Routines for reducing the occurrence of emergence agitation during awakening in children, a national survey
2014 (English)In: SpringerPlus, E-ISSN 2193-1801, Vol. 3, 572Article in journal (Refereed) Published
Emergence agitation following anesthesia in children is not uncommon. It is, although generally self-limiting, associated with both patient and parents distress. We conducted a national survey around the management of behavioral and neurocognitive disturbances after surgery/anesthesia including a case scenario about a child at risk for emergence reaction. Premedication with clonidine or midazolam would have been used 58 and 37% of responders respectively. A propofol based anesthesia was the most common anesthetic technique, however sevoflurane or desflurane was an option for 45 and 8% of responders. Before awakening 65% would have administered an opioid, 48% a low-dose of propofol and 25% clonidine. Sign or symptoms of behavioral disturbance was not assessed by standardize assessment tools.
A majority of Swedish anesthesia personnel would undertake some preventive action when handling a child at risk for an emergence reaction, the preventive measure differed and it seems as there is an obvious room for further improvements.
Place, publisher, year, edition, pages
Springer, 2014. Vol. 3, 572
Emergence agitation, Premedication, Generalanesthesia, Postoperative pain, Postoperative recovery and volatile anesthetics, Volatile anesthetics
Anesthesiology and Intensive Care
IdentifiersURN: urn:nbn:se:oru:diva-56501DOI: 10.1186/2193-1801-3-572ISI: 000359103500005PubMedID: 25332872ScopusID: 2-s2.0-84933528145OAI: oai:DiVA.org:oru-56501DiVA: diva2:1082482