Does Low Flow Anesthesia Reduce Postanaesthetic Emergence Agitation?
关键词
抽象
描述
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.
日期
| 最后验证: | 02/29/2020 |
| 首次提交: | 02/14/2019 |
| 提交的预估入学人数: | 02/28/2019 |
| 首次发布: | 03/04/2019 |
| 上次提交的更新: | 03/16/2020 |
| 最近更新发布: | 03/17/2020 |
| 实际学习开始日期: | 05/31/2018 |
| 预计主要完成日期: | 10/31/2019 |
| 预计完成日期: | 10/31/2019 |
状况或疾病
干预/治疗
Drug: Postsurgical Pain
Drug: Postanesthesia nausea and vomiting
相
手臂组
| 臂 | 干预/治疗 |
|---|---|
| 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 |
资格标准
| 有资格学习的年龄 | 18 Years 至 18 Years |
| 有资格学习的性别 | Female |
| 接受健康志愿者 | 是 |
| 标准 | 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. |
结果
主要结果指标
1. Postanesthetic emergence agitation [30 minutes after general anesthesia recovery]
次要成果指标
1. postanesthetic nausea and vomiting [30 minutes after general anesthesia recovery]
