Greater Incidence of Delirium During Recovery from Sevoflurane Anesthesia in Preschool Boys

Aono, Jun; Ueda, Wasa; Mamiya, Kikyo; Takimoto, Eri; Manabe, Masanobu

doi:10.1097/00132586-199808000-00001

Cited by 32 publications

(49 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[9][10][11] BIS is used to measure the sedation and hypnose level of i.v. anaesthetics, sedatives and potent volatile anesthetics.…”

Section: 8mentioning

confidence: 99%

“…9,00(5-10) 8,00 (6)(7)(8)(9)(10) Arrival to PACU 9,57±0,77 9,60±0,67 0,859 10,00(7-10) 10,00 (7)(8)(9)(10) 10 min after arrival to PACU 9,70±0,70 9,77±0,62 0,699 10,00(7-10) 10,00 (7)(8)(9)(10) 20 min after arrival to PACU 9,83±0,37 9,90±0,30 0,456 10,00(9-10) 10,00(9-10) 30 min after arrival to PACU 9,87±0,34 9,90±0,30 0,694 10,00(9-10) 10,00(9-10) Children were assigned to one of two groups: children in the caudal group received a caudal block to supplement sevoflurane, while children in the fentanyl group received i.v. fentanyl before incision.…”

Section: 8mentioning

confidence: 99%

See 1 more Smart Citation

Searching the Effects of Applying Caudal Block or I.V. Tramadol on Bispectral Index, Emergence Agitation and Recovery in Children Under Desflurane Anesthesia

Şahin¹,

Özcengiz²

2015

Turkiye Klinikleri J Anest Reanim

View full text Add to dashboard Cite

A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : We aimed to compare applying caudal block and i.v. tramadol about their effects on bispectral index (BIS), emergence agitation (EA) and recovery in children under desflurane anesthesia. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : 60 children, aged between 2-10 years old, ASA I-II groups, undergoing elective lower abdominal surgery enrolled in the study and randomly divided into two groups. Anesthesia was induced with 6-8% sevoflurane in nitrous oxide/oxygen (50%, 50%) and desflurane was used in the maintenance. Group 1 patients had a caudal block by applying 0.25% bupivacaine in a dose of 0.5 mL kg -1 . Group 2 patients received i.v. tramadol 1 mg kg -1 . BIS monitoring was applied in each group. Haemodynamic parameters, the concentrations of sevoflurane, desflurane, end tidal sevoflurane, end tidal desflurane and BIS values were recorded. Cases were assessed about EA, recovery and pain. R Re es su ul lt ts s: : Systolic and diastolic blood pressures, heart rates were decreased in Group 1 after caudal block application. Desflurane and end tidal desflurane concentrations were lower in Group 1 than Group 2 at 15, 30, 45, 60 th min after incision and at the end of surgery (p<0.05). BIS values and EA scores were similar between groups (p>0.05). There was statistically no difference between groups about recovery and pain (p>0.05). C Co on nc cl lu us si io on n: : It was concluded that in children under desflurane anesthesia; similar anesthesia depth and well recovery could be achieved by applying both caudal block and i.v. tramadol and the level of EA were similar in both of these methods.K Ke ey y W Wo or rd ds s: : Desflurane; anesthesia, caudal; tramadol; anesthesia recovery period Ö ÖZ ZE ET T A Am ma aç ç: : Çalışmamızda çocuklarda desfluran anestezisi altında kaudal blok ve i.v. tramadol uygulamasını; bispektral indeks (BİS), erken ajitasyon (EA) ve derlenme üzerine etkileri açısın-dan karşılaştırmayı amaçladık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Elektif alt batın cerrahisi operasyonu uygulanacak ASA I-II grubu, 2-10 yaşları arasında 60 hasta çalışma kapsamına alınarak rastgele 2 gruba ayrıldı. Anestezi indüksiyonu %6-8 konsantrasyonda sevofluran, %50 azot protoksit ve %50 oksijen karışımı ile sağlanırken idamede desfluran kullanıldı. Grup 1 hastalara %0,25 bupivakain 0,5 mL kg -1 dozda uygulanarak kaudal blok gerçekleştirildi. Grup 2 hastalara i.v. 1 mg kg -1 tramadol uygulandı. Her 2 grupta da BİS monitörizasyonu yapıldı. Olguların hemodinamik parametreleri, sevofluran, desfluran, end tidal sevofluran ve end tidal desfluran konsantrasyonları, BİS değerleri kaydedildi. Olgular EA, derlenme ve ağrı açısından değerlendirildi. B Bu ul lg gu ul la ar r: : Yapılan ölçümlerde sistolik kan basıncı, diyastolik kan basıncı, kalp atım hızı değer-lerinin Grup 1'de kaudal blok uygulaması sonrası düştüğü gözlendi. Cilt insizyonu sonrası 15. dk, 30. dk, 45. dk, 60. dakikalardaki ve cerrahi bitimindeki desfluran ve end tidal desflur...

