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

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 .

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)