Pediatric emergence delirium is linked to increased early postoperative negative behavior within two weeks after adenoidectomy: an observational study

Houben, Anne; Ghamari, Shahab; Fischer, Andréas; Baehner, Torsten; Ellerkmann, Richard K.

doi:10.1016/j.bjane.2021.03.008

Cited by 7 publications

(8 citation statements)

References 20 publications

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“…Epidemiological studies (20)(21)(22) have shown that NPOBCs occur in 38.8% -82.0% of children undergoing surgery, with the highest risk seen in preschool-aged children. The occurrence of NPOBCs in children after anesthesia is associated with PAED (23)(24)(25). While most children experience short-term NPOBCs, some may suffer from these changes for up to 6 months after surgery, which can significantly impact their cognitive and emotional development.…”

Section: Discussionmentioning

confidence: 99%

Effect of Esketamine Applied in Fiberoptic Bronchoscopy on Negative Postoperative Behavioral Changes of Children

Zhang,

Yao,

Yang

et al. 2023

Iran J Pediatr

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Background: Fiberoptic bronchoscopy is currently the most commonly used invasive examination method in clinical practice. Objectives: This study aimed to assess the impact of esketamine administration during fiberoptic bronchoscopy on the occurrence of negative postoperative behavioral changes (NPOBCs) in children. Methods: Ninety children undergoing fiberoptic bronchoscopy were enrolled and randomly assigned to 3 groups: the control group (group C, n = 30), treatment group 1 (group D1, n = 30), and treatment group 2 (group D2, n = 30). Group C received intratracheal surface anesthesia and sevoflurane inhalation, along with an intravenous injection of 5 mL of normal saline. Group D1 received intratracheal surface anesthesia and sevoflurane inhalation in addition to an intravenous injection of 0.5 mg/kg of esketamine diluted to 5 mL. Group D2 received intratracheal surface anesthesia and sevoflurane inhalation, with an intravenous injection of 0.75 mg/kg of esketamine diluted to 5 mL. Results: The incidence of NPOBCs was lower in groups D1 and D2 compared to group C at 1, 7, 14, and 30 days after the examination (P < 0.05). The pediatric anesthesia emergence delirium (PAED) scores were lower in groups D1 and D2 than in group C, with group D2 scoring lower than group D1 (P < 0.05). Groups D1 and D2 had a longer time to awaken than group C (P < 0.05), with group D2 having a longer time than group D1. The face, legs, activity, cry, and consolability (FLACC) scores in groups D1 and D2 were significantly lower than in group C, and group D2 had a lower score than group D1 (P < 0.05). The incidence of adverse reactions was lower in groups D1 and D2 compared to group C, and the rate was even lower in group D2 than in group D1 (P < 0.05). Conclusions: Administration of esketamine at a dose of 0.75 mg/kg may yield better clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

Effect of Esketamine Applied in Fiberoptic Bronchoscopy on Negative Postoperative Behavioral Changes of Children

Zhang,

Yao,

Yang

et al. 2023

Iran J Pediatr

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“…Children that are affected make un purposeful movements and are unaware of their surroundings. Emergence delirium is associated with early postoperative negative behavior within two weeks following outpatient surgery, in addition to its involvement immediately following surgery (22). The incidences of ED reported in the literature vary dramatically from 20% to 80% depending on risk variables including age and the type of surgery that was performed (23).…”

Section: Discussionmentioning

confidence: 99%

Effect of Using Virtual Reality Headset on Children Perioperative Anxiety: A Randomized Clinical Trial

Daabiss

2023

Int J Clin Anesth

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Background: Perioperative anxiety can affect up to 75% of children, which is more harmful than it is for adults. One of the appealing methods for diverting children's attention from difficult situations is virtual reality technology. The purpose of this study is to determine how well a virtual reality headset reduces preoperative anxiety and other undesirable postoperative behaviors in children. Materials And Methods: Eighty children aged five to twelve, who were scheduled for elective day surgery were randomly divided into two groups, each with 40 children. The virtual reality group (VRG) and the non-virtual reality control group, but with parental presence (NVRG). The Visual Facial Analogue Scale (VFAS) was used to measure preoperative anxiety in the holding area and in the operation room during anesthesia induction. Emergency delirium, unfavorable behavioral development, and the parents’ satisfaction were also evaluated postoperatively. Results: The demographic and social parameters of children in both groups were comparable. Most children in VRG showed lower rates of moderate anxiety than NVRG (8% vs. 44%) at the holding area (P˂0.05). At the time of anesthesia induction, the NVRG developed the highest level of anxiety than VRG (8% vs. 0%). However, there were no significant intergroup differences in postoperative emergency delirium or the onset of new negative behavior (P=0.32). Conclusion: Children's participation during the induction of general anesthesia can be improved by using virtual reality distraction technology as a simple, non-invasive, and enjoyable alternative to parental presence.

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“…Existen estudios que han vinculado la presencia de DE a algunas consecuencias negativas en el comportamiento de los niños hasta 14 días después de la cirugía, especialmente en trastornos del sueño y ansiedad por separación [22]. La presencia de ansiedad perioperatoria y DE tendrían un mayor efecto en presencia de estos síntomas negativos posterior al procedimiento, especialmente en niños menores, con mayores rasgos de emocionalidad e impulsividad, menos sociables y con padres con altos niveles de ansiedad [11].…”

Section: ¿Puede El De Asociarse a Secuelas A Largo Plazo?unclassified

Delirium de emergencia en anestesia pediátrica

2022

Rev. chil. anest.

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Pediatric emergence delirium is linked to increased early postoperative negative behavior within two weeks after adenoidectomy: an observational study

Cited by 7 publications

References 20 publications

Effect of Esketamine Applied in Fiberoptic Bronchoscopy on Negative Postoperative Behavioral Changes of Children

Effect of Esketamine Applied in Fiberoptic Bronchoscopy on Negative Postoperative Behavioral Changes of Children

Effect of Using Virtual Reality Headset on Children Perioperative Anxiety: A Randomized Clinical Trial

Delirium de emergencia en anestesia pediátrica

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