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Updated: Jun 6, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Single centre implementation of the Paediatric Anaesthesia Emergence Delirium scale.

Hasima Hajdini¹, Tamara Otey², Christopher Guelbert²

¹Washington University/Barnes-Jewish Hospital/St. Louis Children's Hospital Graduate Medical Education Consortium, Saint Louis, MO, USA.

Journal of Perioperative Practice

|November 27, 2024

Summary

Training PACU nurses on the Paediatric Anaesthesia Emergence Delirium (PAED) scale improved their confidence and reduced assessment time for paediatric emergence delirium (ED). This enhances timely recognition and treatment for safer patient care.

Keywords:

Delirium evaluation scales Nursing education PAED scale Paediatric emergence delirium

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Last Updated: Jun 6, 2025

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Area of Science:

Pediatric Anesthesiology
Nursing Education
Patient Safety

Background:

Early recognition of paediatric emergence delirium (ED) by post-anaesthesia care unit (PACU) nurses is critical for effective management.
Standardizing assessment tools is essential for consistent and reliable evaluation of ED.

Purpose of the Study:

To enhance nursing education on paediatric emergence delirium (ED).
To standardize the use of the Paediatric Anaesthesia Emergence Delirium (PAED) scale for ED assessment.
To compare the effectiveness of the PAED scale with the FLACC scale in evaluating paediatric patients.

Main Methods:

An educational intervention was developed for PACU nurses on using the PAED scale.
Pre- and post-surveys assessed nurses' knowledge, confidence, and familiarity with ED and the PAED scale.
Time trials compared the PAED scale with the FLACC scale during simulated patient assessments.

Main Results:

Nurses showed increased confidence and familiarity with ED and the PAED scale post-intervention.
The PAED scale significantly reduced evaluation and treatment initiation time compared to the FLACC scale.
Educational intervention improved nurses' ability to recognize and manage ED.

Conclusions:

Targeted nursing education and evidence-based tools like the PAED scale improve timely recognition and treatment of ED.
Effective implementation of the PAED scale leads to safer and more efficient care for postoperative paediatric patients.
Standardizing assessment tools enhances the quality of care in PACU settings.