Emergence delirium after paediatric anaesthesia: new strategies in avoidance and treatment

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Emergence delirium in adults in the post-anaesthesia care unit.

BACKGROUND Emergence delirium in the post-anaesthesia care unit (PACU) is poorly understood. The goal of this prospective study was to determine frequency and risk factors of emergence delirium in adults after general anaesthesia. METHODS In this prospective study, 1,359 consecutive patients were included. Contextual risk factors and occurrence of delirium according to the Riker sedation scal...

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Emergence from general anaesthesia and evolution of delirium signs in the post-anaesthesia care unit.

BACKGROUND Emergence from anaesthesia is often accompanied by signs of delirium, including fluctuating mental status and inattention. The evolution of these signs of delirium requires investigation since delirium in the post-anaesthesia care unit (PACU) may be associated with worse outcomes. METHODS Adult patients emerging from anaesthesia were assessed for agitated emergence in the operating...

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Emergence delirium in children: a comparison of sevoflurane and desflurane anesthesia using the Paediatric Anesthesia Emergence Delirium scale.

OBJECTIVES/AIM This randomized control trial was designed to evaluate the incidence of emergence delirium (ED) in preschool children receiving sevoflurane or desflurane anesthesia combined with an effective caudal block. BACKGROUND While ED has been described in children receiving sevoflurane or desflurane anesthesia, a direct comparison between the two agents using a validated ED assessment ...

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New inhalation agents in paediatric anaesthesia.

A survey in August 1995 showed that, despite the introduction of topical analgesic creams, approximately 30% of anaesthetists responding used inhalation induction of anaesthesia more frequently than i.v. induction, especially in children less than 3–5 yr of age.9 In this age group, uptake of inhaled agents is particularly rapid. In children therefore, the induction characteristics of the ideal ...

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Emergence agitation after sevoflurane anaesthesia in children.

Editor—We read with interest the article by Lee and colleagues comparing propofol and fentanyl for prevention of emergence agitation after sevoflurane anaesthesia in children. We thank the authors for their work in this very common and often very distressing scenario. We would like to raise a few important questions regarding this study. Pain is one of the important causes for emergence agitati...

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ژورنال

عنوان ژورنال: BJA Education

سال: 2018

ISSN: 2058-5349

DOI: 10.1016/j.bjae.2017.07.001