✔️Incidence up to more than 40%
✔️Might be occurring together with EEG-changes
✔️Methods usually tried to reduce the incidence: addition of nitrous oxide, premedication with benzodiazepines, early extubation, switching to other inhaled anaesthetics
✔️Propofol maintenance after sevoflurane induction seems to be the best alternative.
✔️A recent study also indicates that a switch to desflurane for maintenance after sevoflurane inhalation induction reduces the incidence of emergence agitation by 50 %
✔️ A paranoid delusion is said to be a common feature of this state of agitation.
✔️ Information about this phenomenon should be explained to the parents before the procedure.
#EmergenceDelirium , #Sevoflurane , #PostoperativeAgitation , #anaesthesia ,#Propofol
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Reference:
MayerJ,BoldtJ,Röhm K Detal (2006) Desflurane after Sevoflurane inhaled induction reduces severity of emergence agitation in children undergoing minor ear nose-throat surgery compared with sevoflurane induction and maintenance. Anesth Analg 102:400-404 22.
Breschan C, Platzer M, Jost R et al (2007) Midazolam does not reduce emergence delirium after sevoflurane anesthesia in children. Pediatr Anesth 17:347-352
UezonoS,GotoT,TeruiKetal(2000)Emergence agitation after sevoflurane versus propofol in pediatric patients. Anesth Analg 91:563-566 20.
NakayamaS,FurukawaH,YanaiH(2007)propofol reduces incidence of emergence agitation in preschool-aged children as well as in school-aged children: a comparison with sevoflurane. J Anesth 21:19-23
Moos DD (2005) Sevo and emergence behavioural changes in pediatrics .JPeri Anesth Nurs 20:13-18
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