Evidence map›Paper›PMID 32801855›Full record

ReviewLocal and regional anesthesia2020

Emergence Agitation and Delirium: Considerations for Epidemiology and Routine Monitoring in Pediatric Patients.

Carrie Menser, Heidi Smith

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Local and regional anesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06323616 (The Effect of Anesthesia Depth Monitoring on Emergence Agitation and Delirium in Pediatrics), which is not on this map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06323616 nacompletednot on this mapstarted 2024, after this paper: background citation

The Effect of Anesthesia Depth Monitoring on Emergence Agitation and Delirium in Pediatrics

TypeinterventionalSponsorIstanbul UniversityRan2024 to 2025Enrolled250ConditionsAnesthesia, Emergence Delirium, Anesthesia Awareness, Behavior Child ProblemsArmsMAC adjustment to PSI between 25 and 50
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Carrie MenserDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Heidi SmithDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Monroe Carell Jr. Children's Hospital · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emergence from anesthesia can be associated with a wide spectrum of cognitive and behavioral dysregulation in children, including delirium or acute brain dysfunction. This period of neurobehavioral recovery can be further confounded by pain, anxiety, and fear. The implementation of monitoring for level of consciousness, pain, and delirium using valid pediatric tools is necessary to avoid misdiagnosis due to overlapping symptomatology and support appropriate management. Understanding the epidemiology of delirium in the postoperative setting will require consistent use of accurate terminology in the medical literature. The current interchangeable use of the terms "emergence agitation" and "emergence delirium" needs to be highlighted and awareness of differences in patient conditions and assessment tools is essential. We discuss epidemiology of emergence agitation and delirium in the pediatric population, and the challenges for future delineation of monitoring and management. Furthermore, we describe the possible impact of long-term consequences of emergence delirium among infants and children, and the necessary areas of future research.

Indexed as

agitationdeliriumemergenceexcitationpediatricsperioperativepostoperativesedation

Identifiers

PMID32801855
PMCPMC7394591
OpenAlexW2601787165

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.