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

Not yet recruiting

• Conditions: Postoperative Agitation

• Registration Number: NCT06686511
• Lead Sponsor: Cairo University

Brief Summary

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 .

Detailed 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 .

Study Timeline

• Study First Submitted: 2024-10-28
• Status Verified: 2024-11
• Study First Submitted QC: 2024-11-11
• Last Update Submitted: 2024-11-11
• Study First Posted: 2024-11-13
• Last Update Posted: 2024-11-13
• Study Start: 2024-11-25
• Primary Completion: 2025-06-25
• Study Completion: 2025-07-05

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 256

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)

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The incidence of emergence agitation using AONO s scale(percentage of patients having score of 3 or 4)	scale immediately after extubation and then every 5 minutes for 20 minutes	● AONO s four point agitation scale The scale is decribed as 1 = calm; 2 = not calm but could be easily calmed; 3 = not easily calmed, moderately agitated or restless; and 4 = combative, excited, or disoriented.

Secondary Outcome Measures

Name	Time	Method
heart rate in beats per minute	immediately after extubation and then every 5 minutes for 20 minutes
systolic blood pressure in mmhg	immediately after extubation and then every 5 minutes for 20 minutes
mean blood pressure in mmhg	immediately after extubation and then every 5 minutes for 20 minutes
oxygen saturation in %	immediately after extubation and then every 5 minutes for 20 minutes

Trial Locations

Locations (1)

operating ENT theater kasr alaini hospital; 🇪🇬 Cairo, Manil, Egypt