Abstract

Postoperative agitation in adults, factors, possible Mechanisms and prevention.

Highlights

  • In Possible mechanistic interactions (A hypothesis) the postoperative care unit, an agitated patient requires more nurses to control his abnormal movement and apply restrains The mechanism by which a patient develops agitation remains that could result in bruises of his extremities

  • The phenomenon of Postoperative agitation (POA) became more apparent since postoperative care unit, we noticed that agitated patients the advent of rapid emergence inhalational anesthetics; remove venous and arterial catheters, nasal packs, oxygen sevoflurane and desflurane [10]

  • Inhalational induction of masks and endotracheal tubes leading to bleeding and hypoxia. anesthesia occurs in four stages according to Guedel's

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Summary

Hazem E Elsersy*

Received date: October 7, 2017; Accepted date: October 8, 2017; Published date: October 16, 2017. Yu et al [9] reported a 55% incidence of POA after nasal surgery They demonstrated that Doxapram administration, pain, and presence of a tracheal tube and or a urinary catheter appear to be the most important causes of postoperative agitation. The presence of urinary catheters and tracheal tubes increase the sense of discomfort The reaction to this discomfort may be augmented in the light anesthesia state resulting in agony and agitation. We propose that two events should interact to provoke postoperative agitation; the first is mental confusion manifested as incomplete anesthetic recovery, the second is the perception of a discomfort such as pain, irritation by catheter, tubing, restraints, nicotine or drug withdrawal

Agitation or delirium?
Prevention of POA following nasal surgery
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