Correlation Analysis Between Real-Time Cerebral State Parameters and Emergence Agitation in Children Undergoing...

Area of Science:

• Anesthesiology
• Pediatric Surgery
• Neuroscience

Background:

• Emergence agitation (EA) is a common complication in pediatric anesthesia.
• Predicting EA is crucial for improving postoperative recovery in children.
• Cerebral State Index (CSI) offers real-time brain activity monitoring.

Purpose of the Study:

• To analyze the correlation between real-time cerebral state index (CSI) and postoperative emergence agitation (EA) in children undergoing dental surgery.
• To explore the feasibility of using CSI in predicting EA during perioperative care.

Main Methods:

• Retrospective case-control study of pediatric patients undergoing dental surgery under general anesthesia.
• Patients were divided into agitation (Group A) and non-agitation (Group NA) groups based on EA presence.
• Cerebral State Index (CSI) was monitored using a HXD-I Multi-parameter Monitor.

Main Results:

• 40% of children experienced EA.
• Post-extubation subcortical excitability index (SCEi), cortical excitability index (CEi), and anxiety index (ANXi) were significantly higher in the agitation group.
• Memory index (Mi) was significantly lower in the agitation group.
• Receiver operating characteristic (ROC) curve analysis indicated good predictive values for SCEi, CEi, ANXi, and Mi for EA.

Conclusions:

• Post-extubation SCEi, CEi, ANXi, and Mi are significantly associated with EA in children undergoing dental surgery.
• SCEi and ANXi demonstrate relatively better predictive performance for EA.
• CSI monitoring is feasible for predicting EA in pediatric perioperative care.