Emergence Agitation after Sevoflurane Anesthesia in Burn Injured Children.
- Author:
Young Ho JANG
1
;
Sang Kyu KIM
;
Yong Hoon SON
;
Joon Mo PARK
;
Mi Young LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Pureun Hospital Burn Center, Daegu, Korea. weonjo@pnuyh.co.kr
- Publication Type:Original Article
- Keywords:
Burn;
Children;
Postoperative agitation;
Sevoflurane
- MeSH:
Aged;
Anesthesia;
Anxiety;
Burns;
Child;
Dihydroergotamine;
Humans;
Incidence;
Masks;
Methyl Ethers;
Operating Rooms
- From:Journal of Korean Burn Society
2011;14(1):39-42
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Sevoflurane is a well accepted anesthetic in children but results high incidence of undesirable emergence agitation (EA). We investigated the EA in burn injured children. METHODS: In 219 un-premedicated burn injured children aged 2~8 years, mask induction with sevoflurane was performed. On arriving operating room, modified Yale preoperative anxiety scale (m-YPAS) was checked. In the postanesthesia care unit, EA scale was recorded as follows; EA1 (no EA), EA2 (mild EA) and EA3 (marked EA). RESULTS: The incidence of EA was 50.2%. The m-YPAS was significantly higher in EA2 and EA3 compared to EA1 (P<0.001). Burn surface area was significantly wider in EA3 compared to EA1 (P<0.05). In deep second-degree burned children, the incidence of EA1 was greatest, whereas EA3 was the greatest in third-degree burned children. CONCLUSION: The incidence of EA after sevoflurane anesthesia in burn injured children was higher as the burn surface areas was greater. In addition, the symptoms of EA in third-degree burned children were more severe than in second-degree burned children.
