Title |
Routines for reducing the occurrence of emergence agitation during awakening in children, a national survey
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Published in |
SpringerPlus, September 2014
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DOI | 10.1186/2193-1801-3-572 |
Pubmed ID | |
Authors |
Pether K Jildenstål, Narinder Rawal, Jan L Hallén, Lars Berggren, Jan G Jakobsson |
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 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. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 20 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 5 | 25% |
Other | 2 | 10% |
Lecturer | 2 | 10% |
Student > Doctoral Student | 2 | 10% |
Student > Ph. D. Student | 2 | 10% |
Other | 5 | 25% |
Unknown | 2 | 10% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 12 | 60% |
Nursing and Health Professions | 2 | 10% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 5% |
Psychology | 1 | 5% |
Unspecified | 1 | 5% |
Other | 0 | 0% |
Unknown | 3 | 15% |