Correlation between duration of preoperative fasting and emergence delirium in pediatric patients undergoing ophthalmic examination under anesthesia: A prospective observational study

Paediatric Anaesthesia
Puneet KhannaSouvik Maitra

Abstract

Preoperative fasting in children can cause anxiety, which may ultimately lead to postoperative emergence delirium. However, no data are available whether duration of preoperative fasting correlates with postoperative emergence delirium. The aim of this study was to identify if there is any correlation between the duration of preoperative fasting and emergence delirium in children undergoing ophthalmic examination under anesthesia. In this prospective observational study, 100 children between the age group 2-6 years of American Society of Anesthesiologists physical status I or II, scheduled for examination of the eye under general anesthesia with sevoflurane were recruited. Data regarding preoperative fasting was recorded and presence of emergence delirium was assessed by the Pediatric Anesthesia Emergence Delirium (PAED) scale at 5 minute interval till 30 minutes from the time of leaving the operation theater. No premedication was used in any patients but parental presence was allowed in all of them. Mean (standard deviation) duration of fasting to clear liquid was 6.3 (1.7) hrs. Twenty-four children (24%) had at least 1 recorded PAED score >10 at any time point in the postoperative period. PAED scores at 15 and 25 minutes were...Continue Reading

References

Mar 7, 2003·American Journal of Surgery·Avi A WeinbroumTiberiu Ezri
May 23, 2003·Anesthesia and Analgesia·Terri Voepel-LewisAlan R Tait
Nov 25, 2004·Anesthesia and Analgesia·Zeev N KainHeping Zhang
Jan 15, 2008·International Journal of Nursing Practice·Seija Klemetti, Tarja Suominen
Feb 20, 2009·Anesthesia and Analgesia·Senthilkumar SadhasivamJoel Gunter
Apr 15, 2011·Paediatric Anaesthesia·Thomas EngelhardtAchim Schmitz
Apr 22, 2014·World Journal of Surgery·Endale Gebreegziabher Gebremedhn, Vidhya Bates Nagaratnam
Jun 28, 2017·Curēus·Telliane ChonConnie Mun-Price

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Citations

Jan 5, 2021·JMIR Perioperative Medicine·Richard Neville MerchantJuliana Nai Jia Kok
Dec 29, 2020·Anesthesiology·Allan F SimpaoPaul A Stricker
May 1, 2021·Journal of Neurosciences in Rural Practice·Sandeep GroverDevakshi Dua

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