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Pediatric Emergence Delirium: A Case Study.

Mary C Kamienski, Maureen A McCartney, Michael McLaughlin

    Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
    |October 28, 2018
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    Summary
    This summary is machine-generated.

    Emergence delirium (ED) in children, a mysterious post-anesthesia complication, requires further research into its causes and effective interventions. This case study highlights the need for better assessment and management strategies to prevent negative outcomes.

    Keywords:
    anesthesiaanxietyemergence deliriumpainpediatric

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    Area of Science:

    • Pediatric Anesthesiology
    • Neuroscience
    • Clinical Psychology

    Background:

    • Emergence delirium (ED) is a poorly understood post-anesthesia complication in children.
    • The pathophysiology of ED remains largely unknown, necessitating clinical investigation.

    Observation:

    • A case study details a 4-year-old male experiencing ED after sevoflurane anesthesia for myringotomy tube placement.
    • The case illustrates a negative outcome, emphasizing the clinical significance of ED.

    Findings:

    • Epidemiology and definitions of ED are reviewed.
    • Potential causes include preoperative anxiety, rapid awakening, pain, and individual child predisposition.
    • Assessment tools and interventions (pharmacologic and non-pharmacologic) are discussed.

    Implications:

    • Understanding ED is crucial for improving pediatric anesthesia care.
    • Further research into ED's impact on pediatric brain development and potential solutions is warranted.