Related Experiment Video

Updated: Jun 24, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

19.8K

Discharge Under Sedated Status can Decrease Postoperative Emergence Agitation in Pediatric Patients Undergoing

Fang Tan1, Weisha Lu2, Shuangshuang Li1

  • 1Department of Anesthesiology, Anesthetist, Eye & ENT Hospital, Fudan University, China.

Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
|June 6, 2024
PubMed

Insights

Discharging sedated pediatric patients from the postanesthesia care unit (PACU) to wards significantly reduced emergence agitation (EA). This strategy also decreased the need for rescue measures and shortened PACU discharge time.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery
  • Postanesthesia Care

Background:

  • Emergence agitation (EA) is a common complication following anesthesia in pediatric patients.
  • Strabismus surgery in children is frequently associated with EA.
  • Current management strategies for EA are varied and their effectiveness is under investigation.

Purpose of the Study:

  • To investigate the efficacy of discharging pediatric patients from the postanesthesia care unit (PACU) to wards in a sedated state to reduce the incidence of EA.
  • To compare EA incidence between sedated and fully awake pediatric patients discharged from PACU.
  • To evaluate secondary outcomes including rescue measures, discharge time, hemodynamic parameters, and parental satisfaction.

Main Methods:

  • Prospective randomized controlled study involving 100 pediatric patients (4-6 years old) undergoing strabismus surgery.
  • Patients were randomized into two groups: a sedated group (Group P, n=50) discharged to the ward under sedation, and a control group (Group C, n=50) discharged fully awake.
  • Primary outcome was the incidence of EA; secondary outcomes included rescue measures, PACU discharge time, hemodynamic parameters, and parental satisfaction.

Main Results:

  • The incidence of EA was significantly lower in the sedated group (Group P) compared to the control group (Group C) (P=.023).
  • Fewer patients required rescue measures in Group P than in Group C (P=.041).
  • PACU discharge time was significantly shorter in Group P (P<.001), with lower heart rate at discharge (P=.003). Oxygen saturation and mean arterial blood pressure were comparable.

Conclusions:

  • Discharging pediatric patients undergoing strabismus surgery to their parents in a sedated state effectively reduces the incidence of emergence agitation.
  • This approach offers potential benefits in managing postoperative pediatric patients, including reduced need for interventions and faster PACU discharge.
  • Sedated discharge may be a valuable strategy for improving the postanesthesia recovery experience in pediatric surgical patients.
Abstract

Keywords:
emergence agitationpediatricpostanesthesiastrabismus surgery

More Related Videos

Electroretinogram Recording for Infants and Children under Anesthesia to Achieve Optimal Dark Adaptation and International Standards08:38

Electroretinogram Recording for Infants and Children under Anesthesia to Achieve Optimal Dark Adaptation and International Standards

Published on: September 3, 2020

6.0K
Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.5K

Related Concept Videos

Stages of General Anesthesia01:22

Stages of General Anesthesia

Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
418
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
72
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
118
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
382
Depolarizing Blockers: Pharmocokinetics01:19

Depolarizing Blockers: Pharmocokinetics

Depolarizing blockers are administered through intravenous injection. Succinylcholine is the most common choice of depolarizing blockers in emergency clinical practices. Although they have a rapid onset, they readily diffuse away from the motor end plate into the extracellular fluid. They are metabolized by enzymes such as liver butyrylcholinesterase and plasma pseudocholinesterases. This produces a short duration of action, typically 5-10 minutes long, unlike nondepolarizing blockers, which...
319