The Effect of Obesity on Emergence Agitation in Children Undergoing General Anesthesia

Abstract

Objective: Although the factors affecting emergence agitation (EA) have been examined in the literature, the literature evaluating the effect of obesity on postoperative EA in children is limited. In this study, we aimed to evaluate whether obesity has an effect on postoperative EA. Material and method: The medical records of patients aged 2-14 years, with ASA I-II physical status and undergoing elective surgery were reviewed (November 2018 and November 2022). Patients who underwent emergency surgery or who used an anesthetic agent other than sevoflurane for the maintenance of anesthesia were excluded from the study. Patients will be divided into 3 groups according to their body mass index; Group 1; Normal (5th to 85% percentile), Group 2; Overweight (85-95% percentile), Group 3; Obese (95th percentile and above). Emergence agitation was assessed by anesthesiologists using the Watcha scale. Results: 567 patients were included in the study and EA occurred in 115 (20.3%) of them. Of the patients, 428 were considered normal, 64 were overweight and 75 were obese. When demographic data were compared, there was no statistical difference between the groups. EA incidence was statistically higher in Group II (28.1%) and Group III (29.3%)compared to Group I (17.5%) (p=0.006). Conclusion: In conclusion, we are of the opinion that both overweight and obesity increase the incidence of EA in children undergoing general anesthesia, but prospective further studies are also required.

Keywords

• Emergence agitation
• general anesthesia
• pediatric
• Derlenme ajitasyonu
• genel anestezi
• pediatrik

Çocuklarda Obezitenin Postoperatif Derlenme Ajitasyonuna Etkisi

Abstract

Amaç: Literatürde derlenme ajitasyonuna etki eden faktörler incelenmiş olmakla beraber çocuklarda obezitenin postoperatif derlenme ajitasyonuna etkisinin değerlendirildiği literatür bilgisi kısıtlıdır. Bu çalışmada obezitenin postoperatif derlenme ajitasyonuna etkisinin olup olmadığını değerlendirmeyi amaçladık. Gereç ve Yöntem: 2-14 yaş arasında, ASA I-II fiziksel statusa sahip, Kasım 2018 ve Kasım 2022 tarihleri arasında elektif cerrahi geçiren hastaların kayıtları incelendi. Acil cerrahi geçiren veya anestezi idamesinde sevofluran dışında bir anestezik ajan kullanılan hastalar çalışma dışında bırakıldı. Hastalar vücut kitle indekslerine göre 3 gruba ayrıldı: Grup 1; Normal (%5 ila %85 persentil ), Grup 2; Fazla kilolu (%85-95 persentil ), Grup 3; Obez (95. persentil ve üzeri). Derlenme ajitasyonu bir anestezist tarafından Watcha skalası ile değerlendirildi. Bulgular: Çalışmaya 567 hasta dahil oldu ve bunların 115'inde (%20.3) derlenme ajitasyonu meydana geldi. Hastaların 428'i normal, 64'ü fazla kilolu ve 75'i obez olarak değerlendirildi. Demografik veriler karşılaştırıldığında gruplar arasında istatistiksel oalrak herhangi bir fark yoktu. Derlenme ajitasyonu insidansı Grup II (%28,1) ve Grup III'te (%29,3) Grup I'e (%17.5) göre istatistiksel olarak daha yüksekti (p=0,006). Sonuç: Sonuç olarak, genel anestezi uygulanan çocuklarda hem fazla kilolu olmanın hem de obezitenin derlenme ajitasyonu insidansını arttırdığı görülmüştür ancak prospektif çalışmalara da ihtiyaç vardır.

Keywords

• Derlenme ajitasyonu
• genel anestezi
• pediatrik

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