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      KCI등재 SCOPUS SCIE

      A comparative study of emergence agitation between sevoflurane and propofol anesthesia in adults after closed reduction of nasal bone fracture

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      https://www.riss.kr/link?id=A104352083

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      다국어 초록 (Multilingual Abstract)

      Background: Emergence agitation is associated with increased morbidity and hospital costs. However, there have been few reports in the medical literature on the occurrence of emergence agitation in adults. The aim of this study was to compare emergence agitation between sevoflurane and propofol anesthesia in adults after closed reduction of nasal bone fracture.
      Methods: Forty adults (ASA I-II, 20-60 yr) undergoing closed reduction of nasal bone fracture were randomly assigned to either sevoflurane or propofol group and anesthesia was maintained with sevoflurane or propofol. The bispectral index (BIS) was monitored and maintained within 40-60. At the end of surgery, patients were transported to the post anesthetic care unit (PACU) and agitation state scale was checked by Aono's four-point scale (AFPS).
      Emergence agitation was defined as and AFPS score of 3 or 4. Pain score were measured by numeric rating scale (NRS)on arrival and peak value at PACU.
      Results: Nine (45.0%) patients in the sevoflurane group and 2 (10.0%) patients in the propofol group developed emergence agitation in the PACU (P = 0.031). There was no correlation between peak NRS and Aono's four-point scale.
      Conclusions: Propofol may decrease incidence of emergence agitation compared to sevoflurane in adults undergoing closed reduction of nasal bone fracture.
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      Background: Emergence agitation is associated with increased morbidity and hospital costs. However, there have been few reports in the medical literature on the occurrence of emergence agitation in adults. The aim of this study was to compare emergenc...

      Background: Emergence agitation is associated with increased morbidity and hospital costs. However, there have been few reports in the medical literature on the occurrence of emergence agitation in adults. The aim of this study was to compare emergence agitation between sevoflurane and propofol anesthesia in adults after closed reduction of nasal bone fracture.
      Methods: Forty adults (ASA I-II, 20-60 yr) undergoing closed reduction of nasal bone fracture were randomly assigned to either sevoflurane or propofol group and anesthesia was maintained with sevoflurane or propofol. The bispectral index (BIS) was monitored and maintained within 40-60. At the end of surgery, patients were transported to the post anesthetic care unit (PACU) and agitation state scale was checked by Aono's four-point scale (AFPS).
      Emergence agitation was defined as and AFPS score of 3 or 4. Pain score were measured by numeric rating scale (NRS)on arrival and peak value at PACU.
      Results: Nine (45.0%) patients in the sevoflurane group and 2 (10.0%) patients in the propofol group developed emergence agitation in the PACU (P = 0.031). There was no correlation between peak NRS and Aono's four-point scale.
      Conclusions: Propofol may decrease incidence of emergence agitation compared to sevoflurane in adults undergoing closed reduction of nasal bone fracture.

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      다국어 초록 (Multilingual Abstract)

      Background: Emergence agitation is associated with increased morbidity and hospital costs. However, there have been few reports in the medical literature on the occurrence of emergence agitation in adults. The aim of this study was to compare emergence agitation between sevoflurane and propofol anesthesia in adults after closed reduction of nasal bone fracture.
      Methods: Forty adults (ASA I-II, 20-60 yr) undergoing closed reduction of nasal bone fracture were randomly assigned to either sevoflurane or propofol group and anesthesia was maintained with sevoflurane or propofol. The bispectral index (BIS) was monitored and maintained within 40-60. At the end of surgery, patients were transported to the post anesthetic care unit (PACU) and agitation state scale was checked by Aono's four-point scale (AFPS).
      Emergence agitation was defined as and AFPS score of 3 or 4. Pain score were measured by numeric rating scale (NRS)on arrival and peak value at PACU.
      Results: Nine (45.0%) patients in the sevoflurane group and 2 (10.0%) patients in the propofol group developed emergence agitation in the PACU (P = 0.031). There was no correlation between peak NRS and Aono's four-point scale.
      Conclusions: Propofol may decrease incidence of emergence agitation compared to sevoflurane in adults undergoing closed reduction of nasal bone fracture.
      번역하기

      Background: Emergence agitation is associated with increased morbidity and hospital costs. However, there have been few reports in the medical literature on the occurrence of emergence agitation in adults. The aim of this study was to compare emergenc...

      Background: Emergence agitation is associated with increased morbidity and hospital costs. However, there have been few reports in the medical literature on the occurrence of emergence agitation in adults. The aim of this study was to compare emergence agitation between sevoflurane and propofol anesthesia in adults after closed reduction of nasal bone fracture.
      Methods: Forty adults (ASA I-II, 20-60 yr) undergoing closed reduction of nasal bone fracture were randomly assigned to either sevoflurane or propofol group and anesthesia was maintained with sevoflurane or propofol. The bispectral index (BIS) was monitored and maintained within 40-60. At the end of surgery, patients were transported to the post anesthetic care unit (PACU) and agitation state scale was checked by Aono's four-point scale (AFPS).
      Emergence agitation was defined as and AFPS score of 3 or 4. Pain score were measured by numeric rating scale (NRS)on arrival and peak value at PACU.
      Results: Nine (45.0%) patients in the sevoflurane group and 2 (10.0%) patients in the propofol group developed emergence agitation in the PACU (P = 0.031). There was no correlation between peak NRS and Aono's four-point scale.
      Conclusions: Propofol may decrease incidence of emergence agitation compared to sevoflurane in adults undergoing closed reduction of nasal bone fracture.

