scale (GAD-7). The results revealed that 37.3% of patients experienced preoperative anxiety, with 2.0% categorized as minimal anxiety, 27.5% as mild, 51.0% as moderate, and 19.6% as severe anxiety. The postoperative recovery of patients was evaluated using the Post Anesthesia Discharge Scoring System (PADSS). The analysis demonstrated that 62.7% of patients achieved the necessary discharge score, indicating successful postoperative recovery. An association analysis was conducted to examine the relationship between anxiety levels and both postoperative recovery and hemodynamics. The results showed significant correlations between preoperative anxiety and postoperative recovery (p = 0.039) and hemodynamics changes (p = 0.040). Patients with lower anxiety levels exhibited same-day recovery with minimal hemodynamic fluctuations, while those with moderate to severe anxiety experienced delayed recovery and greater postoperative hemodynamic changes. The study's findings underscore the critical importance of addressing preoperative anxiety in laparoscopic cholecystectomy patients. By implementing interventions to reduce anxiety levels, healthcare professionals can enhance postoperative outcomes and promote improved patient well-being. Further research should explore additional factors contributing to preoperative anxiety and evaluate the effectiveness of interventions in reducing anxiety levels. By adopting comprehensive strategies to address preoperative anxiety, healthcare providers can optimize patient care and enhance overall surgical outcomes.