show abstract

“…[9][10][11] BIS is used to measure the sedation and hypnose level of i.v. anaesthetics, sedatives and potent volatile anesthetics.…”

Section: 8mentioning

confidence: 99%

Section: 8mentioning

confidence: 99%

Searching the Effects of Applying Caudal Block or I.V. Tramadol on Bispectral Index, Emergence Agitation and Recovery in Children Under Desflurane Anesthesia

Şahin¹,

Özcengiz²

2015

Turkiye Klinikleri J Anest Reanim

View full text Add to dashboard Cite

show abstract

“…[21][22][23] Other inhaled anesthetics, such as desflurane and isoflurane, have also been linked with the occurrence of emergence agitation. 11,24 Emergence agitation incidence rates of 50 to 80% have been observed when desflurane was being used.…”

Section: Inhaled and Intravenous Anestheticsmentioning

confidence: 99%

Agitação no despertar da anestesia em crianças: aspectos atuais

Silva¹,

Braz²,

Módolo³

2008

J. Pediatr. (Rio J.)

View full text Add to dashboard Cite

Objective: Postoperative agitation in children is a well-documented clinical phenomenon with incidence ranging from 10% to 67%. There is no definitive explanation for this agitation. Possible causes include rapid awakening in unfamiliar settings, pain (wounds, sore throat, bladder distension, etc.), stress during induction, hypoxemia, airway obstruction, noisy environment, anesthesia duration, child's personality, premedication and type of anesthesia. The purpose of this paper is to discuss the possible causes of postoperative agitation in children, providing a foundation for better methods of identifying and preventing this problem.Sources: MEDLINE and PubMed were searched using the following words: emergence, agitation, incidence, etiology, diagnosis, treatment, children, pediatric, anesthesia. Summary of the findings:This study includes a review of potential agitation trigger factors and a proposal for a standardized diagnostic score system, in addition to measures to improve prevention and treatment. Conclusion:No single factor can identified as the cause of postoperative agitation, which should therefore be considered a syndrome made up of biological, pharmacological, psychological and social components, and which anesthesiologists and pediatric intensive care specialists should be prepared to identify, prevent and intervene appropriately as necessary.

show abstract

“…It consists of five points scale; 1= the child makes eye contact with the caregiver, 2= the child's actions are purposeful, 3= the child is aware of his/ her surroundings, 4= the child is restless, and 5= the child is inconsolable [7]. Aono et al (1997), developed four points scale; 1=calm; 2=not calm but could be easily consoled; 3=moderately agitated or restless and not easily calmed; 4=combative, excited, or disoriented, thrashing around. Scores of one and two were considered as absence of emergence delirium, and scores of three and four were analyzed as presence of EA [8].…”

mentioning

confidence: 99%

“…Aono et al (1997), developed four points scale; 1=calm; 2=not calm but could be easily consoled; 3=moderately agitated or restless and not easily calmed; 4=combative, excited, or disoriented, thrashing around. Scores of one and two were considered as absence of emergence delirium, and scores of three and four were analyzed as presence of EA [8]. Cole et al (2002), developed 5 points agitation scale; 1= Sleeping, 2= Awake, calm, 3= Irritable, crying, 4= Inconsolable crying, and 5= Severe restlessness, disorientation [9].…”

mentioning

confidence: 99%

Spots on Prevention of Emergence Delirium and Agitation in Children Using Dexmedetomidine

ElMansoury¹

2017

JACCOA

View full text Add to dashboard Cite

Greater Incidence of Delirium During Recovery from Sevoflurane Anesthesia in Preschool Boys

Cited by 32 publications

References 0 publications

Searching the Effects of Applying Caudal Block or I.V. Tramadol on Bispectral Index, Emergence Agitation and Recovery in Children Under Desflurane Anesthesia

Searching the Effects of Applying Caudal Block or I.V. Tramadol on Bispectral Index, Emergence Agitation and Recovery in Children Under Desflurane Anesthesia

Agitação no despertar da anestesia em crianças: aspectos atuais

Spots on Prevention of Emergence Delirium and Agitation in Children Using Dexmedetomidine

Contact Info

Product

Resources

About