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[Pediatric anesthesia emergence delirium after elective ambulatory surgery: etiology, risk factors and prevalence]

Alik Gololobov, Liat Todris, Yakov Berman

    Harefuah
    |June 13, 2015
    PubMed

    Insights

    Emergence delirium (ED) affects children post-anesthesia, with prevalence linked to age, surgery type, and premedication. This study clarifies risk factors for better pediatric patient recovery.

    Area of Science:

    • Anesthesiology
    • Pediatric Medicine
    • Neuroscience

    Context:

    • Emergence delirium (ED) is a frequent complication following general anesthesia in pediatric patients.
    • Symptoms include agitation, hallucinations, and aggression, posing risks to patient safety and recovery.
    • The prevalence and specific risk factors for ED remain incompletely understood.

    Purpose:

    • To determine the prevalence of ED in children undergoing ambulatory surgery.
    • To identify and analyze risk factors associated with ED in this population.
    • To inform clinical practice and improve post-anesthetic care for children.

    Summary:

    • This retrospective study analyzed 3947 children recovering from general anesthesia.
    • The Pediatric Anesthesia Emergence Delirium Scale assessed ED severity.
    • Prevalence was determined, and correlations with age, surgery type, and premedication were examined.

    Impact:

    • Findings reveal significant correlations between ED and patient age, surgical procedure, and premedication.
    • ED was not found to be correlated with pain severity, anesthetic type, or patient sex.
    • This research contributes to a better understanding of ED, aiding in risk stratification and management strategies for pediatric anesthesia.
    Abstract

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