Čes-slov Pediat 2024, 79(5):266-270 | DOI: 10.55095/CSPediatrie2024/047

Emergence delirium in children: up to date for pediatriciansPediatrické postupy v praxi

Michal Frelich^{1, 2}, Filip Burša^{1, 2}, Peter Sklienka^{1, 2}, Bořek Trávníček^{2, 3}, Markéta Nowaková^{2, 3}, Jan Pavlíček^{2, 3, 4}

¹ Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Ostrava

² Lékařská fakulta, Ostravská univerzita, Ostrava

³ Klinika dětského lékařství, Fakultní nemocnice Ostrava

⁴ Centrum biomedicínského výzkumu, Fakultní nemocnice Hradec Králové

Emergence delirium (ED) is a common postoperative complication in children, characterized by desorientation, perception and psychomotor disorder. The described incidence of emergence delirium varies between 10-50 %. Although ED is self-limiting, it can induce postoperative complications, including self-injury, dehiscence of surgical wound, bleeding and other difficulties for medical staff. Despite extensive research of ED, precise pathophysiology remains uknown. PAED score is only validated tool for ED diagnosis. This review summarizes the risk factors of ED development and provide current options of pharmacologic and non-pharmacologic prevention and treatment.

Keywords: general anesthesia, emergence delirium, postoperative complications

Accepted: July 23, 2024; Published: November 1, 2024  Show citation