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 Emergence Delirium in Children
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Anesth Analg 2007;104:84-91
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000250914.91881.a8

PEDIATRIC ANESTHESIA

Emergence Delirium in Children: Many Questions, Few Answers

Gordana P. Vlajkovic, MD*{dagger}, and Radomir P. Sindjelic, MD, PhD*{dagger}

From the *Department of Anesthesiology, Belgrade University Medical School; and {dagger}Institute for Anesthesia and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia.

Address correspondence and reprint requests to Gordana Vlajkovic, MD, Department of Anesthesiology, Belgrade University Medical School, Dr Koste Todorovica 8, 11000 Belgrade, Serbia. Address e-mail to gvlajkov{at}eunet.yu.

The introduction of a new generation of inhaled anesthetics into pediatric clinical practice has been associated with a greater incidence of ED, a short-lived, but troublesome clinical phenomenon of uncertain etiology. A variety of anesthesia-, surgery-, patient-, and adjunct medication-related factors have been suggested to play a potential role in the development of such an event. Restless behavior upon emergence causes not only discomfort to the child, but also makes the caregivers and parents feel unhappy with the quality of recovery from anesthesia. Although the severity of agitation varies, it often requires additional nursing care, as well as treatment with analgesics or sedatives, which may delay discharge from hospital. To reduce the incidence of this adverse event, it is advisable to identify children at risk and take preventive measures, such as reducing preoperative anxiety, removing postoperative pain, and providing a quiet, stress-free environment for postanesthesia recovery. More clinical trials are needed to elucidate the cause as well as provide effective treatment.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.