Zeitschrift für Kindermedizin und Chirurgie

Abstrakt

Persistent Agitation Following General Anaesthesia and Surgery in Paediatric Patients: Prevalence and Contributing Factors

Denberu Eshetie

Introduction: It is usually short- lived but causes tone- injury during agitation and it led to maternal anxiety. This study was aimed to assess prevalence and factors associated with emergence agitation after general anesthesia and surgery among pediatric cases at University of Gondar technical sanitarium.

Methods: A prospective follow-up study conducted on 153 pediatric cases progressed 2 – 9 times who were operated from first February to April 30, 2019. Descriptive statistics performed to determine the prevalence. To identify the associated factorsmulti-variable double logistic retrogression was held, and a p- value 0.05 was considered as significant.

Results: Emergence agitation was endured on eighty (52.3) children with a mean and standard divagation of 12 ±5.9 min of duration. Among agitated children, 8(10) of them developed adverse events related to agitation. Delicate maternal separation geste (AOR = 2.688, 95 CI = 1.131 –6.39), children progressed 2 – 5 times (AOR = 2.688, 95 CI = 1.131 –6.3925), isoflurane conservation (AOR = 4.001, 95 CI = 1.733 –9.234) and propofol administration after conservation check (AOR = 0.145, 95 CI = 0.030 –0.695) were significantly associated with agitation.

Conclusions: Being a preschool child, delicate maternal separation and isoflurane conservation were associated with emergence agitation. But protocol administration after conservation check was set up to be defensive. So, agitation should be assessed and detected in the postoperative period and sweats should apply to help emergence agitation.