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      참고문헌 (Reference)

      1 김종후, "소아에서 Propofol-Remifentanil과 Sevoflurane-Nitrous Oxide를 사용한 전신 마취 시 회복기의 비교 연구" 대한마취통증의학회 51 (51): 709-714, 2006

      2 Lindenmayer JP, "The pathophysiology of agitation" 61 (61): 5-10, 2000

      3 Cohen IT, "The incidence of emergence agitation associated with desflurane anesthesia in children is reduced by fentanyl" 93 : 88-91, 2001

      4 Lynch EP, "The impact of postoperative pain on the development of postoperative delirium" 86 : 781-785, 1998

      5 Weldon BC, "The effect of caudal analgesia on emergence agitation in children after sevoflurane versus halothane anesthesia" 98 : 321-326, 2004

      6 Beskow A, "Sevoflurane causes more postoperative agitation in children than does halothane" 43 : 536-541, 1999

      7 Radtke FM, "Risk factors for inadequate emergence after anesthesia: emergence delirium and hypoactive emergence" 76 : 394-403, 2010

      8 Cohen IT, "Rapid emergence does not explain agitation following sevoflurane anaesthesia in infants and children: a comparison with propofol" 13 : 63-67, 2003

      9 Nakayama S, "Propofol reduces the incidence of emergence agitation in preschool-aged children as well as in school-aged children: a comparison with sevoflurane" 21 : 19-23, 2007

      10 Moore JK, "Propofol and halothane versus sevoflurane in paediatric day-case surgery: induction and recovery characteristics" 90 : 461-466, 2003

      1 김종후, "소아에서 Propofol-Remifentanil과 Sevoflurane-Nitrous Oxide를 사용한 전신 마취 시 회복기의 비교 연구" 대한마취통증의학회 51 (51): 709-714, 2006

      2 Lindenmayer JP, "The pathophysiology of agitation" 61 (61): 5-10, 2000

      3 Cohen IT, "The incidence of emergence agitation associated with desflurane anesthesia in children is reduced by fentanyl" 93 : 88-91, 2001

      4 Lynch EP, "The impact of postoperative pain on the development of postoperative delirium" 86 : 781-785, 1998

      5 Weldon BC, "The effect of caudal analgesia on emergence agitation in children after sevoflurane versus halothane anesthesia" 98 : 321-326, 2004

      6 Beskow A, "Sevoflurane causes more postoperative agitation in children than does halothane" 43 : 536-541, 1999

      7 Radtke FM, "Risk factors for inadequate emergence after anesthesia: emergence delirium and hypoactive emergence" 76 : 394-403, 2010

      8 Cohen IT, "Rapid emergence does not explain agitation following sevoflurane anaesthesia in infants and children: a comparison with propofol" 13 : 63-67, 2003

      9 Nakayama S, "Propofol reduces the incidence of emergence agitation in preschool-aged children as well as in school-aged children: a comparison with sevoflurane" 21 : 19-23, 2007

      10 Moore JK, "Propofol and halothane versus sevoflurane in paediatric day-case surgery: induction and recovery characteristics" 90 : 461-466, 2003

      11 Dalens BJ, "Prevention of emergence agitation after sevoflurane anesthesia for pediatric cerebral magnetic resonance imaging by small doses of ketamine or nalbuphine administered just before discontinuing anesthesia" 102 : 1056-1061, 2006

      12 Kain ZN, "Preoperative anxiety and emergence delirium and postoperative maladaptive behaviors" 99 : 1648-1654, 2004

      13 Abu-Shahwan I, "Ketamine is effective in decreasing the incidence of emergence agitation in children undergoing dental repair under sevoflurane general anesthesia" 17 : 846-850, 2007

      14 Lerman J, "Induction, recovery, and safety characteristics of sevoflurane in children undergoing ambulatory surgery. A comparison with halothane" 84 : 1332-1340, 1996

      15 Aono J, "Greater incidence of delirium during recovery from sevoflurane anesthesia in preschool boys" 87 : 1298-1300, 1997

      16 Veyckemans F, "Excitation and delirium during sevoflurane anesthesia in pediatric patients" 68 : 402-405, 2002

      17 Lepouse C, "Emergence delirium in adults in the post-anaesthesia care unit" 96 : 747-753, 2006

      18 Cravero J, "Emergence agitation in paediatric patients after sevoflurane anaesthesia and no surgery: a comparison with halothane" 10 : 419-424, 2000

      19 Yu D, "Emergence agitation in adults: risk factors in 2,000 patients" 57 : 843-848, 2010

      20 Uezono S, "Emergence agitation after sevoflurane versus propofol in pediatric patients" 91 : 563-566, 2000

      21 Wells LT, "Emergence "delirium" after sevoflurane anesthesia: a paranoid delusion?" 88 : 1308-1310, 1999

      22 Lapin SL, "Effects of sevoflurane anaesthesia on recovery in children: a comparison with halothane" 9 : 299-304, 1999

      23 Abu-Shahwan I, "Effect of propofol on emergence behavior in children after sevoflurane general anesthesia" 18 : 55-59, 2008

      24 Isik B, "Dexmedetomidine decreases emergence agitation in pediatric patients after sevoflurane anesthesia without surgery" 16 : 748-753, 2006

      25 Yasuda N, "Comparison of kinetics of sevoflurane and isoflurane in humans" 72 : 316-324, 1991

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2013-11-27 학회명변경 한글명 : 대한마취과학회 -> 대한마취통증의학회 KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2010-07-20 학술지명변경 한글명 : 대한마취과학회지 -> Korean Journal of Anesthesiology KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2007-01-01 평가 등재 1차 FAIL (등재유지) KCI등재
      2004-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2003-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2001-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.09 0.09 0.1
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.09 0.09 0.27 0.01
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