Routines for reducing the occurrence of emergence agitation during awakening in children, a national survey.
Routines for reducing the occurrence of emergence agitation during awakening in children, a national survey.
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DOI：
10.1186/2193-1801-3-572
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Jakobsson JG
中科院分区：
文献类型：
--
作者：
Jildenstål PK;Rawal N;Hallén JL;Berggren L;Jakobsson JG
小儿麻醉后出现躁动并不罕见。虽然它通常是自我限制的，但它与患者和父母的痛苦有关。我们进行了一项关于手术/麻醉后行为和神经认知障碍管理的全国性调查，包括一个有紧急反应风险的儿童的案例。应答者中分别有58%和37%的人会使用可乐定或咪达唑仑作为预用药。以异丙酚为基础的麻醉是最常见的麻醉技术，然而七氟醚或地氟醚是45%和8%的应答者的选择。在醒来前，65%的人服用阿片类药物，48%的人服用低剂量异丙酚，25%的人服用可乐定。行为障碍的体征或症状未通过标准化评估工具进行评估。大多数瑞典麻醉人员在处理有紧急反应风险的儿童时会采取一些预防措施，预防措施不同，似乎有明显的进一步改进的空间。
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.
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