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Correlation between duration of preoperative fasting and emergence delirium in pediatric patients undergoing

Puneet Khanna1, Kulbhushan Saini1, Renu Sinha1

  • 1Department of Anaesthesiology, Pain Medicine & Critical Care, All India Institute of Medical Sciences, New Delhi, India.

Paediatric Anaesthesia
|May 13, 2018
PubMed

Insights

Longer preoperative fasting in children may increase the risk of postoperative emergence delirium. This study found a correlation between fasting duration and delirium scores in pediatric ophthalmic surgery patients.

Area of Science:

  • Pediatric Anesthesiology
  • Ophthalmology
  • Surgical Patient Care

Background:

  • Preoperative fasting in children can induce anxiety, potentially leading to postoperative emergence delirium.
  • Limited data exists on the correlation between preoperative fasting duration and emergence delirium in pediatric patients.

Purpose of the Study:

  • To investigate the relationship between the duration of preoperative fasting and the occurrence of emergence delirium in children undergoing ophthalmic examinations under anesthesia.

Main Methods:

  • A prospective observational study included 100 children (2-6 years, ASA I/II) undergoing ophthalmic examination under general anesthesia.
  • Preoperative fasting duration was recorded, and emergence delirium was assessed using the Pediatric Anesthesia Emergence Delirium (PAED) scale postoperatively.
  • No premedication was administered, but parental presence was permitted.

Main Results:

  • The mean fasting duration for clear liquids was 6.3 hours.
  • 24% of children exhibited a PAED score greater than 10.
  • PAED scores at 15 and 25 minutes post-anesthesia showed a significant correlation with preoperative fasting duration (p=0.02).

Conclusions:

  • Extended preoperative fasting may be a contributing risk factor for postoperative emergence delirium in pediatric patients undergoing ophthalmic surgery.
  • No correlation was found between fasting duration, blood glucose levels, and PAED scores.
Abstract

Keywords:
emergence deliriumpediatricpreoperative fastingsevoflurane

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