Effect of dexmedetomidine combined with anesthesia awakening nursing on agitation and hemodynamics in patients under general anesthesia during awakening period

Abstract

In clinical practice, effectively managing agitation and hemodynamic stability during general anesthesia awakening remains challenging, despite their importance for patient safety and recovery. This study aimed to expound the effect of dexmedetomidine combined with anesthesia awakening nursing on agitation and hemodynamics in patients under general anesthesia during the awakening period. A prospective study. Ninety patients who underwent general anesthesia surgery were selected and divided into a control group (dexmedetomidine + routine nursing care) and an intervention group (dexmedetomidine + anesthesia awakening nursing), with 45 cases in each group. The post-anesthesia recovery room stay and awakening time, Visual Analog Scale (VAS) score, the occurrence of agitation during the awakening period, and incidence of adverse reactions were compared. Categorical data were expressed as rates or percentages; measurement data were expressed as mean ± standard deviation. Differences were significant at p < 0.05 (two-sided). Intervention group patients had shorter recovery room stay (29.98 ± 6.88 vs 37.78 ± 6.58 min) and recovery time (8.52 ± 0.99 vs 10.62 ± 0.99 min) versus controls (p < 0.05). VAS scores were lower at 2 h (4.53 ± 0.63 vs 5.58 ± 0.54) and 6 h post-surgery (2.47 ± 0.69 vs 4.49 ± 0.51). Anesthesia recovery agitation (13.33% vs 37.78%) and postoperative adverse reactions (11.11% vs 44.44%) were reduced (all p < 0.05). Dexmedetomidine combined with anesthesia awakening care can enhance sedation scores, reduce pain levels, and have a minimal impact on patients’ hemodynamics, ultimately improving the quality of awakening. This approach also leads to higher patient satisfaction with care, making it a promising option for clinical promotion and application.