Emergence Delirium in Children: Many Questions, Few Answers
| Autor: | Gordana Vlajkovic, Radomir Sindjelic |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
business.industry Delirium Anxiety medicine.disease Clinical trial Nursing care Postoperative Complications Anesthesiology and Pain Medicine Emergence delirium Organic mental disorders Anesthetics Inhalation Preoperative Care Humans Medicine medicine.symptom Child business Adverse effect Psychiatry Intensive care medicine Feel Unhappy |
| Zdroj: | Anesthesia & Analgesia. 104:84-91 |
| ISSN: | 0003-2999 |
| DOI: | 10.1213/01.ane.0000250914.91881.a8 |
| Popis: | The introduction of a new generation of inhaled anesthetics into pediatric clinical practice has been associated with a greater incidence of ED, a short-lived, but troublesome clinical phenomenon of uncertain etiology. A variety of anesthesia-, surgery-, patient-, and adjunct medication-related factors have been suggested to play a potential role in the development of such an event. Restless behavior upon emergence causes not only discomfort to the child, but also makes the caregivers and parents feel unhappy with the quality of recovery from anesthesia. Although the severity of agitation varies, it often requires additional nursing care, as well as treatment with analgesics or sedatives, which may delay discharge from hospital. To reduce the incidence of this adverse event, it is advisable to identify children at risk and take preventive measures, such as reducing preoperative anxiety, removing postoperative pain, and providing a quiet, stress-free environment for postanesthesia recovery. More clinical trials are needed to elucidate the cause as well as provide effective treatment. |
| Databáze: | OpenAIRE |
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