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October 31, 2023Australian Critical CareOpen Access

Agitation during anaesthetic emergence: An observational study of adult cardiac surgery patients in two Australian intensive care units

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Key result

Emergence agitation occurred in 48% of adult cardiac surgery patients and was associated with significantly more airway compromise (50%, p<0.001) and ventilator dyssynchrony (96%, p=0.004).

Why the study?

Anaesthetic emergence agitation among adult patients recovering after open cardiac and/or thoracic aorta surgery had not been described.

Population

50 adult ICU patients recovering from open sternotomy cardiac surgery

Comparison

Emergence agitation vs calm emergence

Design

Prospective observational pilot study

Authors

MHMeredith HeilyMGMarie GerdtzRJRebecca Jarden

Discussion

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Member takes

Overview

Emergence agitation may heighten perioperative risks after cardiac surgery; leaves open whether prevention reduces complications.

Study Design

Type

Observational (n=50)

Multicenter

Yes

Structured PICO

P
Population
50 adult patients aged ≥18 years recovering in the ICU after cardiac surgery via open sternotomy with general anaesthetic.
O
Outcome
Incidence, clinical features, and consequences of emergence agitation (defined as a Richmond Agitation and Sedation Scale score of ≥+2).

Main Result

p-value: p=<0.001

Emergence agitation is highly prevalent (48%) following open cardiac surgery and leads to significant clinical complications requiring immediate interventions.

Cite This Study

Heily et al. (2023) conducted an observational in Cardiac surgery (n=50). Emergence agitation vs. Calm emergence was evaluated on Airway compromise (p=<0.001). Emergence agitation occurred in 48% of adult cardiac surgery patients and was associated with significantly more airway compromise (50%, p<0.001) and ventilator dyssynchrony (96%, p=0.004).

synapsesocial.com/papers/6a6f2d902163a0a01bc382fchttps://doi.org/10.1016/j.aucc.2023.09.003
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Also Consider

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