Patients With General Anesthesia Cause Analysis And Sufentanil On Its Impact Of Emergence Agitation

Emergence agitation(EA,emergence agitation;emergence delirium)for the General anesthesia patients with an inappropriate behavior, main performance for heart rate increase quickly, elevated blood pressure, excitement, restless and directional coexist and barriers, it is more common endotracheal a complication of general anesthesia. At present, the general anesthesia revive period restless the mechanism is not completely understood, different scholars have different viewpoints. Lead to revive period restless the general anesthesia many factors, various harmful stimulus, especially postoperative pain is often caused and aggravating general anesthesia revive period restless the the most common cause. General anesthesia revive period, when the restless harmfulness larger attack serious when, often can cause harm an accident accidentally bad consequences, such as, if not be handled properly, sometimes may endanger the patient life. General anesthesia revive period restless the treatment is still clinical problems, mainly is supplemented by prevention treatment principle. For the awakening of period already happened is mainly according to patients restlessness, moving restlessly degree, received alimta. Therefore, in our daily clinical anesthesia work, how to effectively prevent and reduce patients with general anesthesia revive period restless the incidence and degree, enhancing clinical anesthesia quality, we are still clinical anesthesia physicians need constantly exploring one of the difficult problems.Objective Through the observation of general anesthesia patients cause analysis of emergence agitation and the research of sufentanil influence to the emergence agitation, aiming to recommend appropriate prevention and treatment measures for clinical anesthesia to provide theoretical and realistic basis, so that patients can enjoy more safety and comfortable anesthesia process, improve the clinical anesthesia quality.Methods Chooseâ… ^â…¡level of ASA endotracheal general anesthesia patients. Preoperative day by anesthesiologists supervision patients, introduce perioperative procedures, patience and try to ease patients comfort dredge psychological stress levels. All patients preoperative conventional fast water 6 8 hours. Anesthetic methods: intravenous injection successively 0.05 mg/kg imidazole, sufentanil 0.4 muon g/kg (or fentanyl 4 muon g/kg), Vecuronium 0.1 mg/kg, Propofol 2mg/kg. Anesthesia was maintained with total intravenous anesthesia: sufentanil 0.2μg.kg^-1.h^-1 (or fentanyl 2μg.kg^-1.h^-1) + propofol 4 10 mg.kg^-1.h^-1 intravenous infusion. Intravenous composite inhaled anesthesia except for using the above method to maintain, another interruption or maintain sustained inhaled 1 3% sevoflurane. Of surgery patients were sent to post-anesthesia care unit (post-anesthesia care unit, PACU). According to patients with a circumstance to give Such as neostigmine antagonism analeptic. By anesthesiologists whole observation, record patients in operating rooms and PACU inside emergence agitation , and inspect the restless degree give patients with proper treatment. Patients in PACU observation 1 2h, wait for its fully awake to return ward. Statistics processing: income data are used SSPS13.0 software were statistically analyzed. Measurement data to mean±standard deviation( x±s) said, Counting material the classification byχ² variables, the counter materials in the inspection and testing ordered variable using rank. P < 0.05 for difference was statistically significant.Results All patients after surgical anaesthesia smoothly and vital signs smoothly, anesthesia with satisfactory effect.â‘ observe the 1,200 cases of general anesthesia patients, has 258 patients happened different degree of general anesthesia waking waking period restlessness, the incidence of 21.50% period restless.â‘¡caused by various noxious stimulation of general awakening period restless the occurrence of 53.49%, pain, trachea stimulation of 30.23%, urinary canal stimulation of 8.91% (three caused revive period restless the degree of general anesthesia to light, medium for most), the psychological stress of 3.48% (in medium and heavy restless see more), other factors of 3.88%.â‘¢different circumstances occur in patients with general anesthesia revive period restless the scale: thorax, oral surgery patients, ent and mammary gland awakens the incidence of anesthesia phase restless than outside general, secrete outside surgery patients high; Static suction composite anesthesia general anesthesia revive period is complete by moving restlessly incidence of intravenous anesthesia high, The general awakening period restless boys than girls. Extroverted and revive the abo type A general anesthesia restless rate is relatively high period, Antagonism improper use of drugs will often make general anesthesia revive period increased rates of restless.â‘£sufentanil to revive the influence of anesthesia phase restless waking: thirty-two restless rate, period of sufentanil group for 18.3% and fentanyl group for 36.7%, comparative differences between groups was statistically significant (P < 0.01), General anesthesia restless degree according to revive period (0 3 level assessment), sufentanil group is fentanyl group restless degree ligtening obviously (P < 0.01).Conclusionâ‘ the pain stimulation is lead to the main cause of emergence agitation.â‘¡compared with fentanyl, sufentanil can effectively reduce patients with general anesthesia the incidence and degree of emergence agitation.â‘¢choosing the correct anesthetic technique and reasonable anesthesia management, hold the right timing to detubation, avoid the postoperative bad harmful stimulus as far as possible, and give full of postoperative analgesia, can obviously reduce or avoid the general anesthesia incidence and degree of emergence agitation.