检索结果-南通市图书馆

Influencing factors and risk prediction model for emergence agitation after general anesthesia for primary liver cancer

引用

World Journal of Gastrointestinal Surgery 2024年第7期16卷 2194-2201页

作者： Shu-Shu Song Li Lin Li Li Xiao-Dong Han Department of Anesthesia and Surgery Wenzhou Central HospitalWenzhou 325099Zhejiang ProvinceChina

BACKGROUND General anesthesia is commonly used in the surgical management of gastrointestinal tumors;however,it can lead to emergence agitation(EA).EA is a common complication associated with general anesthesia,often characterized by behaviors,such as crying,struggling,and involuntary limb movements in *** treatment is delayed,there is a risk of incision cracking and bleeding,which can significantly affect surgical ***,having a proper understanding of the factors influencing the occurrence of EA and implementing early preventive measures may reduce the incidence of agitation during the recovery phase from general anesthesia,which is beneficial for improving patient *** To analyze influencing factors and develop a risk prediction model for EA occurrence following general anesthesia for primary liver *** Retrospective analysis of clinical data from 200 patients who underwent hepatoma resection under general anesthesia at Wenzhou Central Hospital(January 2020 to December 2023)was ***-surgery,the Richmond agitation-Sedation Scale was used to evaluate EA presence,noting EA incidence after general *** were categorized by EA presence postoperatively,and the influencing factors were analyzed using logistic regression.A nomogram-based risk prediction model was constructed and evaluated for differentiation and fit using receiver operating characteristics and calibration *** EA occurred in 51(25.5%)*** analysis identified advanced age,American Society of Anesthesiologists(ASA)grade Ⅲ,indwelling catheter use,and postoperative pain as risk factors for EA(P<0.05).Conversely,postoperative analgesia was a protective factor against EA(P<0.05).The area under the curve of the nomogram was 0.972[95%confidence interval(CI):0.947-0.997]for the training set and 0.979(95%CI:0.951-1.000)for the test ***-Lemeshow test showed a good fit(χ^(2)=5.483,P=0.705),and calibration curves showed

关键词： Primary hepatocellular carcinoma resection General anesthesia emergence agitation Risk factors Forecast Nomograph

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Correlation between pre-anesthesia anxiety and emergence agitation in non-small cell lung cancer surgery patients

引用

World Journal of Psychiatry 2024年第6期14卷 930-937页

作者： Fen Yan Li-Hua Yuan Xiao He Kai-Feng Yu Department of Anesthesiology Wuhan Pulmonary HospitalWuhan Institute for Tuberculosis ControlWuhan 430000Hubei ProvinceChina

BACKGROUND Preoperative anxiety is a common emotional problem during the perioperative period and may adversely affect postoperative *** agitation(EA)is a common complication of general anesthesia that may increase patient discomfort and hospital stay and may be associated with the development of postoperative ***-anesthetic anxiety may be associated with the development of EA,but studies in this area are *** To determine the relationship between pre-anesthetic anxiety and EA after radical surgery in patients with non-small cell lung cancer(NSCLC).METHODS Eighty patients with NSCLC undergoing surgical treatment between June 2020 and June 2023 were conveniently *** used the Hospital Anxiety and Depression Scale’s(HADS)anxiety subscale(HADS-A)to determine patients’anxiety at four time points(T1-T4):Patients’preoperative visit,waiting period in the surgical waiting room,after entering the operating room,and before anesthesia induction,*** Riker Sedation-agitation Scale(RSAS)examined EA after *** plots of HADS-A and RSAS scores assessed the correlation between patients’pre-anesthesia anxiety status and *** performed a partial correlation analysis of HADS-A scores with RSAS *** NSCLC patients’HADS-A scores gradually increased at the four time points:7.33±2.03 at T1,7.99±2.22 at T2,8.05±2.81 at T3,and 8.36±4.17 at *** patients’postoperative RSAS score was 4.49±1.18,and 27 patients scored≥5,indicating that 33.75%patients had ***-A scores at T3 and T4 were significantly higher in patients with EA(9.67±3.02 vs 7.23±2.31,12.56±4.10 vs 6.23±2.05,Pagitation during anesthesia recovery in patients undergoing radical resection for NSCLC correlated with anxie

