Retrospective evaluation of the effects of different anesthesia methods on emergence agitation in patients undergoing vitreoretinal surgery Evaluación retrospectiva de los efectos de diferentes métodos de anestesia sobre la agitación de emergencia en pacientes sometidos a cirugía vitreorretiniana


Kucukosman S. S., AKDOĞAN A., UZLU D., DUMAN E. N.

Cirugia y Cirujanos, cilt.93, sa.3, ss.286-291, 2025 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 93 Sayı: 3
  • Basım Tarihi: 2025
  • Doi Numarası: 10.24875/ciru.23000484
  • Dergi Adı: Cirugia y Cirujanos
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, Directory of Open Access Journals
  • Sayfa Sayıları: ss.286-291
  • Anahtar Kelimeler: Emergence agitation, General anesthesia, Vitreoretinal surgery
  • Karadeniz Teknik Üniversitesi Adresli: Evet

Özet

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.