Emergence agitation is a post anesthetic phenomenon that develops in the early phase of general anesthesia recovery,The aim of our study to investigate the effect of preoperative educational counselling of the patient undergoing nasal surgery on emergence agitation .
While its pathogenesis remains unclear, previous studies reported that ENT (ear, nose, and throat) surgical procedures have a higher incidence of emergence agitation in both adults and children. Especially, our clinical impression is that nasal surgical patients admitted to the postbanesthesia care unit (PACU) have suffered emergence agitation more frequently than other surgical patients, possibly due to a sense of suffocation during emergence from anesthesia. preoperative counselling and repeated verbal stimulation of orientation may serve as a simple and easily applicable strategy to reduce emergence agitation after general anaesthesia . There have been studies looking into the effect of pre-operative counselling on individual aspects internationally like anxiety, BMI, serum cholesterol , length of stay , pain .( Six trials were identified and have produced conflicting findings. Some trials have demonstrated the effects of preoperative education on improving physical and psychosocial recovery of cardiac patients, while others found no evidence that patients' anxiety is reduced or of any effect on pain or hospital stay) . To our knowledge there was no study investigating the impact of preoperative counselling on postoperative agitation following nasal surgeries, The aim of our study to investigate the effect of preoperative educational counselling of the patient undergoing nasal surgery on emergence agitation .
Study Type
OBSERVATIONAL
Enrollment
256
operating ENT theater kasr alaini hospital
Cairo, Manil, Egypt
The incidence of emergence agitation using AONO s scale(percentage of patients having score of 3 or 4)
● AONO s four point agitation scale The scale is decribed as 1 = calm; 2 = not calm but could be easily calmed; 3 = not easily calmed, moderately agitated or restless; and 4 = combative, excited, or disoriented.
Time frame: scale immediately after extubation and then every 5 minutes for 20 minutes
heart rate in beats per minute
Time frame: immediately after extubation and then every 5 minutes for 20 minutes
systolic blood pressure in mmhg
Time frame: immediately after extubation and then every 5 minutes for 20 minutes
mean blood pressure in mmhg
Time frame: immediately after extubation and then every 5 minutes for 20 minutes
oxygen saturation in %
Time frame: immediately after extubation and then every 5 minutes for 20 minutes
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