关键词： Non-small cell lung cancer Operative treatment Anesthesiology department Pre-anesthetic anxiety emergence agitation Correlation study

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Reduced emergence agitation with proparacaine hydrochloride eye drops after general anaesthesia for paediatric strabismus surgery

引用

International Journal of Nursing Sciences 2015年第1期2卷 58-60页

作者： Yuan-Yuan Peng Yue-Xi Jin Cai-Fen Chen Xin-Ping Yu Jing-Wei Zheng The Eye Hospital of Wenzhou Medical University WenzhouChina

Purpose:To investigate the effect of proparacaine hydrochloride eye drops on emergence agitation after general anaesthesia for paediatric strabismus ***:Paediatric patients(3-12 years-old)receiving strabismus surgery were randomly assigned to receive 1-2 drops of isotonic saline(n=129)or proparacaine hydrochloride(n=129)after *** incidence and degree of emergence agitation were recorded and compared between ***:A significantly lower occurrence of emergence agitation was observed with proparacaine hydrochloride drops compared to isotonic saline(12.4% vs.31.8%;pemergence agitation after general anaesthesia for paediatric strabismus surgery.

关键词： emergence agitation Proparacaine hydrochloride Strabismus

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Sufentanil reduces emergence agitation in children receiving sevoflurane anesthesia for adenotonsillectomy compared with fentanyl

引用

Chinese Medical Journal 2011年第22期124卷 3682-3685页

作者： LI Jun HUANG Zhi-lian ZHANG Xu-tong LUO Ke ZHANG Zhan-qin MAO Yi ZHUANG Xiao-biao LIAN Qing-quan CAO Hong Department of Anesthesiology Second Affiliated Hospital ＆ Yuying Children＇s Hospital of Wenzhou Medical College Wenzhou Zhejiang 325027 China

Background emergence agitation is a common problem in pediatric anesthesia, especially after sevoflurane induction and maintenance anesthesia. The purpose of this study was to investigate the effect of sufentanil to reduce emergence agitation after sevoflurane anesthesia in children undergoing adenotonsillectomy compared with fentanyl. Methods One hundred and five children, aged 3-11 years, were randomly allocated to receive normal saline （control group）, sufentanil 0.2 pg/kg （S2） or fentanyl 2 pg/kg （F2） 1 minute after loss of the eyelash reflex. Anesthesia was induced and maintained with sevoflurane. Time to tracheal extubation, recovery time, Paediatric Anesthesia emergence Delirium （PAED） scale, and emergence behavior were assessed. Results The incidence of severe agitation was significantly lower in $2 and F2 groups vs. the control group, 4/32 and 15/34 vs. 24/34 respectively, （P=0.002, 0.009, respectively）. PAED scales were significantly different among three groups （P=0.007）, and lower in the S2 and F2 groups than in the control group （P=0.007 and P=-0.025, respectively）. And the incidence of severe agitation and the PAED scale score was significantly different between the $2 and F2 groups （P=-0.007, P=0.019, respectively）. Time to tracheal extubation and recovery time were similar in all three groups. Conclusions Administration of sufentanil at 0.2 IJg/kg after induction of anesthesia reduced emergence agitation in children receiving sevoflurane anesthesia for adenotonsillectomy compared with fentanyl. This was without delaying the recovery time or causing significant hypotension.

关键词： anesthesia sufentanil fentanyl emergence agitation children

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

The Association between Preoperative Parental Anxiety and emergence agitation in Preschoolers

引用

Open Journal of Epidemiology 2017年第1期7卷 18-26页

作者： Ezgi Erkilic Elvin Kesimci Cihan Doger Tülin Gumus Orhan Kanbak Anesthesiology and Reanimation Department Ataturk Training and Research Hospital Ankara Turkey

