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Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia
OBJECTIVE: Postanesthetic emergence agitation is a common problem in pediatric postanesthetic care unit with an incidence ranging from 10 to 80%. This study was done to determine the prevalence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia....
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tehran University of Medical Sciences
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268839/ https://www.ncbi.nlm.nih.gov/pubmed/25535538 |
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author | Mohkamkar, Masoumeh Farhoudi, Fatemeh Alam-Sahebpour, Alireza Mousavi, Seyed-Abdullah Khani, Soghra Shahmohammadi, Soheila |
author_facet | Mohkamkar, Masoumeh Farhoudi, Fatemeh Alam-Sahebpour, Alireza Mousavi, Seyed-Abdullah Khani, Soghra Shahmohammadi, Soheila |
author_sort | Mohkamkar, Masoumeh |
collection | PubMed |
description | OBJECTIVE: Postanesthetic emergence agitation is a common problem in pediatric postanesthetic care unit with an incidence ranging from 10 to 80%. This study was done to determine the prevalence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia. METHODS: This cross-sectional descriptive and analytic study was performed on 747 pediatric patients aged 3- 7 years that underwent general anesthesia for various elective surgeries at Bou-Ali Sina Hospital in Sari, Iran between January 2010 and January 2011. A non-probability quota sampling technique was used. The presence of emergence agitation was recorded using Pediatric Anesthesia Emergence Delirium Scale. The factors linked with Emergence Agitation were recorded in a questionnaire. The data were analyzed using SPSS software 16 and independent sample t-test, χ(2) and binary logistic regression. P-values less than 0.05 were considered as significant. FINDINGS: One hundred thirty-four (17.9%) children had emergence agitation. The most frequent surgical procedures were ENT surgical procedures 315 (42.2%), abdominal surgery 177 (23.7%), orthopedic surgery 137 (18.3%), urology 97 (13%) and ophthalmic surgery 24 (3.2%). Otorhinolaryngological surgical procedures (P=0.001), pain (P<0.05) and induction behavior of children (P<0.005) were associated with higher rates of post anesthetic emergence agitation (P=0.001). CONCLUSION: This study identified the multiple independent risk factors which are associated with emergence agitation in children. To minimize the incidence of postanesthetic emergence agitation, these risk factors should be considered in the routine care by care providers in postanesthetic care unit. |
format | Online Article Text |
id | pubmed-4268839 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Tehran University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-42688392014-12-22 Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia Mohkamkar, Masoumeh Farhoudi, Fatemeh Alam-Sahebpour, Alireza Mousavi, Seyed-Abdullah Khani, Soghra Shahmohammadi, Soheila Iran J Pediatr Original Article OBJECTIVE: Postanesthetic emergence agitation is a common problem in pediatric postanesthetic care unit with an incidence ranging from 10 to 80%. This study was done to determine the prevalence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia. METHODS: This cross-sectional descriptive and analytic study was performed on 747 pediatric patients aged 3- 7 years that underwent general anesthesia for various elective surgeries at Bou-Ali Sina Hospital in Sari, Iran between January 2010 and January 2011. A non-probability quota sampling technique was used. The presence of emergence agitation was recorded using Pediatric Anesthesia Emergence Delirium Scale. The factors linked with Emergence Agitation were recorded in a questionnaire. The data were analyzed using SPSS software 16 and independent sample t-test, χ(2) and binary logistic regression. P-values less than 0.05 were considered as significant. FINDINGS: One hundred thirty-four (17.9%) children had emergence agitation. The most frequent surgical procedures were ENT surgical procedures 315 (42.2%), abdominal surgery 177 (23.7%), orthopedic surgery 137 (18.3%), urology 97 (13%) and ophthalmic surgery 24 (3.2%). Otorhinolaryngological surgical procedures (P=0.001), pain (P<0.05) and induction behavior of children (P<0.005) were associated with higher rates of post anesthetic emergence agitation (P=0.001). CONCLUSION: This study identified the multiple independent risk factors which are associated with emergence agitation in children. To minimize the incidence of postanesthetic emergence agitation, these risk factors should be considered in the routine care by care providers in postanesthetic care unit. Tehran University of Medical Sciences 2014-04 /pmc/articles/PMC4268839/ /pubmed/25535538 Text en Copyright © 2014 by Pediatrics Center of Excellence, Children’s Medical Center, Tehran University of Medical Sciences, All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly. |
spellingShingle | Original Article Mohkamkar, Masoumeh Farhoudi, Fatemeh Alam-Sahebpour, Alireza Mousavi, Seyed-Abdullah Khani, Soghra Shahmohammadi, Soheila Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia |
title | Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia |
title_full | Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia |
title_fullStr | Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia |
title_full_unstemmed | Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia |
title_short | Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia |
title_sort | postanesthetic emergence agitation in pediatric patients under general anesthesia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268839/ https://www.ncbi.nlm.nih.gov/pubmed/25535538 |
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