Emergence agitation: current knowledge and unresolved questions.
Seok-Jin Lee, Tae-Yun Sung
https://pubmed.ncbi.nlm.nih.gov/32209961/Actively Recruiting
Led by Kocaeli City Hospital · Updated on 2024-08-07
120
Participants Needed
1
Research Sites
2 weeks
Total Duration
Researchers are studying the link between unintentional low body temperature during surgery, known as perioperative hypothermia, and agitation that can occur as patients wake up from anesthesia. This observation study focuses on adults aged 18 to 65 undergoing specific ear, nose, and throat surgeries lasting at least 30 minutes. Hypothermia during surgery is common and can lead to complications such as increased bleeding, delayed healing, and longer hospital stays. Emergence agitation, characterized by restlessness and poor cooperation during recovery, is also a concern but its connection to hypothermia is not well understood. Participants will be observed during their planned surgeries, which include septoplasty, rhinoplasty, functional endoscopic sinus surgery, tympanoplasty, and mastoidectomy. The study groups are divided based on whether they develop hypothermia after surgery or not. Recovery will be assessed using tools like the Richmond Agitation Sedation Scale and the Riker Sedation Scale during the first hour after surgery to monitor agitation levels. During the study, patients temperatures will be monitored from one hour before anesthesia to one hour after surgery to track hypothermia occurrence. Researchers will evaluate the relationship between low body temperature and emergence agitation within the first postoperative hour. The study also records how often hypothermia occurs during this time. Participation involves routine surgical and recovery assessments with no additional treatments, and the total involvement includes the surgery and immediate postoperative monitoring.
CONDITIONS
Evaluation of The Relationship Between Perioperative Hypothermia and Emergence Agitation
A
Aleyna Çiçek, md
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Kocaeli City Hospital
Lead Sponsor
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Surgery day and first postoperative hour
Participants undergo ENT surgery lasting more than half an hour and are monitored for perioperative hypothermia and emergence agitation during the first hour after surgery.
1 visit (in-person)
Duration - First postoperative hour
Participants are observed for recovery agitation using sedation scales during the immediate post-operative period.
1 visit (in-person)
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
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Lead Sponsor