Retrospective evaluation of the effects of different anesthesia methods on emergence agitation in patients undergoing vitreoretinal surgery.

Cirugia y cirujanos Pub Date : 2025-01-09 DOI:10.24875/CIRU.23000484

Samet S Kucukosman, Ali Akdogan, Dilek Uzlu, Erdem N Duman

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Abstract

Objective: The agitation that can occur in patients undergoing vitreoretinal surgery on awakening from general anesthesia is a serious post-operative problem. In our study, we aimed to compare the effects of different anesthesia methods on emergence agitation in patients undergoing vitreoretinal surgery.

Method: Patients undergoing vitreoretinal surgery were divided into two groups: Total intravenous anesthesia (Group T) and inhalation anesthesia (Group D) according to the maintenance of anesthesia applied by consulting the records. Patients' heart rate, mean blood pressure, extubation quality scores, and Richmond Agitation and Sedation Scale values were examined.

Results: For the study, data were available from 100 patients undergoing vitrectomy surgery. It was observed that in the total intravenous anesthesia group the quality of extubation and the patients' additional analgesic requirements were better, and the patients' agitation levels at min 0 were lower.

Conclusion: In our study, it was observed that the choice of total intravenous anesthesia as an anesthetic method in patients undergoing vitreoretinal surgery reduced agitation upon awakening compared to those receiving inhalational anesthesia.

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不同麻醉方法对玻璃体视网膜手术患者出现时躁动影响的回顾性评价。

目的：玻璃体视网膜手术患者全身麻醉醒来后出现躁动是一个严重的术后问题。在我们的研究中，我们旨在比较不同麻醉方法对玻璃体视网膜手术患者出现躁动的影响。方法：将玻璃体视网膜手术患者根据参考记录采用的麻醉维持方式分为全静脉麻醉（T组）和吸入麻醉（D组）两组。检查患者心率、平均血压、拔管质量评分、Richmond躁动和镇静量表值。结果：本研究收集了100例玻璃体切除术患者的资料。观察发现，全静脉麻醉组拔管质量和患者额外镇痛需求较好，且min 0时患者躁动程度较低。结论：在我们的研究中，我们观察到选择全静脉麻醉作为玻璃体视网膜手术患者的麻醉方法，与接受吸入麻醉的患者相比，可以减少醒来时的躁动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cirugia y cirujanos

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