Risk factors of emergence agitation after general anesthesia in children; multicenter study

2013 ◽  
Vol 30 ◽  
pp. 157-158
Author(s):  
C. -J. Chung ◽  
S. Choi ◽  
S. Park
Keyword(s):  
Risk Factors ◽  
General Anesthesia ◽  
Multicenter Study ◽  
Emergence Agitation

scholarly journals Risk Factors of Emergence Agitation in Adults Undergoing General Anesthesia for Nasal Surgery

2015 ◽  
Vol 8 (1) ◽  
pp. 46 ◽  
Author(s):  
Hyo-Jin Kim ◽  
Duk-Kyung Kim ◽  
Hyo-Yeol Kim ◽  
Jin-Kyoung Kim ◽  
Seung-Won Choi
Keyword(s):  
Risk Factors ◽  
General Anesthesia ◽  
Emergence Agitation ◽  
Nasal Surgery

scholarly journals Incidence of Emergence Agitation in Pediatric Patient after General Anesthesia

2021 ◽  
Vol 55 (1) ◽  
pp. 25
Author(s):  
Lucky Andriyanto ◽  
Arie Utariani ◽  
Elizeus Hanindito ◽  
Kohar Hari Santoso Hari Santoso ◽  
Hamzah Hamzah ◽  
...  
Keyword(s):  
Risk Factors ◽  
General Anesthesia ◽  
Pediatric Patient ◽  
Pediatric Anesthesia ◽  
Routine Care ◽  
Preoperative Anxiety ◽  
Emergence Agitation ◽  
Spss Software ◽  
Associated Risk Factors ◽  
Dissociated State

Post anesthesia agitation is common problem in pediatric post anesthesia care unit. The incidences range from 10 to 80%. EA has been described as a dissociated state of consciousness in which the child is inconsolable, irritable, and uncooperative typically thrashing, crying, moaning or incoherent. This study was done to determine the incidence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia. This descriptive and analytic study was performed on 105 pediatric patient aged 1-12 years that underwent general anesthesia for various elective diagnostic and surgeries at Dr. Soetomo Hospital between January and February 2016. The presence of emergence agitation was recorded using Pediatric Anesthesia Emergence Delirium (PAED) scale. The factors that linked with Emergence Agitation were recorded in a questionnaire. The data were analyzed using SPSS software with logistic regression. p - values less than 0.05 were considered as significant. Forty two (40%) children had Emergence Agitation. Preoperative anxiety (p = 0.006) and Pain (p=0.035) were associated with higher rates of post anesthetic emergence agitation. This study identified preoperative anxiety and pain as risk factors, which are associated with emergence agitation in children. To minimize the incidence of post anesthetic emergence agitation, these risk factors should be considered in the routine care by anesthetist.

scholarly journals Incidence of Emergence Agitation in Pediatric Patient after General Anesthesia

2019 ◽  
Vol 55 (1) ◽  
pp. 25
Author(s):  
Lucky Andriyanto ◽  
Arie Utariani ◽  
Elizeus Hanindito ◽  
Kohar Hari Santoso ◽  
Hamzah Hamzah ◽  
...  
Keyword(s):  
Risk Factors ◽  
General Anesthesia ◽  
Pediatric Patient ◽  
Pediatric Anesthesia ◽  
Routine Care ◽  
Preoperative Anxiety ◽  
Emergence Agitation ◽  
Spss Software ◽  
Associated Risk Factors ◽  
Dissociated State

Post anesthesia agitation is common problem in pediatric post anesthesia care unit. The incidences range from 10 to 80%. EA has been described as a dissociated state of consciousness in which the child is inconsolable, irritable, and uncooperative typically thrashing, crying, moaning or incoherent. This study was done to determine the incidence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia. This descriptive and analytic study was performed on 105 pediatric patient aged 1-12 years that underwent general anesthesia for various elective diagnostic and surgeries at Dr. Soetomo Hospital between January and February 2016. The presence of emergence agitation was recorded using Pediatric Anesthesia Emergence Delirium (PAED) scale. The factors that linked with Emergence Agitation were recorded in a questionnaire. The data were analyzed using SPSS software with logistic regression. p - values less than 0.05 were considered as significant. Forty two (40%) children had Emergence Agitation. Preoperative anxiety (p = 0.006) and Pain (p=0.035) were associated with higher rates of post anesthetic emergence agitation. This study identified preoperative anxiety and pain as risk factors, which are associated with emergence agitation in children. To minimize the incidence of post anesthetic emergence agitation, these risk factors should be considered in the routine care by anesthetist.

scholarly journals Risk factors of inadequate emergence following general anesthesia with an emphasis on patients with substance dependence history

