Postanaesthetic emergence agitation in adult patients after general anaesthesia for urological surgery.open access
- Authors
- Kim, Hyun-Chang; Kim, Eu gene; Jeon, Young-Tae; Hwang, Jung-Won; Lim, Young-Jin; Seo, Jeong-Hwa; Park, Hee-Pyoung
- Issue Date
- Apr-2015
- Publisher
- SAGE PUBLICATIONS LTD
- Keywords
- Anaesthesia recovery period; general anaesthesia; psychomotor agitation; risk factors; urology
- Citation
- JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, v.43, no.2, pp.226 - 235
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
- Volume
- 43
- Number
- 2
- Start Page
- 226
- End Page
- 235
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/157465
- DOI
- 10.1177/0300060514562489
- ISSN
- 0300-0605
- Abstract
- Objective: To investigate the incidence and risk factors for emergence agitation in the postanaesthetic care unit (PACU), in adult patients undergoing urological surgery.
Methods: Medical records were retrospectively reviewed. Preoperative, intraoperative and postoperative variables were evaluated. Emergence agitation was defined as a Riker sedation-agitation score >= 5. Logistic regression analysis was used to determine independent risk factors for emergence agitation.
Results: Emergence agitation was observed in 48/488 (9.8%) patients. Chronic lung disease (odds ratio [OR] 2.72, 95% confidence interval [CI] 1.03, 7.17), duration of surgery (OR 1.01, 95% CI 1.00, 1.01), history of social drinking (OR 2.48, 95% CI 1.25, 4.93), postoperative pain score (OR 1.32, 95% CI 1.14, 1.53), voiding urgency (OR 2.20, 95% CI 1.01, 4.77) and presence of gastric tube (OR 2.85, 95% CI 1.07, 7.54) were independent risk factors for emergence agitation.
Conclusions: Adequate postoperative pain management and prevention of catheter-related bladder discomfort may be helpful in reducing the incidence of emergence agitation in urology patients.
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