Delayed Emergence in Pediatric Patients with Neurologic Disease Presenting for Ambulatory Surgery

Dajani, Khaled; Almualim, Mohammed; Menon, Akshay; Volpi-Abadie, Jacqueline; Lund, Kierstin

doi:10.14423/smj.0000000000000777

Cited by 3 publications

(1 citation statement)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…studies had showed the incidence rate of DEA was between 8.1% to 50.5% [4,5]. Anesthetic drugs usages, improper management or practice during anesthesia, surgical factors [6] and patient's individual variation [7,8] are risk factors.…”

Section: Introductionmentioning

confidence: 99%

Development of prediction models to estimate extubation time and midterm recovery time of ophthalmic patients undergoing general anesthesia: a cross-sectional study

et al. 2023

View full text Add to dashboard Cite

Background To develop prediction models for extubation time and midterm recovery time estimation in ophthalmic patients who underwent general anesthesia. Methods Totally 1824 ophthalmic patients who received general anesthesia at Joint Shantou International Eye Center were included. They were divided into a training dataset of 1276 samples, a validation dataset of 274 samples and a check dataset of 274 samples. Up to 85 to 87 related factors were collected for extubation time and midterm recovery time analysis, respectively, including patient factors, anesthetic factors, surgery factors and laboratory examination results. First, multiple linear regression was used for predictor selection. Second, different methods were used to develop predictive models for extubation time and midterm recovery time respectively. Finally, the models’ generalization abilities were evaluated using a same check dataset with MSE, RMSE, MAE, MAPE, R-Squared and CCC. Results The fuzzy neural network achieved the highest R-Squared of 0.956 for extubation time prediction and 0.885 for midterm recovery time, and the RMSE value was 6.637 and 9.285, respectively. Conclusion The fuzzy neural network developed in this study had good generalization performance in predicting both extubation time and midterm recovery time of ophthalmic patients undergoing general anesthesia. Trial registration This study is prospectively registered in the Chinese Clinical Trial Registry, registration number: CHiCRT2000036416, registration date: August 23, 2020.

show abstract

Section: Introductionmentioning

confidence: 99%

Development of prediction models to estimate extubation time and midterm recovery time of ophthalmic patients undergoing general anesthesia: a cross-sectional study

et al. 2023

View full text Add to dashboard Cite

show abstract

Pediatric ambulatory anesthesia: an update

Lerman¹

2019

Current Opinion in Anaesthesiology

View full text Add to dashboard Cite

Purpose of review Ambulatory surgery is the standard for the majority of pediatric surgery in 2019 and adenotonsillectomy is the second most common ambulatory surgery in children so it is an apt paradigm. Preparing and managing these children as ambulatory patients requires a thorough understanding of the current literature. Recent findings The criteria for undertaking pediatric adenotonsillectomy on an ambulatory basis, fasting after clear fluids, postoperative nausea and vomiting (PONV), perioperative pain management and discharge criteria comprise the themes addressed in this review. Summary Three criteria determine suitability of adenotonsillectomy surgery on an ambulatory basis: the child's age, comorbidities and the severity of the obstructive sleep apnea syndrome (OSAS). Diagnosing OSAS in children has proven to be a challenge resulting in alternate, noninvasive techniques, which show promise. Abbreviating the 2 h clear fluid fasting guideline has garnered attention, although the primary issue is that parents do not follow the current clear fluid fasting regimen and until that is resolved, consistent fasting after clear fluids will remain elusive. PONV requires aggressive prophylactic measures that fail in too many children. The importance of unrecognized genetic polymorphisms in PONV despite prophylactic treatment is understated as are the future roles of palonosetron and Neurokinin-1 receptor antagonists that may completely eradicate PONV when combined with dexamethasone. Pain management requires test doses of opioids intraoperatively in children with OSAS and nocturnal desaturation to identify those with reduced opioid dosing thresholds, an uncommon practice as yet. Furthermore, postdischarge nonsteroidal anti-inflammatory agents as well as other pain management strategies should replace oral opioids to prevent respiratory arrests in those who are ultra-rapid CYP2D6 metabolizers. Finally, discharge criteria are evolving and physiological-based criteria should replace time-based, reducing the risk of readmission.

show abstract

Safety of anesthesia in outpatient conditions in patients with cerebral palsy. What is new?

Daniyalova¹,

Babaev²,

Abusuev³

et al. 2019

Anesteziologiya I Reanimatologiya

View full text Add to dashboard Cite

Delayed Emergence in Pediatric Patients with Neurologic Disease Presenting for Ambulatory Surgery

Abstract: In this case-controlled retrospective study, there was a prolongation of anesthetic emergence and hospital discharge times for pediatric patients with severe neurologic disease, mostly independent of external factors.

Cited by 3 publications

References 23 publications

Development of prediction models to estimate extubation time and midterm recovery time of ophthalmic patients undergoing general anesthesia: a cross-sectional study

Development of prediction models to estimate extubation time and midterm recovery time of ophthalmic patients undergoing general anesthesia: a cross-sectional study

Pediatric ambulatory anesthesia: an update

Safety of anesthesia in outpatient conditions in patients with cerebral palsy. What is new?

Contact Info

Product

Resources

About