• C L Bong, E Lim, J C Allen, W L H Choo, Y N Siow, P B Y Teo, and J S K Tan.
• Department of Paediatric Anaesthesia, KK Women's and Children's Hospital, Singapore.
• Anaesthesia. 2015 Apr 1;70(4):393-9.

AbstractEmergence delirium is a significant problem in children regaining consciousness following general anaesthesia. We compared the emergence characteristics of 120 patients randomly assigned to receive a single intravenous dose of dexmedetomidine 0.3 μg.kg(-1) , propofol 1 mg.kg(-1) , or 10 ml saline 0.9% before emerging from general anaesthesia following a magnetic resonance imaging scan. Emergence delirium was diagnosed as a score of 10 or more on the Paediatric Anaesthesia Emergence Delirium scale. The incidence of emergence delirium was 42.5% in the dexmedetomidine group, 33.3% in the propofol group and 41.5% in the saline group (p = 0.671). Three patients in the dexmedetomidine group, none in the propofol group and two in the saline group required pharmacological intervention for emergence delirium (p = 0.202). Administration of neither dexmedetomidine nor propofol significantly reduced the incidence, or severity, of emergence delirium. The only significant predictor for emergence delirium was the time taken to awaken from general anaesthesia, with every minute increase in wake-up time reducing the odds of emergence delirium by 7%.© 2014 The Association of Anaesthetists of Great Britain and Ireland.

This article appears in the collection: Avoiding post-anesthesia emergence delirium in children.

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