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The purpose of this study is to investigate whether information of the orientation such as time, place, and patient's own name can reduce emergence delirium after general anesthesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Orientation | Experimental | Information of orientation (time, place, patient's own name) is repeatedly provided during emergence. |
|
| Name | Active Comparator | As usual, patient is recovered from general anesthesia with his/her name called. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Giving orientation with headphones | Other | During emergence, recorded voice of an investigator giving Information of orientation (time, place, patient's own name) is repeatedly played from noise-cancelling headphones |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of emergence agitation at operating room (OR) | Riker sedation agitated scale ≥5 | 20 minutes after anesthesia emergence |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dangerous emergence agitation | Riker sedation agitated scale =7 | 20 minutes after anesthesia emergence |
| maximal Riker sedation agitated scale during emergence | maximum value of Riker sedation agitated scale during emergence |
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Inclusion Criteria:
Exclusion Criteria:
Drop out Criteria
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| Name | Affiliation | Role |
|---|---|---|
| Bo Rim Kim, M.D. | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36697272 | Derived | Lee S, Sohn JY, Hwang IE, Lee HJ, Yoon S, Bahk JH, Kim BR. Effect of a repeated verbal reminder of orientation on emergence agitation after general anaesthesia for minimally invasive abdominal surgery: a randomised controlled trial. Br J Anaesth. 2023 Apr;130(4):439-445. doi: 10.1016/j.bja.2022.12.009. Epub 2023 Jan 23. |
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| ID | Term |
|---|---|
| D000071257 | Emergence Delirium |
| D000072458 | Orientation, Spatial |
| ID | Term |
|---|---|
| D003693 | Delirium |
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
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| Emergence as usual with headphones | Other | During emergence, recorded voice of an investigator calling the patient's name is repeatedly played from noise-cancelling headphones |
|
| 20 minutes after anesthesia emergence |
| Time to emergence | Time from anesthetics off to eye opening/extubation/discharge from OR | 20 minutes after anesthesia emergence |
| Bispectral index (BIS) | BIS value at desflurane discontinuation/verbal response/extubation | 20 minutes after anesthesia emergence |
| Incidence of emergence agitation at PACU | Riker sedation agitated scale ≥5 | 30 minutes after PACU adminstration |
| Incidence of postoperative delirium | Delirium scale (CAM) | 30 minutes after PACU adminstration / Postoperative 24 hours |
| Postoperative Pain | NRS score (0-11) of pain | 10/20/30 minutes after PACU administation / Postoperative 24 hours |
| PACU stay | Length (hours) of PACU stay | up to 3 hours after PACU administration |
| Postoperative opioid consumption | Postoperative opioid requirement | 30 minutes after PACU adminstration / Postoperative 24 hours |
| Analgesics requirement | Analgesics other than opioid requirement | Postoperative 24 hours |
| Postoperative quality of recovery | Korean version of quality of recovery-15 | Postoperative 24 hours |
| D009422 |
| Nervous System Diseases |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D013037 | Spatial Behavior |
| D001519 | Behavior |