Korean J Anesthesiol.  2012 Jul;63(1):48-53. 10.4097/kjae.2012.63.1.48.

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

• Kim YS
• Chae YK
• Choi YS
• Min JH
• Ahn SW
• Yoon JW
• Lee SE
• Lee YK

• KMID: 2092339
• DOI: http://doi.org/10.4097/kjae.2012.63.1.48

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.

Keyword

Adult; Emergence agitation; Propofol; Sevoflurane

MeSH Terms

Adult
Anesthesia
Dihydroergotamine
Hospital Costs
Humans
Incidence
Methyl Ethers
Nasal Bone
Propofol
Dihydroergotamine
Methyl Ethers
Propofol