Introduction: The preoperative distress and anxiety experienced by preschoolers are associated with an increased incidence of troubled recovery from anesthesia. However, influences of parental anxiety on children at different stages of the surgical processes are not clear. The aim of this study was to evaluate any existing association between preoperative parental anxiety and emergence agitation in a pediatric surgery population. Materials and Methods: A total of 60 children ASA class I or II, aged 3 - 12 years old, undergoing adenotonsillectomy with sevoflurane, were included in the study. Before surgery, we used State-Trait Anxiety Inventory S-T (STAI S-T) to assess parental anxiety. emergence agitation of the children was assessed with Watcha scale and recorded every 10 min of first 30 min of the postoperative period. Parents were contacted 24 hours after the surgery to evaluate their satisfaction, post operative pain and any side effect observed in the children. Results: Preoperatively, the mean STAI-S scores of mothers were significantly higher than those of fathers (p 0.05). The children had the highest agitation scores at 10th postoperative minutes with an incidence of 73.9%. There was no correlation between parental anxiety and emergence agitation. Logistic regression analysis showed that low educational level of the parent was the only independent factor for state anxiety (OR: 8.96, 95% CI: 1.50 - 40.35, p = 0.030). Discussion: In this study, we observed that education level of the parents might affect their preoperative anxiety. The factors influential in parental anxiety were not correlated with pediatric emergence agitation in this study.

关键词： Preoperative Parental Anxiety emergence agitation Adenotonsillectomy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Comparative Study and Safe Dose Analysis of Dexmedetomidine in the Prevention of emergence agitation and Emergency Delirium in Children Undergoing General Anesthesia

引用

Journal of Health Science 2018年第3期6卷 233-237页

作者： Juan LUO Stomatological Hospital of Chongqing Medical University Chongqing China

The purpose of this paper is to explore the safe and effective dose of dexmedetomidin for the prevention of agitation and delirium during the awakening period for children undergoing general anesthesia. Samples of 989 cases are collected from children with comprehensive treatment of dental caries, and were randomly divided into four groups. Group A, group B and group C were intravenously at constant speed （60 mL/h）, 0.5 and 0.25 infusion with 1 μg/kg dexmedetomidine. Group D （control group） was intravenously saline at the same speed. The score of 5-point scale and the incidence of ED （emergency delirium） and EA （emergence agitation） in four groups were compared. Comparison of four groups of CHIPPS （children and infants postoperative pain） score, the amount of operation time and record seven halothane （TO）, time to stop cover drug withdrawal of laryngeal anesthesia （TM）, eye opening time （TE）, independent records of children at the time of ICU stay after anesthesia （TP）. Results show that there was no significant difference between the four groups （p 〉 0.05）, among which the TM in B, C groups was significantly higher than that in A, D groups （p 〈 0.05）. Group C was significantly higher than group B （p 〈 0.05）. There was no significant difference in TE and TP between the A, B, D groups （p 〉 0. 05）. TE in group C was significantly higher than that in groups A, D （p 〉 0. 05）. The TP of group C was significantly higher than that of groups A, D （p 〈 0.05）, but there was no significant difference between the B, C groups （p 〉 0.05）. The incidence rates of EA and ED in groups A and B were significantly lower than those in group D （p 〈 0.05）. Group C was significantly lower than group A （p 〈 0.05）. There was no significant difference between group C and group C （p 〉 0.05）. The CHIPPS score and sevoflurane dosage in groups A and B were significantly lower than those in group D （p 〈 0.05）. Group C was significantly lower than group A （p 〈 0.05）. There was no significan

关键词： Children's general anesthesia dexmedetomidine emergence agitation emergency delirium.

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Role of T-type Calcium Channels in Generating Hyperexcitatory Behaviors during emergence from Sevoflurane Anesthesia in Neonatal Rats

引用

Neuroscience Bulletin 2020年第5期36卷 519-529页

作者： Feng-Yan Shen Byung-Gun Lim Wen Wen Yu Zhang Bo Cao Yue-Guang Si Li-Qing Ma Meng Deng Yang In Kim Young-Beom Kim Ying-Wei Wang Department of Anesthesiology Huashan HospitalFudan UniversityShanghai 200040China Department of Anesthesiology and Pain Medicine Korea University Guro HospitalCollege of MedicineKorea UniversitySeoul 08308Korea Department of Anesthesiology Xinhua HospitalSchool of MedicineShanghai Jiaotong UniversityShanghai 200092China Department of Physiology and Neuroscience Research Institute College of MedicineKorea UniversitySeoul 02841Korea Institute of Brain Functional Genomics East China Normal UniversityShanghai 200062China

