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Assessing Changes in Volatile General Anesthetic Sensitivity of Mice after Local or Systemic Pharmacological Intervention
Published on: October 16, 2013
[Main causes of the emergence delay from balanced anesthesia]
Masahiko Onaka1, Hiromitsu Yamamoto
1Department of Anesthesia, Shiroyama Hospital, Habikino 583-0852.
Masui. the Japanese Journal of Anesthesiology
|July 22, 2006
Summary
Delayed emergence from anesthesia can be influenced by several patient and procedural factors. Anesthesiologist awareness and familiarity with balanced anesthesia techniques can shorten emergence times.
Area of Science:
- Anesthesiology
- Pharmacology
Context:
- Delayed emergence from anesthesia is a recognized clinical challenge.
- Balanced anesthesia techniques are increasingly utilized in surgical settings.
Purpose:
- To identify factors influencing emergence time following balanced anesthesia.
- To analyze the impact of patient characteristics and anesthetic management on recovery.
Summary:
- This study retrospectively analyzed 1133 surgical patients receiving balanced anesthesia (propofol, ketamine, vecuronium, buprenorphine, nitrous oxide).
- Emergence time (from operation end to extubation, and extubation to leaving OR) was assessed.
- Factors identified as influencing emergence delay included ASA classification, JCS classification, patient age, surgical department, anesthesia duration, and anesthesiologist.
- The average OT time was 3.9 ± 2.6 min and TA time was 3.7 ± 2.2 min.
Impact:
- Findings suggest that anesthesiologist focus on early emergence and proficiency with balanced anesthesia can reduce recovery times.
- Optimizing anesthetic management may lead to increased rates of intraoperative extubation.
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