Comparison Between Auricular Acupressure and Tramadol in Relieving Emergence Agitation After Sevoflurane Anesthesia

摘要

Emergence agitation, a dissociated state of consciousness occurring to the patients after general anesthesia, can be dangerous to patients, which is characterized by exciting, agitation, orientability hindrance, and other adverse events. Possible etiologic factors include pain, preoperative anxiety, age, duration of anesthesia and type of anesthetics. This study aimed to evaluate the effects of auricular acupressure and tramadol on relieving emergence agitation by measuring the degree of postoperative agitation scale, pain score, side effects, awaking time and change of hemodynamics after undergoing gynaecological laparoscopic surgery with sevoflurane based general anesthesia. The auricular acupressure and tramadol treatment reduced the degree of postoperative agitation and pain score, also improved hemodynamics stability significantly. However, tramadol treatment could bring negative impacts on patients, such as delayed eye-opening and extubation, high incidence of inducing nausea and vomiting, which should be considered according to the situations of patients, when it is applied to alleviate emergence agitation.