Evidence map›Paper›PMID 40821089›Full record

ArticleAmerican journal of translational research2025

Efficacy of esketamine in alleviating emergence delirium and agitation in pediatric patients undergoing adenotonsillectomy under general anesthesia.

Guozheng Shang, Xia Li, Tianjun Zeng, Wanli Zhao, Wenjuan Wang, Lili Zou

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Article in American journal of translational research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Guozheng ShangDepartment of Anesthesiology and Perioperative Medicine, General Hospital of Ningxia Medical University Yinchuan 750001, Ningxia Hui Autonomous Region, China.
Xia LiDepartment of Anesthesiology and Perioperative Medicine, General Hospital of Ningxia Medical University Yinchuan 750001, Ningxia Hui Autonomous Region, China.
Tianjun ZengDepartment of Anesthesiology, The 942th Hospital of The PLA Joint Logistics Support Force Yinchuan 750001, Ningxia Hui Autonomous Region, China.
Wanli ZhaoDepartment of Anesthesiology and Perioperative Medicine, General Hospital of Ningxia Medical University Yinchuan 750001, Ningxia Hui Autonomous Region, China.
Wenjuan WangDepartment of Anesthesiology and Perioperative Medicine, General Hospital of Ningxia Medical University Yinchuan 750001, Ningxia Hui Autonomous Region, China.
Lili ZouDepartment of Anesthesiology and Perioperative Medicine, General Hospital of Ningxia Medical University Yinchuan 750001, Ningxia Hui Autonomous Region, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the effect of esketamine on emergence delirium (ED) and emergence agitation (EA) in pediatric patients under general anesthesia.

methodsThis retrospective study included 94 pediatric patients who underwent adenotonsillectomy under general anesthesia at General Hospital of Ningxia Medical University from January 2023 to October 2024. The patients were divided into three groups according to different anesthesia protocols they received: Group A (n=30, esketamine 0.5 mg/kg), Group B (n=32, esketamine 0.75 mg/kg), and Group C (n=32, fentanyl 2 µg/kg). Hemodynamic values, surgical indicators, pstoperative pain and agitation (the Face, Legs, Activity, Cry, and Consolability (FLACC) scale face, legs, activity, Cry, and consolability (FLACC) scale and the Pediatric Anesthesia Emergence Delirium (PAED) scale), the incidence of EA and ED, and perioperative adverse events were compared across the groups. Factors associated with EA and ED occurrence were analyzed.

resultsGroups A and B exhibited significantly shorter time to spontaneous respiration, extubation, and awakening than Group C (

conclusionCompared to fentanyl, esketamine, particularly at a dose of 0.75 mg/kg, eenhanced perioperative hemodynamic stability, reduced postoperative ED and EA incidence, and demonstrated a favorable safety profile in pediatric adenotonsillectomy.

Indexed as

adenotonsillectomyagitationemergence deliriumEsketaminepediatric patients

Identifiers

PMID40821089
PMCPMC12351626

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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.