■从麻醉中出来的时间受患者因素的影响,麻醉因素,手术的持续时间,术前和术中疼痛管理。
■本研究旨在确定全身麻醉后苏醒延迟的患病率和影响因素。
■于2022年1月至6月进行了一项横断面研究。在获得许可号S/C/R37/01/2022的伦理批准后,愿意的患者以书面知情同意书参加。术前和术后恢复室的图表回顾用于收集数据。频率和百分比与交叉列表用于提供描述性统计。为了确定与结果变量相关的预测变量,双变量,拟合多元逻辑回归模型。使用多变量回归的P值0.05评估统计学意义。
■在当前的研究中,91.7%的接受全身麻醉的手术患者发生了正常的紧急情况,在延迟觉醒的同时,出现时表现不佳,出现谵妄的病例分别为2.6、3.9和1.8%,分别。64岁以上患者[调整后比值比(AOR):1.33,95%CI:0.83-7.191],作为文凭麻醉提供者(AOR:2.38,95%CI:2.05-7.15),阿片类药物(AOR:2.3,95%CI:2.20-5.76),手术持续时间超过2小时(AOR:1.91,95%CI:1.83-6.14),估计失血量超过1500ml(AOR:1.20,95%CI:0.62-11.30),晶体给药超过3000毫升(AOR:3.12,95%CI:2.19-7.32),术中低血压(AOR:3.37,95%CI:2.93-9.41)和极端体重,与全身麻醉后苏醒延迟显著相关。
■尽管延迟出现是一种罕见的情况,但有许多原因,这是可以预防的,一旦它发生了,这对麻醉师来说是一个挑战。
UNASSIGNED: The time to emerge from anesthesia is affected by patient factors, anesthetic factors, the duration of surgery, and preoperative and intraoperative pain management.
UNASSIGNED: This
study aimed to determine the prevalence and contributing factors of delayed awakening following general anesthesia.
UNASSIGNED: A cross-sectional
study was conducted from January to June 2022. After getting ethical approval with the permission number S/C/R 37/01/2022, willing patients participate with written informed consent. Chart reviews in the preoperative and postoperative recovery rooms were used to collect data. Frequency and percentage with cross-tabulation were used to provide the descriptive statistics. To determine the predictive variables that were associated with the outcome variable, bivariable, and multivariable logistic regression models were fitted. The statistical significance was evaluated using P-values of 0.05 for multivariable regression.
UNASSIGNED: In the current
study, a normal emergency occurred in 91.7% of surgical patients receiving general anesthesia, while delayed awakening, emergence with hypoactive, and emergence with delirium occurred in 2.6, 3.9, and 1.8% of cases, respectively. Patients older than 64 years [adjusted odds ratio (AOR): 1.33, 95% CI: 0.83-7.191], being diploma anesthesia providers (AOR: 2.38, 95% CI: 2.05-7.15), opioids (AOR: 2.3, 95% CI: 2.20-5.76), surgery lasting longer than 2 h (AOR: 1.91, 95% CI: 1.83-6.14), estimated blood loss of more than 1500 ml (AOR: 1.20, 95% CI: 0.62-11.30), crystalloid administration of more than 3000 ml (AOR: 3.12, 95% CI: 2.19-7.32), intraoperative hypotension (AOR: 3.37, 95% CI: 2.93-9.41) and extreme body weight, were significantly linked to delayed awakening after general anesthesia.
UNASSIGNED: Although delayed emergence is an uncommon condition with a number of contributing causes, it is preventable, and once it has occurred, it presents a challenge for anesthetists.