Discharge Under Sedated Status can Decrease Postoperative Emergence Agitation in Pediatric Patients Undergoing Strabismus Surgery: A Prospective Randomized Controlled Trial.

Autor: Tan F; Department of Anesthesiology, Anesthetist, Eye & ENT Hospital, Fudan University, China. Electronic address: tanfang@eentanesthesia.com., Lu W; Department of Anesthesiology, Postanesthesia Care Unit, Eye & ENT Hospital, Fudan University, China., Li S; Department of Anesthesiology, Anesthetist, Eye & ENT Hospital, Fudan University, China., Chen J; Department of Anesthesiology, Postanesthesia Care Unit, Eye & ENT Hospital, Fudan University, China.
Jazyk: angličtina
Zdroj: Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses [J Perianesth Nurs] 2024 Dec; Vol. 39 (6), pp. 985-989. Date of Electronic Publication: 2024 Jun 04.
DOI: 10.1016/j.jopan.2024.01.014
Abstrakt: Purpose: Emergence agitation (EA) is a frequent complication during emergence. The researchers aimed to investigate whether discharged pediatric patients from the postanesthesia care unit (PACU) to wards under sedated status could reduce the incidence of EA.
Design: Prospective randomized controlled study.
Methods: This study was conducted in 4 to 6 year old patients who had undergone strabismus surgeries. There were 100 patients randomly assigned to a sedated group who were discharged from PACU to the ward under a sedated state and regained consciousness accompanied with their parents (Group P, n = 50) and the control group who were fully awake when discharged (Group C, n = 50). The primary outcome was the incidence of EA. The secondary outcomes included rescue measure, discharge time, hemodynamic parameters at the point of discharge, 1 and 2 hours after extubation, and the parental satisfaction score.
Findings: The incidence of EA in Group P was significantly reduced compared to Group C (P = .023). The number of patients who needed rescue measures was higher in Group C than in Group P (P = .041). The PACU discharge time in Group P was significantly shorter than in Group C (P < .001). The heart rate of the pediatric patients in Group P was significantly lower than in Group C at the point of discharge from PACU to the ward (P = .003), while the oxygen saturation (SpO 2 ) and the mean arterial blood pressure were comparable between the two groups (P > .05).
Conclusions: Pediatric patients discharged to their parents under sedated status could reduce the incidence of EA undergoing strabismus surgery.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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