Anaesthetic emergence agitation in adults following general surgery: A scoping review

IF 3.1 Q1 NURSING
Meredith Heily , Marie Gerdtz , Rebecca Jarden , Yen Yap , Rinaldo Bellomo
{"title":"Anaesthetic emergence agitation in adults following general surgery: A scoping review","authors":"Meredith Heily ,&nbsp;Marie Gerdtz ,&nbsp;Rebecca Jarden ,&nbsp;Yen Yap ,&nbsp;Rinaldo Bellomo","doi":"10.1016/j.ijnsa.2025.100320","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Anaesthetic emergence is the patient's transition from general anaesthetic until they are alert and in full control of vital reflexes. It is during this transition that significant complications, including anaesthetic emergence agitation, may occur. A preliminary search did not identify any research investigating adults who undergo anaesthetic emergence in critical care settings.</div></div><div><h3>Objectives</h3><div>To map the post-anaesthetic literature reporting outcomes, risk factors, and management of adult patients admitted directly to a critical care unit, who develop emergence agitation, and to describe the implications for clinical practice.</div></div><div><h3>Methods</h3><div>The scoping review was registered at <span><span>https://osf.io/spwx5/</span><svg><path></path></svg></span> and conducted using the Joanna Briggs Institute methodology, with the framework of Population, Concept and Context. Search terms including agitation, anaesthetic, emergence, postoperative and surgery.</div></div><div><h3>Results</h3><div>Twenty-five articles were identified and were eligible for data extraction. Risk factors included co-morbid conditions, anaesthetic agents and the presence of in-situ invasive devices. Studies varied regarding design and patient assessment tools. Data were reported from one or more of eight observation timepoints along the emergence continuum, from end-anaesthetic until post anaesthetic care unit discharge. No studies investigated patients with direct postoperative admission to critical care settings.</div></div><div><h3>Conclusions</h3><div>This review has characterised the emergence continuum. The variations between studies has highlighted the necessity to reach future consensus regarding emergence definition and measurement. A critical gap was identified regarding recommendations for prevention and management of emergence agitation for patients admitted directly to a critical care unit.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100320"},"PeriodicalIF":3.1000,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Studies Advances","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666142X2500030X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Background

Anaesthetic emergence is the patient's transition from general anaesthetic until they are alert and in full control of vital reflexes. It is during this transition that significant complications, including anaesthetic emergence agitation, may occur. A preliminary search did not identify any research investigating adults who undergo anaesthetic emergence in critical care settings.

Objectives

To map the post-anaesthetic literature reporting outcomes, risk factors, and management of adult patients admitted directly to a critical care unit, who develop emergence agitation, and to describe the implications for clinical practice.

Methods

The scoping review was registered at https://osf.io/spwx5/ and conducted using the Joanna Briggs Institute methodology, with the framework of Population, Concept and Context. Search terms including agitation, anaesthetic, emergence, postoperative and surgery.

Results

Twenty-five articles were identified and were eligible for data extraction. Risk factors included co-morbid conditions, anaesthetic agents and the presence of in-situ invasive devices. Studies varied regarding design and patient assessment tools. Data were reported from one or more of eight observation timepoints along the emergence continuum, from end-anaesthetic until post anaesthetic care unit discharge. No studies investigated patients with direct postoperative admission to critical care settings.

Conclusions

This review has characterised the emergence continuum. The variations between studies has highlighted the necessity to reach future consensus regarding emergence definition and measurement. A critical gap was identified regarding recommendations for prevention and management of emergence agitation for patients admitted directly to a critical care unit.
普通手术后成人麻醉出现躁动:范围回顾
背景:麻醉苏醒是指患者从全身麻醉过渡到清醒并完全控制重要反射的过程。正是在这一转变过程中,可能出现显著的并发症,包括麻醉出现时的躁动。初步调查没有发现任何调查在重症监护环境中接受麻醉急救的成年人的研究。目的绘制直接入住重症监护病房的成年患者出现突发性躁动的麻醉后结果、危险因素和管理的文献,并描述其对临床实践的影响。方法范围审查在https://osf.io/spwx5/上注册,并使用乔安娜布里格斯研究所的方法,在人口,概念和背景的框架下进行。搜索词包括躁动,麻醉,急救,术后和手术。结果共鉴定出25篇文献,符合数据提取条件。危险因素包括合并症、麻醉剂和原位侵入装置的存在。研究在设计和患者评估工具方面各不相同。从麻醉结束到麻醉护理单位出院,从急诊连续体的八个观察时间点中的一个或多个报告数据。没有研究调查术后直接入住重症监护病房的患者。结论本综述描述了出现连续体的特征。研究之间的差异突出了在出现定义和测量方面达成未来共识的必要性。对于直接入住重症监护病房的患者的紧急躁动的预防和管理建议,发现了一个严重的差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
5.80
自引率
0.00%
发文量
45
审稿时长
81 days
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信