Risk Factors of Emergence Agitation in Adults Undergoing General Anesthesia for Nasal Surgery
Clinical and Experimental Otorhinolaryngology
;
: 46-51, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-115819
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Dolor Postoperatorio
/
Agitación Psicomotora
/
Humo
/
Periodo de Recuperación de la Anestesia
/
Fumar
/
Incidencia
/
Estudios Retrospectivos
/
Factores de Riesgo
/
Dihidroergotamina
/
Procedimientos Quírurgicos Nasales
Tipo de estudio:
Estudio de etiología
/
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Humanos
Idioma:
Inglés
Revista:
Clinical and Experimental Otorhinolaryngology
Año:
2015
Tipo del documento:
Artículo
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