ArticleChildren (Basel, Switzerland)2022
Incidence of Emergence Delirium in the Pediatric PACU: Prospective Observational Trial.
Article in Children (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Effect of Remimazolam Administration on Emergence Delirium in Children After General Anesthesia: A Systematic Review With Meta-Analysis of Randomized Controlled Trials.Paediatric anaesthesia · 2026Pooled it
- The effect of listening to a mother's voice on emergence delirium in pediatric patients undergoing adenotonsillectomy: a prospective study.Pediatric research · 2026Article
- Associations Between Complete Blood Count-Derived Inflammation Indices and Emergence Delirium in Children Undergoing Adenotonsillectomy.Paediatric anaesthesia · 2026Article
- Nature and Incidence of Post-Anesthesia Complications in the Recovery Care Units Among Postoperative Patients in Palestinian Hospitals: A Cross-Sectional Study.Health science reports · 2026Article
- Can intraoperative electroencephalogram finally prevent emergence delirium in children?Translational pediatrics · 2026Article
- Risk factors and prediction model of emergence delirium in children after general anesthesia under preoperative sedation with uniform oral midazolam premedication: a prospective observational cohort study.BMC anesthesiology · 2026Observational
- Comparative efficacy of non-pharmacological interventions on emergency delirium in postoperative children: a systematic review and Bayesian network meta-analysis.International journal of surgery (London, England) · 2026Article
- Emergence delirium: an overview with an emphasis on the use of electroencephalography in its management.Anesthesia and pain medicine · 2024Article
- Article
- Effect of Preoperative Clear Liquid Consumption on Postoperative Recovery in Pediatric Patients Undergoing Minimally Invasive Repair of Pectus Excavatum: A Prospective Randomized Controlled Study.Journal of clinical medicine · 2024Article
- Incidence and risk factors for emergence delirium in children undergoing surgery under general anaesthesia - A prospective, observational study.Indian journal of anaesthesia · 2023Article
- Peri-Operative Nurses' Experiences of Recognizing and Responding to Post-Anesthetic Pediatric Emergence Delirium: A Narrative Review.SAGE open nursingReview
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Emergence delirium (ED) is a postoperative complication in pediatric anesthesia characterized by perception and psychomotor disorder and has a negative impact on morbidity in the form of maladaptive behavior, which can last weeks after anesthesia. Patients with developed ED present with psychomotor anxiety, agitation, and are at higher risk of unintentional extraction of an intravenous cannula, self-harm and nausea and vomiting. The described incidence of ED varies between 25−80%, with a higher prevalence among children younger than 6 years of age. We aimed to determine the incidence of ED in pediatric patients (>1 month) after general anesthesia in the post-anesthesia care unit (PACU), using Paediatric Anaesthesia Emergence Delirium (PAED) score, Watcha score and Richmond agitation and sedation scale (RASS). The incidence of ED was the highest in the PAED score with cutoff ≥10 points (89.0%, n = 1088). When using PAED score >12 points, ED incidence was 19.3% (n = 236). The lowest incidence was described by Watcha and RASS scores, 18.8% (n = 230) vs. 18.1% (n = 221), respectively. The threshold for PAED ≥10 points seems to give false-positive results, whereas the threshold >12 points is more accurate. RASS scale, although intended primarily for estimation of the depth of sedation, seems to have a good predictive value for ED.
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