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311081

Emergence Agitation: Mechanism, Risk Factors, Assessment and Management

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Anaesthesia & Surgical Intensive Care

Abstract

The effects of emergence agitation (EA), also known as emergence delirium, can be clinically substantial. EA's mechanism is yet unknown. Age, male sex, the type of surgery, an emergency procedure, the use of inhalational anesthetics with low blood-gas partition coefficients, a lengthy procedure, anticholinergics, premedication with benzodiazepines, postoperative pain, and the presence of invasive devices are among the proposed risk factors for EA. There are numerous tools available for evaluating EA. However, there are no established best practices for clinical research. Preoperative instruction for surgery, parent-present induction, localized analgesia, multimodal analgesia, propofol, Nefopam, N-methyl-D-aspartate receptor antagonists, and opioid agonists, and total intravenous anesthesia may all aid in preventing EA. However, it might be challenging to recognize high-risk patients and implement preventative strategies in varied therapeutic settings. The techniques of studies and the patients evaluated affect the risk variables and outcomes of preventative interventions. In this review, we cover significant findings from EA research as well as prospective research directions

DOI

10.21608/zumj.2023.225603.2833

Keywords

Emergence Agitation, Pediatric Anesthesia Emergence Delirium, Dexmedetomidine

Authors

First Name

Mohammed

Last Name

Abdullah

MiddleName

Meftah

Affiliation

Department of Anesthesia, Intensive Care and Pain management, Faculty of Medicine, Zagazig University, Egypt

Email

mohammed.84111@gmail.com

City

-

Orcid

-

First Name

Mohammed

Last Name

Tawfik

MiddleName

Shehta

Affiliation

Department of Anesthesia, Intensive Care and Pain management, Faculty of Medicine, Zagazig University, Egypt

Email

shehtatawfik@gmail.com

City

-

Orcid

-

First Name

Salwa

Last Name

Waly

MiddleName

Hassan

Affiliation

Department of Anesthesia, Intensive Care and Pain management, Faculty of Medicine, Zagazig University, Egypt

Email

salwa.waly@yahoo.com

City

Zagazig

Orcid

0000-0001-6976-3338

First Name

Ashraf

Last Name

Torki

MiddleName

Abdallah

Affiliation

Department of Anesthesia, Intensive Care and Pain management, Faculty of Medicine, Zagazig University, Egypt

Email

dr.ashraf.anesthesia@gmail.com

City

Zagazig

Orcid

-

Volume

30

Article Issue

3

Related Issue

46681

Issue Date

2024-05-01

Receive Date

2023-07-30

Publish Date

2024-05-01

Page Start

686

Page End

697

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_311081.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=311081

Order

8

Type

Review Articles

Type Code

349

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Emergence Agitation: Mechanism, Risk Factors, Assessment and Management

Details

Type

Article

Created At

30 Dec 2024