Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia

Soheila Shahmohammadi; Masoumeh Mohkamkar; Fatemeh Farhoudi; Alireza Alam-Sahebpour; Seyed-Abdullah Mousavi; Soghra Khani

IJ Pediatrics

The Scientific Journal of Growth & Development Research Center

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Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia

Author(s):

Soheila Shahmohammadi^1,*,

Masoumeh Mohkamkar²,

Fatemeh Farhoudi³,

Alireza Alam-Sahebpour⁴,

Seyed-Abdullah Mousavi⁵,

Soghra Khani⁶

IJ Pediatrics:Vol. 24, issue 2; 184-190

Published online:Feb 15, 2014

Article type:Research Article

Received:Apr 24, 2013

Accepted:Jan 22, 2014

How to Cite:Soheila ShahmohammadiMasoumeh MohkamkarFatemeh FarhoudiAlireza Alam-SahebpourSeyed-Abdullah MousaviSoghra Khaniet al.Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia.Iran J Pediatr.24(2):184-190.

Abstract

Objective: Postanesthetic emergence agitation is a common problem in pediatric postanesthetic care unit with an incidence ranging from 10 to 80%. This study was done to determine the prevalence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia. Methods: This cross-sectional descriptive and analytic study was performed on 747 pediatric patients aged 3- 7 years that underwent general anesthesia for various elective surgeries at Bou-Ali Sina Hospital in Sari, Iran between January 2010 and January 2011. A non-probability quota sampling technique was used. The presence of emergence agitation was recorded using Pediatric Anesthesia Emergence Delirium Scale. The factors linked with Emergence Agitation were recorded in a questionnaire. The data were analyzed using SPSS software 16 and independent sample t-test, χ2 and binary logistic regression. P-values less than 0.05 were considered as significant. Findings: One hundred thirty-four (17.9%) children had emergence agitation. The most frequent surgical procedures were ENT surgical procedures 315 (42.2%), abdominal surgery 177 (23.7%), orthopedic surgery 137 (18.3%), urology 97 (13%) and ophthalmic surgery 24 (3.2%). Otorhinolaryngological surgical procedures (P=0.001), pain (P

Keywords

Emergence Agitation

Psychomotor Agitation

Pediatric Surgery

Anesthesia

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