The Effect of Preoperative Counseling on Emergence Agitation in Patients Candidate for Nasal Surgeries

Cairo University (CU)

Status: Completed

Conditions: Postoperative Agitation

Study type: Observational

Funder types: Other

Identifiers

NCT06686511

counseling and agitation

Details and patient eligibility

About

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 .

Full description

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 .

Enrollment: 256 patients

Sex: All

Ages: 21 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Both genders.
• Patients undergoing nasal surgery
• American Society of Anesthesiologist (ASA) I or II physical status.
• Between 18 and 65 years of age.

Exclusion criteria

• ● Patients with communication difficulties.

  • ASA Ⅲ and Ⅳ patients.
  • Mentally retarded patients.
  • In-ability to postpone anti-coagulation medications.
  • Central or peripheral neurological disease.
  • Drug or alcohol abuse.
  • Localized infection at nose.
  • Bleeding disorder (platelets count less than 100,000 or INR more than 1.4)

Trial design

256 participants in 2 patient groups

- Group A

Description:

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

Description:

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