In the current study,we sought to investigate whether T-type Ca^(2+)channels(TCCs)in the brain are involved in generating post-anesthetic hyperexcitatory behaviors(PAHBs).We found that younger rat pups(postnatal days 9-11)had a higher incidence of PAHBs and higher PAHB scores than older pups(postnatal days16-18)during emergence from sevoflurane *** power spectrum of the theta oscillations(4 Hz-8 Hz)in the prefrontal cortex was significantly enhanced in younger pups when PAHBs occurred,while there were no significant changes in older *** the power of theta oscillations and the level of PAHBs were significantly reduced by the administration of TCC ***,the sensitivity of TCCs in the medial dorsal thalamic nucleus to sevoflurane was found to increase with age by investigating the kinetic properties of TCCs in *** were activated by potentiated GABAergic depolarization with a sub-anesthetic dose of sevoflurane(1%).These data suggest that(1)TCCs in the brain contribute to the generation of PAHBs and the concomitant electroencephalographic changes;(2)the stronger inhibitory effect of sevoflurane contributes to the lack of PAHBs in older rats;and(3)the contribution of TCCs to PAHBs is not mediated by a direct effect of sevoflurane on TCCs.

关键词： emergence agitation Neonatal rat General anesthesia Sevoflurane T-type calcium channel Theta wave

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Postanesthetic emergence Delirium in Children: Qualitative Differences between Sevoflurane vs Desflurane: A Randomized Clinical Trial

引用

Open Journal of Anesthesiology 2022年第10期12卷 322-337页

作者： Elena Fernández Dueñas Pascual Sanabria Carretero Francisco Reinoso-Barbero Ana Fernández Dueñas Leopoldo Martínez Martínez Department of Pediatric Anesthesia-Critical Care-Pain Treatment La Paz University Hospital Madrid Spain Idipaz Foundation La Paz University Hospital Madrid Spain Directorate General of Public Health Ministry of Health Madrid Spain Department of Pediatric Surgery La Paz University Hospital Madrid Spain

Background: emergence Delirium (ED) is considered a usual complication in pediatric anesthesia. Aim: Analyze the quantitative and qualitative differences in ED in children receiving general anesthesia with sevoflurane or desflurane in day case surgery. Materials and Methods: Two hundred and two children, ASA I-II, who required outpatient elective day case surgery, were assigned to receive anesthesia with sevoflurane or desflurane. ED was assessed by a masked investigator using the Pediatric Anesthesia emergence Delirium (PAED) scale at 5 and 15 minutes (min). Results: Mean time to wake up was shorter with desflurane compared with sevoflurane (6.0 versus 8.3 min, p = 0.0001). The overall incidence of ED was 21.3% and Postoperative Maladaptive Behavior Changes (POMBC) incidence was 22%;however, these were not related. Main factors found to be associated with ED were younger age, postoperative pain and preoperative anxiety. Although there were not statistically significant differences in ED incidence between sevoflurane (26.4%, 95% CI 17.3% - 35.4%) and desflurane anesthesia (16.3%, 95% CI 8.8% - 23.8%) (p = 0.18), scores of items 1 and 2 from PAED scale (eye contact and purposeful actions, items related to the patients’ connection with their surroundings) were significantly higher in sevoflurane than in desflurane group (p = 0.034 and p = 0.021 respectively). Conclusion: Recovery after anesthetic maintenance with desflurane is faster and as safe as sevoflurane, including postoperative behavioral disorders. Although desflurane did not statistically decrease ED incidence as compared with sevoflurane, patients who were agitated with desflurane were qualitatively less disoriented and disconnected from their surroundings.

