The Effect of Preoperative Counseling on Emergence Agitation in Patients Candidate for Nasal Surgeries

NCT ID: NCT06686511

Last Updated: 2026-01-12

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 256 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2024-11-25
• Study Completion Date: 2025-11-15

Brief Summary

Emergence agitation is a post anesthetic phenomenon that develops in the early phase of general anesthesia recovery,The aim of our study to investigate the effect of preoperative educational counselling of the patient undergoing nasal surgery on emergence agitation .

Detailed Description

While its pathogenesis remains unclear, previous studies reported that ENT (ear, nose, and throat) surgical procedures have a higher incidence of emergence agitation in both adults and children. Especially, our clinical impression is that nasal surgical patients admitted to the postbanesthesia care unit (PACU) have suffered emergence agitation more frequently than other surgical patients, possibly due to a sense of suffocation during emergence from anesthesia.

preoperative counselling and repeated verbal stimulation of orientation may serve as a simple and easily applicable strategy to reduce emergence agitation after general anaesthesia .

There have been studies looking into the effect of pre-operative counselling on individual aspects internationally like anxiety, BMI, serum cholesterol , length of stay , pain .( Six trials were identified and have produced conflicting findings. Some trials have demonstrated the effects of preoperative education on improving physical and psychosocial recovery of cardiac patients, while others found no evidence that patients' anxiety is reduced or of any effect on pain or hospital stay) .

To our knowledge there was no study investigating the impact of preoperative counselling on postoperative agitation following nasal surgeries, The aim of our study to investigate the effect of preoperative educational counselling of the patient undergoing nasal surgery on emergence agitation .

Conditions

Postoperative Agitation

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

- Group A

Will ask them to close their nose completely by their hands and take their breath only from the mouth for 2 to 3 minutes before induction of GA.

: immediately after extubation we will tell them many times at their ear that the operation has been finished and ask them to take their breath from the mouth as they counselled and trained at preoperative period

No interventions assigned to this group

● Group B

Will start the induction of anesthesia without any preoperative counselling of nasal closure .

this group will undergo extubation and should be instructed to use their nose for breathing without Without preoperative counselling

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

• Both genders.
• Patients undergoing nasal surgery
• American Society of Anesthesiologist (ASA) I or II physical status.
• Between 18 and 65 years of age.

Exclusion Criteria

• ● Patients with communication difficulties.

• ASA Ⅲ and Ⅳ patients.
• Mentally retarded patients.
• In-ability to postpone anti-coagulation medications.
• Central or peripheral neurological disease.
• Drug or alcohol abuse.
• Localized infection at nose.
• Bleeding disorder (platelets count less than 100,000 or INR more than 1.4)

• Minimum Eligible Age: 21 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Maged Abdel-Wahab Abdel-Aziz

pricipal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Maged aw el gendy, lecturer

Role: PRINCIPAL_INVESTIGATOR

kaser al aini cairo university

Maged aw el gendy, lecturer

Role: PRINCIPAL_INVESTIGATOR

university

Locations

operating ENT theater kasr alaini hospital

Cairo, Manil, Egypt

Countries

Egypt

Related Links

https://pubmed.ncbi.nlm.nih.gov/17179249/

Related Info

Other Identifiers

counseling and agitation

Identifier Type: -

Identifier Source: org_study_id