Folia Medica Indonesiana
Vol. 55 No. 1 (2019): March

Incidence of Emergence Agitation in Pediatric Patient after General Anesthesia

Lucky Andriyanto (Department of Anesthesiology and Reanimation, Faculty of Medicine, Universitas Airlangga, Dr Soetomo Hospital, Surabaya)
Arie Utariani (Department of Anesthesiology and Reanimation, Faculty of Medicine, Universitas Airlangga, Dr Soetomo Hospital, Surabaya)
Elizeus Hanindito (Department of Anesthesiology and Reanimation, Faculty of Medicine, Universitas Airlangga, Dr Soetomo Hospital, Surabaya)
Kohar Hari Santoso Hari Santoso (Department of Anesthesiology and Reanimation, Faculty of Medicine, Universitas Airlangga, Dr Soetomo Hospital, Surabaya)
Hamzah Hamzah (Department of Anesthesiology and Reanimation, Faculty of Medicine, Universitas Airlangga, Dr Soetomo Hospital, Surabaya)
Eka Ari Puspita (Department of Anesthesiology and Reanimation, Faculty of Medicine, Universitas Airlangga, Dr Soetomo Hospital, Surabaya)



Article Info

Publish Date
31 Mar 2019

Abstract

Post anesthesia agitation is common problem in pediatric post anesthesia care unit. The incidences range from 10 to 80%. EA has been described as a dissociated state of consciousness in which the child is inconsolable, irritable, and uncooperative typically thrashing, crying, moaning or incoherent. This study was done to determine the incidence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia. This descriptive and analytic study was performed on 105 pediatric patient aged 1-12 years that underwent general anesthesia for various elective diagnostic and surgeries at Dr. Soetomo Hospital between January and February 2016. The presence of emergence agitation was recorded using Pediatric Anesthesia Emergence Delirium (PAED) scale. The factors that linked with Emergence Agitation were recorded in a questionnaire. The data were analyzed using SPSS software with logistic regression. p - values less than 0.05 were considered as significant. Forty two (40%) children had Emergence Agitation. Preoperative anxiety (p = 0.006) and Pain (p=0.035) were associated with higher rates of post anesthetic emergence agitation. This study identified preoperative anxiety and pain as risk factors, which are associated with emergence agitation in children. To minimize the incidence of post anesthetic emergence agitation, these risk factors should be considered in the routine care by anesthetist.

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Journal Info

Abbrev

FMI

Publisher

Subject

Other

Description

Folia Medica Indonesiana publishes articles in the field of medical science in particular and health sciences in general, as well as a variety of other fields related to those two disciplines. Most of the articles are research article, and others are articles on case reports and literature review. ...