Incidence of Post-Operative Agitation After Otolaryngology Surgeries in Recovery State, Causes, and Management Publisher



Shamsi A ; Mehrabanian MJ ; Khudhair ES ; Firoozabadi MD ; Nooralishahi B ; Aurooq AK
Source: International Tinnitus Journal Published:2025

Abstract

Introduction: Otolaryngology, also referred to as ENT surgery, focuses on surgically treating ear, nose, and throat conditions. Early recovery from general anesthesia is accompanied by agitation, confusion, disorientation, and violent behavior, which is known as “Emergence Agitation” (EA). The main objective of this study is to determine the incidence of Post-Operative Agitation after Otolaryngology Surgeries in Recovery State, Causes, and Management. Method and Materials: The median age of the population 36 years and about quarter of the population was in old age state. The patient’s status is evaluated in terms of agitation in the recovery room using the Richmond Agitation Score and the method of sample selection was random sampling in this study. The inclusion and exclusion criteria were evaluated for each selected participant and any patients with missing data in their documents were excluded from the study, the exclusion criteria were Patient’s with Emergency cases, ASA III and more age less than (30) year and over (40) years. The data will be managed and analyzed using SPSS V. 27 software. Descriptive statistics, including frequency counts, percentages, mean, and standard deviation, were employed. Findings: The results showed that the Incidence of Post-Operative Agitation for patients after Otolaryngology at most (50%) were mild with mean 1.31 (Min-Max 0-3). Also showed that there were significant statistical differences between the agitation incidences after laryngology surgeries with patient’s gender at P < 0.05 that demonstrated the female less agitation from male. Furthermore, showed that there were significant statistical differences between the agitation incidences after laryngology surgeries with patients’ duration of surgery at P < 0.05 that demonstrated the more duration less agitation. Conclusion: Our study revealed that postoperative agitation is common condition. The prevalence of this irritability was induced even though the severity was in lower value and a greater frequency of emergence agitation was seen in surgeries lasting less than an hour. Male’s agitation state was higher in compare to females. © 2025 Elsevier B.V., All rights reserved.