Emergence delirium and postoperative pain in children undergoing adenotonsillectomy: a comparison of propofol vs sevoflurane anesthesia

Pieters, Benjamin J.; Penn, Edward B.; Nicklaus, Pamela J.; Bruegger, Daniel E.; Mehta, Bhavi; Weatherly, Robert A.

doi:10.1111/j.1460-9592.2010.03394.x

Cited by 74 publications

(65 citation statements)

References 22 publications

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“…The participants were randomly assigned to receive propofol and in control group: thiopental ; thiopental and saline (Anker-Møller et al, 1991); thiopental with halothane ; or, thiopenthal with isoflurane & Jellish et al,1995. In control grup the inhalation anesthetics used were halothane (Hasani et al, 2009), isoflurane (Boccara et al, 1998& Cheng et al,2008, sevoflurane (Ozkose et al,2001, Hofer et al, 2003, Pieters et al, 2010& Shin et al, 2010 and desflurane (Van Hemelrijck et al,1991&Fassoulaki et al, 2010. Also, the control groups contained opioids: fentanyl, remifentanil , Mukherjee et al, 2003& Shin et al, 2010 and alfentanil (Petersen-Felix et al, 1996& Davis et al, 1997.…”

Section: Resultsmentioning

confidence: 99%

“…The patients were 1-85 year old. The 294 patients were children, aged 1-18 year , Pieters et al, 2010& Hasani et al, 2009). The participans undergoing brest, ginecologic, orthopedic, ENT, abdominal, urogenital, spine, cosmetic or eye surgery.…”

Section: Resultsmentioning

confidence: 99%

“…VAS (visual analogue score) pain score was not present in 9 studies. The pain scores used in studies was NRS-numeric rating scale (Hand et al, 2001&Bandschapp et al ,2010, NASNumerical analogue score , CHEOPS-Children's Hospital of Eastern Ontario Scale (Pieters et al, 2010), tibial pressure algesimetry , VNSRverbal numeric rating scale , laser power meter (Anker-Møller et al, 1991), FPS-faces pain scale (Hasani et al, 2009) and OPDS-Objective Pain Discomfort Scale .…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Propofol and Postoperative Pain: Systematic Review and Meta-Analysis

Hasani¹,

Jashari²,

Gashi³

et al. 2012

Pain Management - Current Issues and Opinions

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Propofol and Postoperative Pain: Systematic Review and Meta-Analysis

Hasani¹,

Jashari²,

Gashi³

et al. 2012

Pain Management - Current Issues and Opinions

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“…For documentation of adequate recovery after the procedure, it the wide spread Modified Aldrete score 23 used for determination of discharge criteria could be applied 12-13,22. Detection of an emergence delirium could also be performed with the Pediatric Anesthesia Emergence Delirium (PAED) scale during recovery time for a better understanding prolonged emergence [17,24,25].…”

Section: Proposal For Solutionmentioning

confidence: 99%

Role Of Anaesthetist In Sedation For Diagnostic Procedures: The Glass Is Half Empty? A Narrative Review

Pasqualucci¹,

Nadhari²,

Vaidyan³

et al. 2017

SOJAPM

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Sedation of outpatients undergoing diagnostic and therapeutic procedures remains a controversial topic, and there remains a paucity of literature and guidelines to help inform sound clinical decisions. As these are frequently performed procedures that offer advantages to patients in terms of their comfort and well-being, we aimed to better address this information deficit and to clarify why appropriate guidelines are still not available. To this end, we propose reviewing sedation procedures performed using Magnetic Resonance Imaging (MRI) in pediatric patients.

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“…ED can occur in the postoperative anesthesia recovery stage, time sustainable few minutes and several hours, the duration of ED has a direct impact on children after anesthesia of mental state and mental recovery [4]. The pathogenesis of ED is not completely clear, and may be related with age, pain, narcotic drugs and other factors related [5], at the same time, a study [6] shows that as a drug commonly used in pediatric general anesthesia can be seven halothane, the probability of ED increased significantly after anesthesia in children, so that children with behavior D DAVID PUBLISHING…”

mentioning

confidence: 99%

Comparative Study and Safe Dose Analysis of Dexmedetomidine in the Prevention of Emergence Agitation and Emergency Delirium in Children Undergoing General Anesthesia

Luo¹

2018

JHS

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Abstract:The purpose of this paper is to explore the safe and effective dose of dexmedetomidin for the prevention of agitation and delirium during the awakening period for children undergoing general anesthesia. Samples of 989 cases are collected from children with comprehensive treatment of dental caries, and were randomly divided into four groups. Group A, group B and group C were intravenously at constant speed (60 mL/h), 0.5 and 0.25 infusion with 1 μg/kg dexmedetomidine. Group D (control group) was intravenously saline at the same speed. The score of 5-point scale and the incidence of ED (emergency delirium) and EA (emergence agitation) in four groups were compared. Comparison of four groups of CHIPPS (children and infants postoperative pain) score, the amount of operation time and record seven halothane (TO), time to stop cover drug withdrawal of laryngeal anesthesia (TM), eye opening time (TE), independent records of children at the time of ICU stay after anesthesia (TP). Results show that there was no significant difference between the four groups (p > 0.05), among which the TM in B, C groups was significantly higher than that in A, D groups (p < 0.05). Group C was significantly higher than group B (p < 0.05). There was no significant difference in TE and TP between the A, B, D groups (p > 0. 05). TE in group C was significantly higher than that in groups A, D (p > 0. 05). The TP of group C was significantly higher than that of groups A, D (p < 0.05), but there was no significant difference between the B, C groups (p > 0.05). The incidence rates of EA and ED in groups A and B were significantly lower than those in group D (p < 0.05). Group C was significantly lower than group A (p < 0.05). There was no significant difference between group C and group C (p > 0.05). The CHIPPS score and sevoflurane dosage in groups A and B were significantly lower than those in group D (p < 0.05). Group C was significantly lower than group A (p < 0.05). There was no significant difference between group C (p > 0.05). Conclusion: the dose of dexmetomidine 0.5 μg/kg in children with general anesthesia can prevent restlessness and delirium after operation.

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Emergence delirium and postoperative pain in children undergoing adenotonsillectomy: a comparison of propofol vs sevoflurane anesthesia

Cited by 74 publications

References 22 publications

Propofol and Postoperative Pain: Systematic Review and Meta-Analysis

Propofol and Postoperative Pain: Systematic Review and Meta-Analysis

Role Of Anaesthetist In Sedation For Diagnostic Procedures: The Glass Is Half Empty? A Narrative Review

Comparative Study and Safe Dose Analysis of Dexmedetomidine in the Prevention of Emergence Agitation and Emergency Delirium in Children Undergoing General Anesthesia

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