Open AccessPostanaesthetic emergence agitation in adult patients after general anaesthesia for urological surgery
Author(s) -
Hyeon Chang Kim,
Eugene Kim,
Young Tae Jeon,
JinHyeok Hwang,
Young Jin Lim,
Jeonghwa Seo,
Hee Pyoung Park
Publication year - 2015
Publication title -
journal of international medical research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.421
H-Index - 57
eISSN - 1473-2300
pISSN - 0300-0605
DOI - 10.1177/0300060514562489
Subject(s) - medicine , pacu , odds ratio , incidence (geometry) , confidence interval , anesthesia , sedation , medical record , emergence delirium , surgery , logistic regression , sevoflurane , physics , optics
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.