지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 280 - 287 (8page)
이용수
초록· 키워드
오류제보하기
Background: Pediatric patients awakening from general anesthesia may experience emergence delirium (ED), often due to inadequate pain control. Nerve block completely inhibits innervation of the surgical site and is superior to systemic analgesics. This study assessed whether pain control through nerve block relieves ED after general anesthesia. Methods: Fifty patients aged 2–7 years with humerus condyle fractures were randomly assigned to receive ultrasound guided supraclavicular brachial plexus block (BPB group) or intravenous fentanyl (Opioid group). The primary outcome was score on the pediatric anesthesia emergence delirium (PAED) scale on arrival at the postanesthesia care unit (PACU). Secondary outcomes were severity of agitation and pain in the PACU, the incidence of ED, and postoperative administration of rescue analgesics over 24 h. Results: PAED scale was significantly lower in the BPB group at arrival in the PACU (7.2 ± 4.9 vs. 11.6 ± 3.2; mean difference [95% confidence interval (CI)] = 4.4 [2.0–6.8], P < 0.001) and at all other time points. The rate of ED was significantly lower in the BPB group (36% vs. 72%; relative risk [95% CI] = 0.438 [0.219–0.876], P = 0.023). The BPB group also had significantly lower pain scores and requiring rescue analgesics than Opioid group in the PACU. Conclusions: Ultrasound guided BPB, which is a good option for postoperative acute phase pain control, also contributes to reducing the severity and incidence of ED.
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Vlajkovic GP / 2007 / Emergence delirium in children : many questions, few answers / Anesth Analg 104:84~91
Aono J / 1997 / Greater incidence of delirium during recovery from sevoflurane anesthesia in preschool boys / Anesthesiology 87:1298~1300
Aouad MT / 2005 / Emergence agitation in children : an update / Curr Opin Anaesthesiol 18:614~619
Kain ZN / 2004 / Preoperative anxiety and emergence delirium and postoperative maladaptive behaviors / Anesth Analg 99:1648~1654
Cohen IT / 2002 / The effect of fentanyl on the emergence characteristics after desflurane or sevoflurane anesthesia in children / Anesth Analg 94:1178~1181
Aono J / 1997 / Greater incidence of delirium during recovery from sevoflurane anesthesia in preschool boys / Anesthesiology 87:1298~1300
Aouad MT / 2005 / Emergence agitation in children : an update / Curr Opin Anaesthesiol 18:614~619
Kain ZN / 2004 / Preoperative anxiety and emergence delirium and postoperative maladaptive behaviors / Anesth Analg 99:1648~1654
Cohen IT / 2002 / The effect of fentanyl on the emergence characteristics after desflurane or sevoflurane anesthesia in children / Anesth Analg 94:1178~1181
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