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https://ahro.austin.org.au/austinjspui/handle/1/34183
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Heily, Meredith | - |
dc.contributor.author | Gerdtz, Marie | - |
dc.contributor.author | Jarden, Rebecca J. | - |
dc.contributor.author | Yap, Celene Yl | - |
dc.contributor.author | Darvall, Jai | - |
dc.contributor.author | Coventry, Andrew Ej | - |
dc.contributor.author | Rogers, Amy | - |
dc.contributor.author | Vernon, Julie | - |
dc.contributor.author | Bellomo, Rinaldo | - |
dc.date | 2023 | - |
dc.date.accessioned | 2023-11-10T01:46:03Z | - |
dc.date.available | 2023-11-10T01:46:03Z | - |
dc.date.issued | 2024-01 | - |
dc.identifier.citation | Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses 2024-01; 37(1) | en_US |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/34183 | - |
dc.description.abstract | Anaesthetic emergence agitation among adult patients being recovered after open cardiac and/or thoracic aorta surgery has not been described. The objective of this study was to characterise emergence agitation in terms of incidence, clinical features, and consequences in a cohort of cardiac surgery patients being recovered in the intensive care unit (ICU). A prospective, observational pilot study was implemented. Over a 5-week period, the study was conducted in two metropolitan hospitals in Victoria, Australia. The cohort comprised all patients admitted to the ICUs aged ≥18 years, who had undergone cardiac surgery via an open sternotomy with general anaesthetic, and whose emergence was directly observed. Emergence agitation was defined as a Richmond Agitation and Sedation Scale score of ≥+2. Fifty patients were observed. Emergence agitation occurred in 24/50 (48%) of patients. Patients with emergence agitation experienced more clinical consequences than patients with calm emergence, including a significantly greater number of episodes of airway compromise (12/24, 50%, p < 0.001); ventilator dyssynchrony (23/24, 96%, p = 0.004); and hypertension (13/24, 54%, p = 0.004). Significant treatment interference (potentially dangerous patient movements such as pulling tubes) occurred with 23/24 patients (96%, p < 0.0001). Patients who underwent emergence agitation required significantly more interventions during anaesthetic emergence than patients who underwent a calm emergence. Interventions included extra nursing measures (16/24, 67%, p = 0.001) administration of sedative and/or opioid intravenous boluses (22/24, 92%, p = 0.001) and vasoactive agents (15/24, 63%, p = 0.05). In patients recovering from cardiac surgery in the ICU, emergence agitation was clinically important. Immediate interventions were required to prevent and manage complications. | en_US |
dc.language.iso | eng | - |
dc.subject | Adults | en_US |
dc.subject | Agitation | en_US |
dc.subject | Anaesthetic emergence | en_US |
dc.subject | Cardiac surgery | en_US |
dc.subject | Intensive care unit | en_US |
dc.subject | Observational study | en_US |
dc.subject | Patients | en_US |
dc.title | Agitation during anaesthetic emergence: An observational study of adult cardiac surgery patients in two Australian intensive care units. | en_US |
dc.type | Journal Article | en_US |
dc.identifier.journaltitle | Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses | en_US |
dc.identifier.affiliation | Intensive Care Unit, The Royal Melbourne Hospital, Grattan St, Parkville 3050, Australia; Department of Nursing, Faculty of Medicine, Dentistry & Health Sciences, University of Melbourne, Level 6, Alan Gilbert Building, 161 Barry St, Carlton, 3010, Australia. | en_US |
dc.identifier.affiliation | Department of Nursing, Faculty of Medicine, Dentistry & Health Sciences, University of Melbourne, Level 6, Alan Gilbert Building, 161 Barry St, Carlton, 3010, Australia; Austin Health, Melbourne, Australia. | en_US |
dc.identifier.affiliation | Intensive Care Unit & Department of Anaesthetics, The Royal Melbourne Hospital, Grattan St, Parkville, 3050, Australia; Department of Critical Care, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Grattan St, Parkville, 3010, Australia. | en_US |
dc.identifier.affiliation | Intensive Care Unit, The Royal Melbourne Hospital, Grattan St, Parkville 3050, Australia. | en_US |
dc.identifier.affiliation | Intensive Care Unit, The Royal Melbourne Hospital, Grattan St, Parkville 3050, Australia; Department of Critical Care, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Grattan St, Parkville, 3010, Australia. | en_US |
dc.identifier.affiliation | Intensive Care | en_US |
dc.identifier.doi | 10.1016/j.aucc.2023.09.003 | en_US |
dc.type.content | Text | en_US |
dc.identifier.pubmedid | 37919133 | - |
item.cerifentitytype | Publications | - |
item.languageiso639-1 | en | - |
item.grantfulltext | none | - |
item.openairetype | Journal Article | - |
item.fulltext | No Fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
crisitem.author.dept | Austin Health | - |
crisitem.author.dept | Intensive Care | - |
crisitem.author.dept | Data Analytics Research and Evaluation (DARE) Centre | - |
Appears in Collections: | Journal articles |
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