Pay attention to the diagnosis, prevention and treatment of pediatric anesthesia emergence delirium
10.3760/cma.j.cn114015-20230420-00289
- VernacularTitle:重视儿童麻醉苏醒期谵妄的识别、预防和处理
- Author:
Shoudong PAN
1
;
Tianlong WANG
Author Information
1. 首都儿科研究所附属儿童医院麻醉科，北京 100020
- Publication Type:Journal Article
- Keywords:
Delirium;
Child;
Anesthesia;
Risk factors
- From:
Adverse Drug Reactions Journal
2023;25(6):321-323
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of pediatric anesthesia emergence delirium (ED) is high, and the potential harm is significant. It can be diagnosed through the pediatric anesthesia emergence delirium scale (PAED). The risk factors of pediatric anesthesia ED include personal, surgical, and anesthetic factors. The anesthesia ED in children can be effectively prevented by relieving preoperative anxiety, optimizing anesthetic strategies, and providing effective postoperative analgesia. Alpha 2 agonists (eg. dexmedetomidine), opioids (eg. fentanyl), propofol, and ketamine have both preventive and therapeutic effects on anesthesia ED in children.