2020 ◽  
Vol 73 (4) ◽  
pp. 302-310 ◽  
Author(s):  
Jalil Makarem ◽  
Amir Hossein larijani ◽  
Babak Eslami ◽  
Afshin Jafarzadeh ◽  
Kasra Karvandian ◽  
...  
Keyword(s):  
Risk Factors ◽  
General Anesthesia ◽  
Substance Dependence ◽  
Foley Catheter ◽  
Adult Patients ◽  
Emergence Agitation ◽  
Never Married ◽  
Neurologic Disorders ◽  
Substance Dependent ◽  
History Of

Background: This study aims to define the incidence and risk factors of both emergence agitation and hypoactive emergence in adult patients and substance-dependent patients following general anesthesia to elaborate on the risk factors and precise management of them. Methods: The study recruited 1,136 adult patients who received elective surgeries under general anesthesia for this prospective observational study. Inadequate emergence was determined according to the Richmond Agitation-Sedation Scale (RASS). Emergence agitation was defined as a RASS ≥ +1 point, and hypoactive emergence was defined as a RASS ≤ –2 points. Subgroup analyses were then conducted on patients with substance dependence.Results: Inadequate emergence in the post-anesthesia care unit (PACU) occurred in 20.3% of patients, including 13.9% with emergence agitation and 6.4% with hypoactive emergence. Ninety-five patients had a history of substance dependence. Compared to divorced patients, never-married and presently married patients, who underwent gynecological and thoracic surgeries, had a lower risk of agitation. Neurologic disorders, intraoperative blood loss, intraoperative morphine, and PACU analgesic drug administration were associated with increased agitation risk. Hypertension and psychological disorders, intraoperative opioids, and PACU Foley catheter fixation were associated with increased hypoactive emergence risk. Substance-dependent patients had higher risk for agitation (21.1%, P = 0.019) and hypoactive emergence (10.5%, P = 0.044). Conclusions: Inadequate emergence in PACU following general anesthesia is a significant problem correlated with several perioperative factors. Patients with a history of substance dependence appear to be more at risk of inadequate emergence than the general population.

scholarly journals Risk factors of emergence agitation after general anesthesia in adult patients

2016 ◽  
Vol 11 (4) ◽  
pp. 410-416 ◽  
Author(s):  
Jong Cheol Rim ◽  
Jung A Kim ◽  
Jeong In Hong ◽  
Sang Yoong Park ◽  
Jong Hwan Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
General Anesthesia ◽  
Adult Patients ◽  
Emergence Agitation

Role of pulse oximetric monitoring during gastrointestinal endoscopy. Prospective multicenter study of the Gastroenterological Working Group of the Veszprém Regional Committee of the Hungarian Academy of Sciences (VEAB)

2013 ◽  
Vol 154 (21) ◽  
pp. 825-833
Author(s):  
Zoltán Döbrönte ◽  
Mária Szenes ◽  
Beáta Gasztonyi ◽  
Lajos Csermely ◽  
Márta Kovács ◽  
...  
Keyword(s):  
Risk Factors ◽  
Multicenter Study ◽  
Hungarian Academy ◽  
Prospective Multicenter Study ◽  
Standard Requirement ◽  
Long Duration ◽  
Related Risk ◽  
American Society ◽  
Academy Of Sciences ◽  
Endoscopic Investigation

Introduction: Recent guidelines recommend routine pulse oximetric monitoring during endoscopy, however, this has not been the common practice yet in the majority of the local endoscopic units. Aims: To draw attention to the importance of the routine use of pulse oximetric recording during endoscopy. Method: A prospective multicenter study was performed with the participation of 11 gastrointestinal endoscopic units. Data of pulse oximetric monitoring of 1249 endoscopic investigations were evaluated, of which 1183 were carried out with and 66 without sedation. Results: Oxygen saturation less than 90% was observed in 239 cases corresponding to 19.1% of all cases. It occurred most often during endoscopic retrograde cholangiopancreatography (31.2%) and proximal enteroscopy (20%). Procedure-related risk factors proved to be the long duration of the investigation, premedication with pethidine (31.3%), and combined sedoanalgesia with pethidine and midazolam (34.38%). The age over 60 years, obesity, consumption of hypnotics or sedatives, severe cardiopulmonary state, and risk factor scores III and IV of the American Society of Anestwere found as patient-related risk factors. Conclusion: To increase the safety of patients undergoing endoscopic investigation, pulse oximeter and oxygen supplementation should be the standard requirement in all of the endoscopic investigation rooms. Pulse oximetric monitoring is advised routinely during endoscopy with special regard to the risk factors of hypoxemia. Orv. Hetil., 2013, 154, 825–833.

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