Risk Factors of Emergence Agitation in Adults Undergoing General Anesthesia for Nasal Surgery
Clinical and Experimental Otorhinolaryngology
; : 46-51, 2015.
Article
in En
| WPRIM
| ID: wpr-115819
Responsible library:
WPRO
ABSTRACT
OBJECTIVES: To identify the incidence and the risk factors of emergence agitation in adults undergoing general anesthesia for nasal surgery. METHODS: We retrospectively examined 792 patients aged > or =18 years who underwent general anesthesia for elective nasal surgery between July 2012 and August 2013. Patients in the postanesthesia care unit with a Richmond Agitation Sedation Scale> or =+1 at any time were considered to have emergence agitation. RESULTS: The overall incidence of emergence agitation is 22.2%. From multivariate regression analysis, the following six variables were found to be significantly associated with emergence agitation (P or =5, presence of a tracheal tube, and presence of a urinary catheter. Presence of a tracheal tube was the greatest risk factor, increasing the risk of developing emergence agitation by approximately fivefold (odds ratio, 5.448; 95% confidence interval, 2.973 to 9.982). Younger age was also a strong risk factor (odds ratio, 0.975 for each 1-year increase; 95% confidence interval, 0.964 to 0.987). Current smoking, sevoflurane anesthesia, postoperative pain of NRS> or =5, and the presence of a urinary catheter nearly doubled the risk of emergence agitation. CONCLUSION: Emergence agitation following general anesthesia is a common complication in adult nasal surgery patients. To reduce the occurrence and consequences of agitation episodes, elimination of the associated risk factors is necessary, especially in at-risk patients.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pain, Postoperative
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Psychomotor Agitation
/
Smoke
/
Anesthesia Recovery Period
/
Smoking
/
Incidence
/
Retrospective Studies
/
Risk Factors
/
Dihydroergotamine
/
Nasal Surgical Procedures
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Humans
Language:
En
Journal:
Clinical and Experimental Otorhinolaryngology
Year:
2015
Type:
Article