Risk Factors of Emergence Agitation in Adults Undergoing General Anesthesia for Nasal Surgery

김효진; 김덕경; 김효열; 김진경; 최승원

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자료유형: 학술저널

저자정보: 김효진 김덕경 김효열 김진경 최승원

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제8권 제1호

발행연도: 2015.1

수록면: 46 - 51 (6page)

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Objectives. To identify the incidence and the risk factors of emergence agitation in adults undergoing general anesthesia for nasal surgery. Methods. We retrospectively examined 792 patients aged ≥18 years who underwent general anesthesia for elective nasal surgery between July 2012 and August 2013. Patients in the postanesthesia care unit with a Richmond Agitation Sedation Scale≥+1 at any time were considered to have emergence agitation. Results. The overall incidence of emergence agitation is 22.2%. From multivariate regression analysis, the following six variables were found to be significantly associated with emergence agitation (P<0.05): younger age, recent smoking, sevoflurane anesthesia, postoperative pain on the numerical rating scale (NRS)≥5, presence of a tracheal tube, and presence of a urinary catheter. Presence of a tracheal tube was the greatest risk factor, increasing the risk of developing emergence agitation by approximately fivefold (odds ratio, 5.448; 95% confidence interval, 2.973 to 9.982). Younger age was also a strong risk factor (odds ratio, 0.975 for each 1-year increase; 95% confidence interval, 0.964 to 0.987). Current smoking, sevoflurane anesthesia, postoperative pain of NRS≥5, and the presence of a urinary catheter nearly doubled the risk of emergence agitation. Conclusion. Emergence agitation following general anesthesia is a common complication in adult nasal surgery patients. To reduce the occurrence and consequences of agitation episodes, elimination of the associated risk factors is necessary, especially in at-risk patients.

#Anesthesia Recovery Period #Nasal Surgical Procedures #Psychomotor Agitation

참고문헌 (19)

참고문헌 신청

Acioglu E / 2012 / Nasal septal packing: which one? / Eur Arch Otorhinolaryngol 269 (7) : 1777 ~ 1781

Benoit AG / 2005 / Risk factors and prevalence of perioperative cognitive dysfunction in abdominal aneurysm patients / J Vasc Surg 42 (5) : 884 ~ 890

Briggs RD / 2004 / Smoking in chronic rhinosinusitis: a predictor of poor long-term outcome after endoscopic sinus surgery / Laryngoscope 114 (1) : 126 ~ 128

Cole P / 2000 / Biophysics of nasal airflow: a review / Am J Rhinol 14 (4) : 245 ~ 249

Eckenhoff JE / 1961 / The incidence and etiology of postanesthetic excitment. A clinical survey / Anesthesiology 22 : 667 ~ 673

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