Emergence delirium
| Emergence delirium | |
|---|---|
| Classification and external resources | |
| Specialty | Lua error in Module:Wikidata at line 446: attempt to index field 'wikibase' (a nil value). |
| ICD-10 | F13.4 |
| ICD-9-CM | 292.81 |
| Patient UK | Emergence delirium |
Emergence delirium (sometimes referred to as agitated emergence, emergence agitation, emergence excitement, or postanesthetic excitement) is a condition in which emergence from general anesthesia is accompanied by psychomotor agitation. Some see a relation to pavor nocturnus[1] while other see a relation to the excitement stage of anesthesia.
In children
The pediatric anesthesia emergence delirium scale may be used to measure the severity of this condition in children.[2]
Epidemiology
The overall incidence of emergence delirium is 5.3%, with a significantly greater incidence (12-13%) in children. The incidence of emergence delirium after halothane, isoflurane, sevoflurane or desflurane ranges from 2-55%.[3] Most emergence delirium in the literature describes agitated emergence. Unless a delirium detection tool is used, it is difficult to distinguish if the agitated emergence from anesthesia was from delirium or pain or fear, etc. A research study of 400 adult patients emerging from general anesthesia in the PACU were assessed for delirium using the Confusion Assessment Method for the ICU (CAM-ICU) found rates of emergence delirium of 31% at PACU admission with rates declining to 8% by 1 hour.[4]
References
- ↑ http://www.asa2012.com/PDFs_abstracts/davidson.pdf
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- ↑ E. Card, P. Pandharipande, C. Tomes, C. Lee, J. Wood, D. Nelson, A. Graves, A. Shintani, E. W. Ely and C. Hughes (2014) Emergence from general anaesthesia and evolution of delirium signs in the post-anaesthesia care unit. Br. J. Anaesth. (2014) doi: 10.1093/bja/aeu442 First published online: December 23, 2014
Further reading
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