Emergence Delirium, Anesthesia
Conditions
Keywords
Emergence Delirium
Brief summary
The aim of this study is to verify the generalizability of the fBFI-ENO score (extraversion + neuroticism - openness) constructed based on the Rapid Big Five Personality Scale - 10 across different genders, ages, and surgical types,which has shown good predictive ability for Emergence Delirium in previous studies.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* General anesthesia with tracheal intubation is planned for elective non-cardiac surgery. * Age ≥18 years old, gender not limited; * American Society of Anesthesiologists (ASA) classification I-III; * Voluntarily participate in this project and sign the informed consent form.
Exclusion criteria
* The anesthesia method was temporarily changed to local anesthesia, regional anesthesia or intravenous anesthesia; * There was a clear cognitive dysfunction before the surgery (MMSE score lower than the qualified standard corresponding to the educational level: illiterates ≤ 17 points; primary school level ≤ 20 points; secondary (technical secondary) school level: ≤ 22 points; university (college) and above level: ≤ 23 points) or communication difficulties; * There is a history of mental illness or long-term use of psychotropic drugs; * It is expected to be transferred to the intensive care unit (ICU) immediately after the surgery or requires a sedated state and cannot undergo standard assessment in the PACU; * Has participated in or is currently participating in other clinical trials within 1 month; * The investigator determines that there are other circumstances that are not suitable for participating in this trial.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The occurrence of emergence delirium during the recovery period of general anesthesia | Within 1 hour after the operation | Sedation-agitation scale,A score of 5 to 7 is judged as delirium |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| delirium stratification | within 1 hour after operation | Light:It occurs under strong stimulation, such as suctioning phlegm, but stops as soon as the stimulation disappears. Moderate:It occurs without stimulation and lasts for at least 5 minutes, but does not require medical staff intervention by the staff. Heavy:It should last for at least 5 minutes and must be controlled through medication and/or physical restraints. |
| Postoperative NRS pain and medication | within 1 hour after operation | NRS (Numerical Rating Scale, Digital Evaluation Scale) is composed of 11 numbers from 0 to 10. Patients use these 11 numbers from 0 to 10 to describe the intensity of pain. The higher the number, the more severe the pain.If NRS≥4,Sufentanil 5μg will be given. |