How do you approach the management of emergence delirium in pediatric patients?

Indunil Karunarathna @Indunil-Karunarathna

12 April 2024 1 9K Report

Managing emergence delirium in pediatric patients involves a combination of preventive measures, pharmacological interventions, environmental modifications, and supportive care to minimize distress and promote smooth recovery.

Indunil Karunarathna

Preventive Strategies:Preoperative Preparation: Provide age-appropriate preoperative education and psychological preparation to reduce anxiety and fear associated with anesthesia and surgery. Minimize Stressors: Create a calm and soothing environment in the operating room and recovery area, minimize noise, and ensure the presence of familiar caregivers whenever possible. Address Pain and Discomfort: Optimize pain management using multimodal analgesia techniques to reduce the likelihood of pain-related agitation during emergence from anesthesia.

Pharmacological Interventions:Short-Acting Anesthetic Agents: Use short-acting anesthetic agents such as propofol or sevoflurane for maintenance of anesthesia to facilitate rapid emergence and reduce the risk of emergence delirium. Analgesics: Administer appropriate analgesic medications, such as opioids or non-opioid analgesics, to manage postoperative pain and discomfort effectively. Sedatives: Consider using sedative medications such as dexmedetomidine or benzodiazepines to promote smooth emergence and reduce agitation in susceptible patients.

Environmental Modifications:Postoperative Care Environment: Create a quiet and dimly lit recovery area with minimal stimulation to facilitate a smooth transition from anesthesia to wakefulness. Familiar Faces: Ensure the presence of familiar caregivers or family members in the recovery area to provide emotional support and reassurance during the emergence period. Distraction Techniques: Use distraction techniques such as storytelling, music, or handheld electronic devices to divert attention and alleviate anxiety during emergence from anesthesia.

Supportive Care:Reassurance: Offer verbal reassurance and physical comfort measures to reassure the child and alleviate distress during emergence from anesthesia. Observation and Monitoring: Continuously monitor the child's vital signs, behavior, and level of consciousness during the emergence period to detect and manage any signs of agitation or delirium promptly. Individualized Approach: Tailor management strategies to the individual needs and preferences of each child, taking into account factors such as age, developmental stage, medical history, and prior experiences with anesthesia.

Communication and Collaboration:Interdisciplinary Collaboration: Work closely with pediatric anesthesia providers, surgeons, nurses, child life specialists, and other members of the healthcare team to implement coordinated care and support for pediatric patients during the emergence period. Family Communication: Keep parents or caregivers informed about the child's condition, recovery progress, and management plan, and involve them in decision-making processes whenever possible.

By employing a comprehensive approach that combines preventive measures, pharmacological interventions, environmental modifications, and supportive care, healthcare providers can effectively manage emergence delirium in pediatric patients and promote a positive perioperative experience.

Badges
Science topic

More Indunil Karunarathna's questions See All

Detection and Identification of Amanitins in the Wood-Rotting Fungi Galerina fasciculata andGalerina helvoliceps

Dear all, Can anyone help me to contact the corresponding author of the paper " Muraoka, S., Fukamachi, N., Mizumoto, K., & Shinozawa, T. (1999). Detection and Identification of Amanitins in...

01 January 1970 6,517 3 View

Edible mushrooms and their cultivation

Hi All, Does anyone have the PDF of following book? Chang, S. T.; Miles, P. G. (1989). Edible mushrooms and their cultivation. Edible Mushrooms and Their Cultivation, 345. Thanks

01 January 1970 7,851 1 View

Does the circuit modeling for planar monopole antennas using Foster canonical forms give good approximation?

Hi researchers, I am searching for some accurate way to do the circuit modeling of planar CPW-fed monopole antennas. I have gone through the literature where mostly circuit modeling is done using...

28 February 2021 7,016 1 View

Why cannot world and community leaders be gentle? Where did ethics of care go?

The whole world is in a mess and paused. We all are tired of seeing hypermasculinized and destructive leaderships all around us. This world has seen enough of the aggressive patriarchal social...

23 February 2021 292 7 View

Can two EC50 values with different hill slopes be compared?

Hello, I fit a classical dose response curve Y=Bottom + (Top-Bottom)/(1+10^((LogEC-X)*HillSlope)) to my data (not related to inhibitors etc). The model I use is purely qualitative but it fits...

23 February 2021 8,155 5 View

What is the most prevalent drug related problem in the developed countries?

Detecting the drug related problems is an important step in the pharmaceutical care plan

21 February 2021 5,421 3 View

Is this grounds for theophylline toxicity even though her plasma is within the therapeutic range? if it is, how is that possible?

A patient was given 300 mg Theophylline taken twice a day for the treatment of her bronchial asthma and has a positive clinical response. She has been compliant in taking her medication however,...

09 February 2021 3,489 3 View

Can I simply dilute 25% NH3 solution to 10% solution by pouring water in tank and circulating with pump?

Is there any heat of dilution which I need to take care by putting some circulation cooler? Will there be any significant ammonia emission in the process?

09 February 2021 5,943 2 View

How do i calculate the mean of patient age represented by year + months?

Dear all , I'm doing a pediatric study and the majority of sample's ages are repressented by year + months such as 6Y+4M. How can enter the data and calculate the mean in SPSS? Thank you for...

01 February 2021 570 10 View

Difference between assessing EC50 in presence of physiological levels of human serum albumin and alpha1 acid glycoprotein vs. % human serum?

01 February 2021 1,825 1 View

When is the right time to stop training a classification algorithm?

In this example giving 400 samples looks like there is an accuracy of 91.5% while training beyond that point, accuracy is getting decreased. Are 400 samples enough to keep for this example? If...

27 January 2021 5,657 3 View

What contributions could be done in the medical emergency field based on voice recognition and NLP?

Hello, My research work focuses on the use of NLP and voice recognition for the medical emergency assistance. So I would appreciate it if you suggest me some contributions that could be done in...

27 January 2021 2,899 3 View