Postanaesthetic emergence agitation in adult patients after general anaesthesia for urological surgery
Postanaesthetic emergence agitation in adult patients after general anaesthesia for urological surgery
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DOI：
10.1177/0300060514562489
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发表时间：
2015-04-01
影响因子：
1.6
通讯作者：
Park, Hee-Pyoung
中科院分区：
文献类型：
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作者：
Kim, Hyun-Chang;Kim, Eugene;Park, Hee-Pyoung
目的：调查接受泌尿外科手术的成人患者在麻醉后监护室（PACU）中出现躁动的发病率和危险因素。评价术前、术中和术后变量。苏醒期激越定义为Riker镇静-激越评分>= 5。结果：488例患者中有48例（9.8%）出现了急诊躁动。慢性肺病（比值比[OR] 2.72，95%置信区间[CI] 1.03，7.17），手术持续时间（OR 1.01，95% CI 1.00，1.01），社交饮酒史（OR 2.48，95% CI 1.25，4.93），术后疼痛评分（OR 1.32，95% CI 1.14，1.53），排尿急迫性（OR 2.20，95% CI 1.01，4.77）和存在胃管（OR 2.85，95%CI 1.07，7.54）是发生苏醒期激越的独立危险因素。适当的术后疼痛管理和预防导管-相关的膀胱不适可能有助于降低泌尿科患者出现躁动的发生率。
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.