小儿全麻苏醒期躁动
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ANESTHESIOLOGY1997; 87:1298 –300
EA occurs more frequently in preschool children
Are There Risk Factors of Emergence Agitation?
Type of Surgery
Age of Patients
Aono J, Ueda W, Mamiya K, Takimoto E, Manabe M:
Greater incidence of delirium during recovery from sevoflurane anesthesia in preschool boys.
Case report
手术前
Preanesthetic risk evaluation Discussion with parents given information when to eat
Case report
手术当天 The child was very anxious, agitated and cried
Etiology of EA
pain
difference of clearance of volatile agents from the central nervous system The immaturity of nervous system of preschool children
There was until recently no consensus upon the diagnostic criteria for EA.
preventive strategies used to decrease its occurrence during the perioperative period.
family members
What Is the Clinical Presentation of Emergence Agitation?
Are There Risk Factors of Emergence Agitation?
Are There Risk Factors of Emergence Agitation?
mood or temperament changes bed-wetting
Is Emergence Agitation Frequent in Children?
The incidence of EA ranges from 2 to 80%
The incidence is known to be increased by the use of the new volatile agents.
PACU
Case report
手术当天 SPO2:98%, HR:103 beats/min, BP:90/45 mmHg
5 min later
35 min later 75 min later
agitated, inconsolable, made no contact with caregivers, and needed some physical restraint 1ug of sufentanil PAED scale was decreased to 4(19)
left the PACU
leave the hospital 70 min after the discharge from PACU
What Is the Clinical Presentation of Emergence Agitation?
Case report
手术后
The surgical consultation, performed 2 weeks later and with a phone call 3 months later did not find any evidence of postoperative adverse behaviors
given by a facemask
Duration of surgery was 10 min
Case report
手术当天
Emergence
inspiratory oxygen was increased to 100% the child was transferred sedated to the PACU Under spontaneous ventilation
Induction
sevoflurane 6% (in a mixture of O2/N2O0 mg of IV paracetamol
Case report
手术当天
maintenance
kept spontaneously breathing with a 3% sevoflurane end-tidal concentration O2/N2O: 50%/50%
小儿全麻苏醒期躁动
Liang li rong
Case report
心都碎了！
content
Case report
一般情况
3 yr-old child weighing 15 kg
planned for bilateral myringotomy and tubes.
When he was 1 month old, he had been operated for congenital pyloric stenosis.
What Is the Clinical Presentation of Emergence Agitation?
Kicking Tilting Tantrum Agitated Inconsolable Nonpurposeful movement Eyes stared or averted Holding their head backward Have no eye contact with their
EA occurs more frequently in preschool children
Are There Risk Factors of Emergence Agitation?
Type of Surgery
Age of Patients
Aono J, Ueda W, Mamiya K, Takimoto E, Manabe M:
Greater incidence of delirium during recovery from sevoflurane anesthesia in preschool boys.
Case report
手术前
Preanesthetic risk evaluation Discussion with parents given information when to eat
Case report
手术当天 The child was very anxious, agitated and cried
Etiology of EA
pain
difference of clearance of volatile agents from the central nervous system The immaturity of nervous system of preschool children
There was until recently no consensus upon the diagnostic criteria for EA.
preventive strategies used to decrease its occurrence during the perioperative period.
family members
What Is the Clinical Presentation of Emergence Agitation?
Are There Risk Factors of Emergence Agitation?
Are There Risk Factors of Emergence Agitation?
mood or temperament changes bed-wetting
Is Emergence Agitation Frequent in Children?
The incidence of EA ranges from 2 to 80%
The incidence is known to be increased by the use of the new volatile agents.
PACU
Case report
手术当天 SPO2:98%, HR:103 beats/min, BP:90/45 mmHg
5 min later
35 min later 75 min later
agitated, inconsolable, made no contact with caregivers, and needed some physical restraint 1ug of sufentanil PAED scale was decreased to 4(19)
left the PACU
leave the hospital 70 min after the discharge from PACU
What Is the Clinical Presentation of Emergence Agitation?
Case report
手术后
The surgical consultation, performed 2 weeks later and with a phone call 3 months later did not find any evidence of postoperative adverse behaviors
given by a facemask
Duration of surgery was 10 min
Case report
手术当天
Emergence
inspiratory oxygen was increased to 100% the child was transferred sedated to the PACU Under spontaneous ventilation
Induction
sevoflurane 6% (in a mixture of O2/N2O0 mg of IV paracetamol
Case report
手术当天
maintenance
kept spontaneously breathing with a 3% sevoflurane end-tidal concentration O2/N2O: 50%/50%
小儿全麻苏醒期躁动
Liang li rong
Case report
心都碎了！
content
Case report
一般情况
3 yr-old child weighing 15 kg
planned for bilateral myringotomy and tubes.
When he was 1 month old, he had been operated for congenital pyloric stenosis.
What Is the Clinical Presentation of Emergence Agitation?
Kicking Tilting Tantrum Agitated Inconsolable Nonpurposeful movement Eyes stared or averted Holding their head backward Have no eye contact with their