Routines for reducing the occurrence of emergence agitation during awakening in children, a national survey
(2014) In SpringerPlus 3(1). p.1-3- Abstract
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... (More)
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.
(Less)
- author
- Jildenstål, Pether K. LU ; Rawal, Narinder ; Hallén, Jan L. ; Berggren, Lars and Jakobsson, Jan G.
- publishing date
- 2014-09-24
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Emergence agitation, Generalanesthesia, Postoperative pain, Postoperative recovery and volatile anesthetics, Premedication, Volatile anesthetics
- in
- SpringerPlus
- volume
- 3
- issue
- 1
- article number
- 572
- pages
- 3 pages
- publisher
- Springer
- external identifiers
-
- scopus:84909991221
- ISSN
- 2193-1801
- DOI
- 10.1186/2193-1801-3-572
- language
- English
- LU publication?
- no
- id
- bf44bdbc-3a39-4493-afb4-7bc4fd3d259a
- date added to LUP
- 2020-09-27 20:54:18
- date last changed
- 2022-05-30 11:15:12
@article{bf44bdbc-3a39-4493-afb4-7bc4fd3d259a,
abstract = {{<p>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.</p><p>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.</p>}},
author = {{Jildenstål, Pether K. and Rawal, Narinder and Hallén, Jan L. and Berggren, Lars and Jakobsson, Jan G.}},
issn = {{2193-1801}},
keywords = {{Emergence agitation; Generalanesthesia; Postoperative pain; Postoperative recovery and volatile anesthetics; Premedication; Volatile anesthetics}},
language = {{eng}},
month = {{09}},
number = {{1}},
pages = {{1--3}},
publisher = {{Springer}},
series = {{SpringerPlus}},
title = {{Routines for reducing the occurrence of emergence agitation during awakening in children, a national survey}},
url = {{http://dx.doi.org/10.1186/2193-1801-3-572}},
doi = {{10.1186/2193-1801-3-572}},
volume = {{3}},
year = {{2014}},
}