Observations in the Immediate Postanaesthesia Period Ii. Mode of Recovery

Smessaert, Andre; Schehr, Claire A.; Artusio, Joseph F.

doi:10.1093/bja/32.4.181

Cited by 42 publications

(18 citation statements)

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“…Anaesthesia and Intensive Care, Vol. 15 It has been stated that while pain is a common feature in the recovery room, it is less important in the immediate recovery phase when the residual anaesthetic drugs have an analgesic effect. \0 In our study, 39 patients voluntarily complained of pain, among whom eleven had associated hypertension or tachycardia and a further six were agitated or dysphoric.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic-Related Recovery Room Complications

Zelcer

Wells

1987

Anaesth Intensive Care

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A prospective survey was conducted over a one-month period in all surgical patients admitted to the recovery room of a university-affiliated teaching hospital. Complications arising in the recovery room were documented by the nursing staff according to predefined criteria and were critically evaluated. A total of 443 patients were admitted to the recovery room and in 133 (30%) of these, some form of complication was noted. There were 86 patients with complications referable to the central nervous system, 68 with abnormal cardiovascular parameters, 24 with nausea and/or vomiting and 10 with abnormalities referable to the respiratory system. Many patients had more than one complication. The results are discussed, with emphasis on their relevance to current anaesthetic practice. It is concluded that many patients exhibit recovery room complications when they are specifically sought. The recovery period remains a time of great potential danger to patients.

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Section: Discussionmentioning

confidence: 99%

Anaesthetic-Related Recovery Room Complications

Zelcer

Wells

1987

Anaesth Intensive Care

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“…These factors have important impacts mainly in the early postoperative period. Studies performed have shown that: agitation and behavioral changes in the postoperative period are seen more frequently in children compared to adults [1]. Many factors play a role in the development of this condition, which has been recently observed more frequently; with the wide use of inhalation agents that provide rapid recovery.…”

Section: Introductionmentioning

confidence: 99%

The Association between Preoperative Parental Anxiety and Emergence Agitation in Preschoolers

Erkılıç¹,

Kesimci²,

Döğer³

et al. 2017

OJEpi

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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 details of surgery, anesthesia and length of hospital stay after surgery were found to be associated with these scores. The STAI-T scores of mothers and fathers were similar (p > 0.05). The children had the highest agitation scores at 10 th 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.

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“…[3–5] Good pain relief minimizes the oxygen requirement, reduces cardio-respiratory demands, and promotes early ambulation and recovery. [6]…”

Section: Introductionmentioning

confidence: 99%

Intra and postoperative outcome of adding clonidine to bupivacaine in infraorbital nerve block for young children undergoing cleft lip surgery

Jindal

Khurana

Dvivedi

et al. 2011

Saudi Journal of Anaesthesia

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Aims and Context:To evaluate the efficacy of adding clonidine to bupivacaine in bilateral infraorbital nerve block for hemodynamic changes, requirement of opioids, volatile agent, and muscle relaxants intraoperatively and relief of pain postoperativelySetting and Design:Prospective, randomized, double-blind study.Methods:Fifty pediatric patients aged less than 24 months undergoing elective cleft lip repair were randomly allocated to two groups of 25 each. After tracheal intubation, group A received bilateral infraorbital nerve block with 1 ml solution of clonidine (1 μg/kg) and bupivacaine 0.25%, and group B received 1 ml of 0.25% bupivacaine. Hemodynamic parameters, intraoperative requirement of volatile anesthetic agent, muscle relaxant, and analgesic were recorded. Pain was assessed postoperatively using the Face, Legs, Activity, Cry, Consolability scale till the first rescue drug was given.Statistical Analysis:Two sample unpaired t-test and the correlation r test.Results:The duration of analgesia from the time of administration of block in group A was 667.72 ± 210.74 min compared to 558.48 ± 150.28 min in group B (P<0.05).Conclusion:Addition of clonidine as an adjunct to local anesthetic significantly decreased the requirement of other anesthetic drugs and significantly prolonged the duration of postoperative analgesia without any adverse effects.

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Observations in the Immediate Postanaesthesia Period Ii. Mode of Recovery

Cited by 42 publications

References 0 publications

Anaesthetic-Related Recovery Room Complications

Anaesthetic-Related Recovery Room Complications

The Association between Preoperative Parental Anxiety and Emergence Agitation in Preschoolers

Intra and postoperative outcome of adding clonidine to bupivacaine in infraorbital nerve block for young children undergoing cleft lip surgery

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