Does Low Flow Anesthesia Reduce Postanaesthetic Emergence Agitation?
キーワード
概要
説明
Emergence agitation is a temporary state of mental anxiety that occurs during general anesthesia recovery. It is characterized by emergence agitation, hallucination, excitation, delusion and confusion. Increased hemorrhage due to hypertension may cause serious complications such as injury to the surgical site, patients' self-removal of surgical drains and catheters, and self-extubation. Due to these, emergence agitation results need for additional treatment, psychological stress and increased medical workload for patients and their families.
Emergence agitation after general anesthesia in adult patients was reported up to 20%. However, the ratios are very wide.
In our operating room, the investigators observed that patients with low flow anesthesia were less agitated in the recovery phase than patients with normal flow anesthesia. In our researches, the investigators have not found any studies on the agitation values of patients who underwent low flow anesthesia in the literature.
日付
| 最終確認済み: | 02/29/2020 |
| 最初に提出された: | 02/14/2019 |
| 提出された推定登録数: | 02/28/2019 |
| 最初の投稿: | 03/04/2019 |
| 最終更新が送信されました: | 03/16/2020 |
| 最終更新日: | 03/17/2020 |
| 実際の研究開始日: | 05/31/2018 |
| 一次完了予定日: | 10/31/2019 |
| 研究完了予定日: | 10/31/2019 |
状態または病気
介入/治療
Drug: Postsurgical Pain
Drug: Postanesthesia nausea and vomiting
段階
アームグループ
| 腕 | 介入/治療 |
|---|---|
| Active Comparator: Postsurgical Pain pain is defined as unpleasant sensation that can range from mild, localized discomfort to agony. | Drug: Postsurgical Pain while patients are in the PACU after general anesthesia, if patients' VAS scores are higher than 3, we will give them 50 mg of deksketoprofen as analgesic. |
| Active Comparator: Postanesthesia nausea and vomiting nausea defined as feeling of sickness or discomfort in the stomach that may come with an urge to vomit. | Drug: Postanesthesia nausea and vomiting while patients are in the PACU after general anesthesia, if patient' Nausea and vomiting scores are higher than 1, we will give them 4 mg of ondansetron |
適格基準
| 研究の対象となる年齢 | 18 Years に 18 Years |
| 研究に適格な性別 | Female |
| 健康なボランティアを受け入れる | はい |
| 基準 | Inclusion Criteria: - ASA physical status 1 and 2, underwent gynicological laparotomic surgery under general anesthesia, followed up in PACU(postoperative care unit) Exclusion Criteria: - ASA 3 or 4, mental retardation, psychiatric disease, history of malignant hyperthermia in patient or her family, neurological disease, morbid obesity, history of asthma and follow-up in the intensive care unit. |
結果
主な結果の測定
1. Postanesthetic emergence agitation [30 minutes after general anesthesia recovery]
二次的な結果の測定
1. postanesthetic nausea and vomiting [30 minutes after general anesthesia recovery]
