Use this url to cite publication: https://hdl.handle.net/20.500.12512/111570
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Emergence delirium in pediatric patients undergoing general anesthesia / Greta Patapavičiūtė, Laura Lukošienė, Ilona Razlevičė, Andrius Macas
Type of publication
Straipsnis kitoje duomenų bazėje / Article in other database (S4)
Author(s)
Patapavičiūtė, Greta | Vilniaus universitetas |
Title
Emergence delirium in pediatric patients undergoing general anesthesia / Greta Patapavičiūtė, Laura Lukošienė, Ilona Razlevičė, Andrius Macas
Other Title
Vaikų sujaudinimas po bendrosios anestezijos
Extent
p. 19-25.
Is part of
Sveikatos mokslai = Health sciences in Eastern Europe. Vilnius : Sveikatos mokslai, 2021, t. 31, Nr. 4.
Version
Originalus / Original
Description
Visuomenės sveikata / Public health
Field of Science
Abstract
Sujaudinimas po anestezijos apibūdinamas kaip trumpalaikė kognityvinių funkcijų ir psichomotorinio sujaudinimo būsena, kuri prasideda pasibaigus anestezijai ir tęsiasi ankstyvuoju poanesteziniu laikotarpiu. Sujaudinimo dažnis vaikų populiacijoje svyruoja labai didelėse ribose - nuo 10 iki 80 proc. Patofiziologija ir pagrindiniai mechanizmai nėra tiksliai žinomi. Tyrimo tikslas: nustatyti sujaudinimo paplitimo dažnį bei galimus rizikos veiksnius vaikams, kuriems buvo atliekama bendroji anestezija. Metodai. Atliktas perspektyvinis stebimasis tyrimas, į kurį įtraukti 1–12 metų vaikai. Vaiko elgesys prieš anesteziją buvo įvertintas naudojant vaikų anestezijos elgesio (PAB) skalę. Sujaudinimo vertinimui buvo naudota Watcha skalė, skausmo vertinimui - vizualinė analoginė skalė (VAS). Praėjus 2 savaitėms po anestezijos, buvo apklausti pacientų tėvai dėl galimų vaiko elgesio pokyčių. Išvados. Tyrimas parodė 17,5 proc. ED paplitimą. Trumpa anestezijos trukmė ir pooperacinis skausmas buvo susijęs su sujaudinimo atsiradimu.
Background: Emergence delirium (ED) is described as a transient state of cognitive disturbance and psychomotor agitation, which begins with emergence from anesthesia and continues through the early recovery period. The incidence of ED in the pediatric population remains unclear and ranges from 10 to 80%. The pathophysiology and underlying mechanisms of ED are also uncertain. This study aimed to determine the prevalence of ED, potential risk factors that may contribute to the development of ED and observe behaviour changes related to ED in the late postoperative period. Methods: A prospective observational study was carried out with children aged 1 to 12 years. The child’s behaviour before anesthesia was evaluated using the Pediatric Anesthesia Behavior (PAB) score. Medications used during the perioperative period were registered. The Watcha scale was used to evaluate if children developed ED and the Visual Analogue Scale (VAS) was used to register pain intensity during the first 15 minutes after the awakening. Parents of patients who experienced agitation were asked to assess their child’s behaviour two weeks after the anesthesia. Results: Among 136 observed patients 24 (17.6%) had ED. The duration of anesthesia among ED experienced patients was 45.42 (SD 18.35) min and it was significantly shorter than among children who didn’t develop ED - 60 (SD 29.03) min, p = 0.016. Eighteen (15.5%) patients in a mild pain group (VAS 0 to 3) experienced ED while in a moderate-25 severe pain group (VAS 4-10) there were 6 (37.5%) children who developed ED, p=0.033. However, age, the American Society of Anesthesiologists Classification (ASA) class, surgery type, behaviour before anesthesia induction and perioperative medications were not associated with ED. [...].
Type of document
type::text::journal::journal article::research article
ISSN (of the container)
1392-6373
2335-867X
Other Identifier(s)
(LSMU ALMA)990001041460107106
Coverage Spatial
Lietuva / Lithuania (LT)
Language
Anglų / English (en)
Bibliographic Details
35