关键词： Inhaled Agents Sevoflurane Desflurane emergence agitation Pediatric

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effects of Lidocaine Infusion on Quality of Recovery and agitation after Functional Endoscopic Sinus Surgery: Randomized Controlled Study

引用

Open Journal of Anesthesiology 2020年第12期10卷 435-448页

作者： Rehab Abd Elraof Abd Elaziz Shahenda Shaban Shaker Abd Elaziz Department of Anesthesia and Surgical Intensive Care Faculty of Medicine Alexandria University Alexandria Egypt

Background: After functional endoscopic nasal surgery, emergence agitation is not uncommon. The aim of this trial was to investigate the effect of perioperative lidocaine infusion on postoperative early recovery quality and incidence of emergence agitation in patient undergoing functional endoscopic sinus surgery. Study Design: Prospective, randomized, double-blinded, placebo-controlled trial. Methods: 100 patients of ASA I and II, aged 18 - 50 years, of both sexes scheduled for FEES, were assigned into two groups. In Group L;patients received an intravenous bolus infusion of 1.5 mg/kg lidocaine just before induction of anesthesia followed by a continuous infusion of 2 mg/kg/h during the operation and until the end of the surgery. In Group C;patients received normal saline infusion with the same volume as group L according to the same protocol. The primary endpoints were incidence of emergence agitation and postoperative recovery quality (QoR-40) score on first postoperative day (POD1). Results: Incidence of emergence agitation was significantly lower in group L (P 0.05) compared with group C. Global QoR-40 scores on POD1 were significantly lower in both groups compared with preoperative assessment, it was significantly higher in group L on POD1 (P 0.05) than in group C. Among the five dimensions of QoR-40, the scores for physical comfort and pain were superior in group L compared to group C (P 0.05) at POD1. Conclusion:

关键词： Lidocaine Quality of Recovery-40 Questionnaire emergence agitation FEES

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

The effect of continuous infusion of remifentanil on the incidence of emergency agitation after sevolfurane general anesthesia in preschool-aged children

The effect of continuous infusion of remifentanil on the inc...

引用

2014年全国小儿麻醉学术年会暨浙江省麻醉学学术年会

作者： Dong Yunxia Meng Lingxin Wang Yuan Zhang Jiaojiao Zhao Guanyi Jiajia Department of Anesthesia Shengjing Hospital China Medical University

Background:Sevoflurane has a lot of optimal character such as a lower blood/gas partition coefficient,less irritation to the airway,less toxicity the heart,liver and kidney,so it is well accepted by pediatric anesthesiologists for general anesthesia in *** sevoflurane may be associated with a significant proportion of preschool children’ severe emergence agitation（EA） after aneshthesia. Objectives:The aim of the present study was to assess the effect of remifentanil（REM） administered during the surgery on the incidence and severity of EA in preschool-aged children undergoing sevoflurane general anesthesia. Medthods:Sixty preschool-aged（3-7 years old） children（American Society of Anesthesiologists[ASAI or II]） scheduled for adenotonsillectomy were enrolled in this randomized double-blind study. These children were randomly divided into two groups:sevoflurane/REM group and sevofluranen group. Each child was intramuscular injected atropine before entering into the operating room. Anesthesia was induced with a bolus injection of 3μg/kg fentanyl and 2.5mg/kg propofol. Endotracheal intubation was facilitated by 0.1mg/kg vecuronium. All the patients were ventilated with 50% nitrous oxide in oxygen to maintain an end-tidal CO2 of 35±4mmHg monitoring by end-tidal gas measurement.（volume-controlled ventilation: tidal volume 10ml/kg,respiratory rate 15 times/min）. For anesthesia maintenance, children were randomized to sevoflurane group:inhalation of sevoflurane 1.5%-2.5% and sevoflurane/REM group: inhalation of sevoflurane 1.5%-2.5% and at the same time infusion of 0.1μg/kg/min REM. Two observers who were blind to the trial recorded BP, HR, SpO2,eye-open time and extubation time during operating room. Another two nurses accessed the incidence and severity of EA by Ramsay sedation scales and Pediatric Anesthesia emergence Delirium scale（PAEDs） in recovery time. Result: We observed that the eye-open time, extubation time, intraoperative hemodynamic datas of two groups

关键词： emergence agitation remifentanil sevoflurane pediatric anesthesia

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：