• Hyun-Chang Kim, Eugene Kim, Young-Tae Jeon, Jung-Won Hwang, Young-Jin Lim, Jeong-Hwa Seo, and Hee-Pyoung Park.
• Department of Anaesthesia and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
• J. Int. Med. Res. 2015 Apr 1; 43 (2): 226-35.

ObjectiveTo investigate the incidence and risk factors for emergence agitation in the postanaesthetic care unit (PACU), in adult patients undergoing urological surgery.MethodsMedical records were retrospectively reviewed. Preoperative, intraoperative and postoperative variables were evaluated. Emergence agitation was defined as a Riker sedation-agitation score ≥ 5. Logistic regression analysis was used to determine independent risk factors for emergence agitation.ResultsEmergence agitation was observed in 48/488 (9.8%) patients. Chronic lung disease (odds ratio [OR] 2.72, 95% confidence interval [CI] 1.03, 7.17), duration of surgery (OR 1.01, 95% CI 1.00, 1.01), history of social drinking (OR 2.48, 95% CI 1.25, 4.93), postoperative pain score (OR 1.32, 95% CI 1.14, 1.53), voiding urgency (OR 2.20, 95% CI 1.01, 4.77) and presence of gastric tube (OR 2.85, 95% CI 1.07, 7.54) were independent risk factors for emergence agitation.ConclusionsAdequate postoperative pain management and prevention of catheter-related bladder discomfort may be helpful in reducing the incidence of emergence agitation in urology patients.© The Author(s) 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

23 keywords...

hide…