%0 Journal Article
%T Discharge Under Sedated Status can Decrease Postoperative Emergence Agitation in Pediatric Patients Undergoing Strabismus Surgery: A Prospective Randomized Controlled Trial.
%A Tan F
%A Lu W
%A Li S
%A Chen J
%J J Perianesth Nurs
%V 0
%N 0
%D 2024 Jun 3
%M 38842951
%F 1.295
%R 10.1016/j.jopan.2024.01.014
%X <B>OBJECTIVE: </B>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.<BR><B>METHODS: </B>Prospective randomized controlled study.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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 (SpO2) and the mean arterial blood pressure were comparable between the two groups (P > .05).<BR><B>CONCLUSIONS: </B>Pediatric patients discharged to their parents under sedated status could reduce the incidence of EA undergoing strabismus surgery.