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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 .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| - Group A | Will ask them to close their nose completely by their hands and take their breath only from the mouth for 2 to 3 minutes before induction of GA. : immediately after extubation we will tell them many times at their ear that the operation has been finished and ask them to take their breath from the mouth as they counselled and trained at preoperative period | ||
| ● Group B | Will start the induction of anesthesia without any preoperative counselling of nasal closure . this group will undergo extubation and should be instructed to use their nose for breathing without Without preoperative counselling |
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| Measure | Description | Time Frame |
|---|---|---|
| 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. | scale immediately after extubation and then every 5 minutes for 20 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| heart rate in beats per minute | immediately after extubation and then every 5 minutes for 20 minutes | |
| systolic blood pressure in mmhg | immediately after extubation and then every 5 minutes for 20 minutes |
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Inclusion Criteria:
Exclusion Criteria:
● Patients with communication difficulties.
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ASA I or II patients of both genders undergoing nasal surgery in the age between 21 to 65 years old will be included in the study
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| Name | Affiliation | Role |
|---|---|---|
| Maged aw el gendy, lecturer | kaser al aini cairo university | Principal Investigator |
| Maged aw el gendy, lecturer | university | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| operating ENT theater kasr alaini hospital | Cairo | Manil | 1234 | Egypt |
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| Label | URL |
|---|---|
| Related Info | View source |
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sharing the results
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| ID | Term |
|---|---|
| D011595 | Psychomotor Agitation |
| ID | Term |
|---|---|
| D020820 | Dyskinesias |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D011596 | Psychomotor Disorders |
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| mean blood pressure in mmhg | immediately after extubation and then every 5 minutes for 20 minutes |
| oxygen saturation in % | immediately after extubation and then every 5 minutes for 20 minutes |
| D019954 |
| Neurobehavioral Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000096762 | Aberrant Motor Behavior in Dementia |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |