| Content Provider |
World Health Organization (WHO)-Global Index Medicus |
| Author |
Gooden, Rachel Tennant, Ingrid James, Brian Augier, Richard Crawford-Sykes, Annette Ehikhametalor, Kelvin Gordon-Strachan, Georgiana Harding-Goldson, Hyacinth |
| Description |
Country affiliation: Jamaica Author Affiliation: Gooden R ( Bustamante Hospital for Children, South East Regional Health Authority, Kingston, Jamaica); Tennant I ( Departamento de Cirurgia, Radiologia, Anestesia e Tratamento Intensivo, University of the West Indies, Kingston, Jamaica. Electronic address: ingrid@landscreek.net.); James B ( Bustamante Hospital for Children, South East Regional Health Authority, Kingston, Jamaica.); Augier R ( Departamento de Cirurgia, Radiologia, Anestesia e Tratamento Intensivo, University of the West Indies, Kingston, Jamaica.); Crawford-Sykes A ( Departamento de Cirurgia, Radiologia, Anestesia e Tratamento Intensivo, University of the West Indies, Kingston, Jamaica.); Ehikhametalor K ( Departamento de Cirurgia, Radiologia, Anestesia e Tratamento Intensivo, University of the West Indies, Kingston, Jamaica.); Gordon-Strachan G ( Unidade de Recursos para Pesquisa em Saúde, Dean's Office, Faculty of Medical Sciences, University of the West Indies, Kingston, Jamaica.); Harding-Goldson H ( Departamento de Cirurgia, Radiologia, Anestesia e Tratamento Intensivo, University of the West Indies, Kingston, Jamaica.) |
| Abstract |
BACKGROUND AND OBJECTIVES: Emergence delirium is a distressing complication of the use of sevoflurane for general anesthesia. This study sought to determine the incidence of emergence delirium and risk factors in patients at a specialist pediatric hospital in Kingston, Jamaica. METHODS: This was a cross-sectional, observational study including pediatric patients aged 3-10 years, ASA I and II, undergoing general anesthesia with sevoflurane for elective day-case procedures. Data collected included patients' level of anxiety pre-operatively using the modified Yale Preoperative Anxiety Scale, surgery performed, anesthetic duration and analgesics administered. Postoperatively, patients were assessed for emergence delirium, defined as agitation with non-purposeful movement, restlessness or thrashing; inconsolability and unresponsiveness to nursing and/or parental presence. The need for pharmacological treatment and post-operative complications related to emergence delirium episodes were also noted. RESULTS: 145 children were included, with emergence delirium occurring in 28 (19.3%). Emergence delirium episodes had a mean duration of 6.9±7.8min, required pharmacologic intervention in 19 (67.8%) children and were associated with a prolonged recovery time (49.4±11.9 versus 29.7±10.8min for non-agitated children; p<0.001). Factors positively associated with emergence delirium included younger age (p=0.01, OR 3.3, 95% CI 1.2-8.6) and moderate and severe anxiety prior to induction (p<0.001, OR 5.6, 95% CI 2.3-13.0). Complications of emergence delirium included intravenous line removal (n=1), and surgical site bleeding (n=3). CONCLUSION: Children of younger age with greater preoperative anxiety are at increased risk of developing emergence delirium following general anesthesia with sevoflurane. The overall incidence of emergence delirium was 19%. |
| File Format |
HTM / HTML |
| ISSN |
00347094 |
| e-ISSN |
1806907X |
| Journal |
Brazilian Journal of Anesthesiology |
| Issue Number |
6 |
| Volume Number |
64 |
| Language |
Portuguese |
| Publisher |
Elsevier |
| Publisher Date |
2014-11-01 |
| Publisher Place |
Brazil |
| Access Restriction |
Open |
| Subject Keyword |
Discipline Anesthesiology |
| Alternative Title |
The incidence of emergence delirium and risk factors following sevoflurane use in pediatric patients for day case surgery, Kingston, Jamaica |
| Content Type |
Text |
| Resource Type |
Article |
