• Rev Bras Anestesiol · Mar 2018

    Observational Study

    [Risk factors associated with anesthesia emergence delirium in children undergoing outpatient surgery].

    • Ana Carolina Tavares Paes Barreto, Ana Carolina Rangel da Rocha Paschoal, Carolina Barbosa Farias, Gomes Nogueira Borges Paulo Sérgio PS Instituto de Medicina Integral Professor Fernando Figueira (IMIP), Serviço de Cirurgia Pediátrica, Recife, PE, Brasil; Faculdade Per, Gonelli Albanez da Cunha Andrade Rebeca R Instituto de Medicina Integral Professor Fernando Figueira (IMIP), Recife, PE, Brasil., and de Orange Flávia Augusta FA Faculdade Pernambucana de Saúde (FPS), Recife, PE, Brasil; Universidade de Medicina de Campinas, Campinas, SP, Brasil; Instituto de Medicina I.
    • Instituto de Medicina Integral Professor Fernando Figueira (IMIP), Serviço de Anestesiologia, Recife, PE, Brasil.
    • Rev Bras Anestesiol. 2018 Mar 1; 68 (2): 162-167.

    IntroductionAnesthesia emergence delirium is a self-limiting clinical phenomenon very common in children. Although pathophysiology is still uncertain, some factors seem to be involved, such as rapid awakening in an unknown environment, agitation during anesthetic induction, preoperative anxiety, environmental disorders, use of preanesthetic medication, use of inhalational anesthetics, and postoperative pain.ObjectiveTo determine the prevalence and risk factors associated with anesthesia emergence delirium in children undergoing outpatient surgery.MethodsA prospective observational study was carried out with 100 children aged 2 to 10 years, who underwent surgery on an outpatient basis. The study variables were: anesthesia emergence delirium and the associated risk factors (preoperative anxiety, child impulsive behavior, use of pre-anesthetic medication, traumatic induction, type of anesthesia, and postoperative pain). Multivariate Poisson's logistic regression was used to analyze the possible explanatory variables, where the prevalence ratios were estimated with the respective 95% confidence intervals, considering a significance level of 5%.ResultsDelirium and pain were observed in 27% and 20% of children, respectively. Only postoperative pain after Poisson's regression, was shown to be associated with anesthesia emergence delirium, with a prevalence ratio of 3.91 (p<0.000).ConclusionThe present study showed 27% prevalence of anesthesia emergence delirium in the study population. The incidence of anesthesia emergence delirium was higher in children who had postoperative pain.Copyright © 2017 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…