Search Results

Inhalation anesthesia has been known to cause emergence delirium and agitation, particularly in young children. Halothane was the induction agent of choice for children for 4 decades until the advent of sevoflurane, which offered better clinical outcomes in the pediatric patient. Sevoflurane is advantageous because it does not cause significant cardiac depression and dysrhythmias compared to halothane. Inhalation induction and maintenance are often necessary in children who are uncooperative and combative. There are numerous other advantages

cautery, and sevoflurane 0.5–1% was administered with the patient spontaneously ventilating. Her vital signs showed no marked changes. The patient was subsequently awakened from anesthesia with her head elevated. No agitation was observed during emergence, and she was extubated (total blood loss volume 1215 mL). An alginate wound dressing was placed in the cauterized area, and an absorbent surgical sponge was placed behind the left side of the nasal passage. After 3 days, the surgical sponge was removed, and the alginate wound dressing underwent spontaneous

General anesthesia induction for children and patients with special needs can be very challenging, as patient anxiety and agitation can cause preoperative disturbances and disrupt clinic schedules. In extreme circumstances, violent or combative behavior poses a physical risk to the patient, their caregivers, and health care personnel. In these situations, preoperative intramuscular (IM) sedation is often used to facilitate safe transfer to the operating room (OR) and intravenous (IV) cannulation, with the primary goal being behavior

at risk for postoperative delirium. 6 Koo C-H, Koo B-W, Han J, Lee H-T, Lim D, Shin H-J. The effects of intraoperative magnesium sulfate administration on emergence agitation and delirium in pediatric patients: a systematic review and meta-analysis of randomized controlled trials. Pediatr Anesth . 2022;32:522–530. doi:10.1111/pan.14352 The role of intraoperative magnesium for the prevention of emergence agitation or delirium is unclear. The aim of this study was to investigate

Adverse events, 54 Agitation, 67 Analgesics, 178 Antibiotic prophylaxis, 111 Antibiotics, 111 Anticoagulants, 72 Antifungals, 111 Antiplatelet drugs, 72 Articaine, 42 Benzodiazepine, 162 Children, 54, 60 Continuous veno-venous hemofiltration, 21 Cut nasotracheal tube, 11 Delayed recovery, 153 Delirium, 67 Dental anesthesia sonophoresis device, 37 Dental anxiety, 46 Dental Anxiety Scale, 46 Dental

Yabuki Akiko Miyawaki Takuya A Retrospective Study on the Risk Factors for Emergence Agitation following General Anesthesia J Jpn Dent Soc Anesthesiol 2013;41:21–25. We performed a retrospective study on the risk factors for emergence agitation following general anesthesia in patients undergoing oral surgery in Okayama University Hospital between June 2011 and March 2012. This study

after the administration of an additional 2 mg midazolam to deepen the sedation level, the patient demonstrated uncontrolled agitation, a state of excitement, and moaning. The symptoms continued for about 10 minutes. Blood pressure, HR, and oxygen saturation as measured by pulse oximetry (SpO 2 ) were stable at 130/80 mm Hg, 70 beats/min, and 97% during the episode. Because his symptoms faded spontaneously 15 minutes after their occurrence, the operation was restarted. Ninety minutes after intravenous sedation, an additional 1 mg of midazolam was administered to keep

Lei D, Wu C, Wu Z, Wang L, Zhao Q, She Y. Efficacy of different doses of intranasal dexmedetomidine in preventing emergence agitation in children with inhalational anesthesia. Eur J Anaesthesiol. 2022;39(11):858–867. This randomized, placebo-controlled, double-blind trial enrolled a total of 318 children undergoing outpatient surgery. They were divided into 2 age groups, younger than 3 years and older than 3 years, and received either intranasal dexmedetomidine (0.5, 1.0, 1.5, or 2.0 μg/kg) or isotonic saline. Emergence agitation was much

extubation and is well tolerated with less agitation than the facemask. 2 However, the risk of epistaxis is higher in the postoperative period of 2-jaw surgery as a consequence of damage to the nasal mucosa, polyps, turbinates, or other tissues by the insertion of the nasal endotracheal tube (ETT) or NPA as well as the LeFort surgery itself. After 2-jaw surgery, we encountered a patient who was sufficiently awake and able to secure her airway and to breathe spontaneously with some difficulty as nasal bleeding was active and there may have been intraoral edema and

controlled trial data were analyzed to study the putative effect of dexmedetomidine on PRAEs. By searching the Cochrane Library, EMBASE, and PubMed, a total of 10 randomized controlled trials (1,056 patients) were identified. PRAEs included cough, breath holding, laryngospasm, bronchospasm, desaturation (percutaneous oxygen saturation <95%), body movement, and pulmonary rales. Compared with placebo, dexmedetomidine resulted in a significantly reduced incidence of cough, breath holding, laryngospasm, and emergence agitation. The incidence of PRAEs was significantly reduced