Postoperative Agitation im Kindesalter

Lehmann, V.; Giest, Judith; Wermelt, Julius Z.; Bode, Christian; Becke, Karin; Ellerkmann, Richard K.

doi:10.1007/s00101-015-0026-6

Cited by 7 publications

(1 citation statement)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…By using an OFA system, we were able to implement a fast-track technique in which we were able to bypass phase 1 of recovery by eliminating the use of opioids intraoperatively. Parental presence during the postoperative period has increasingly been found to be beneficial, especially in the incidence of emergence delirium [20,21].…”

Section: Discussionmentioning

confidence: 99%

The Utilization of an Opioid-Free Anesthetic for Pediatric Circumcision in an Ambulatory Surgery Center

Gilbertson

Patel

et al. 2021

Children

View full text Add to dashboard Cite

Circumcision is one of the most common urologic procedures performed at pediatric ambulatory centers. Emerging data on the short- and long-term effects of perioperative opioid administration has highlighted the importance of an opioid-free anesthetic regimen. We sought to evaluate the effectiveness of an opioid-free anesthetic in pediatric circumcision and its correlation with ambulatory surgery center efficiency. Patients, 3 years of age and younger, who underwent circumcision or circumcision revision by two surgeons pre and post introduction of an opioid-free anesthetic fast-track regimen at an outpatient surgical center were included. There were 100 patients included in this analysis, with 50 patients in each cohort. On univariate analysis, fast-tracking was associated with a decrease in median combined in-room and post-anesthesia care unit times (102.5 vs. 129.0 min, p-value < 0.001). This difference continued after multivariable analysis with an adjusted median combined in-room and post-anesthesia care unit time difference of −15.6 min (95% CI −34.2 to −12.7 min, p-value 0.018). In addition, the fast-track cohort received less intraoperative morphine equivalents without an increase in post-operative analgesic administration or change in postoperative questionnaire score. This demonstrates that opioid-free anesthesia may be used effectively in pediatric circumcision while also allowing for significant time savings for surgical centers.

show abstract

Section: Discussionmentioning

confidence: 99%