Emergence delirium or pain after anaesthesia—how to distinguish between the two in young children: a retrospective analysis of observational studies 

Slides:



Advertisements
Similar presentations
2015 Alzheimer's disease facts and figures Alzheimer's & Dementia: The Journal of the Alzheimer's Association Volume 11, Issue 3, Pages (March.
Advertisements

Human factors in anaesthesia: lessons from aviation
T. Tedore  British Journal of Anaesthesia 
Benefits and risks of epidural analgesia in cardiac surgery†
Pain in cancer survivors; filling in the gaps
Why is the surgical high-risk patient still at risk?
Randomized controlled trial of duration of analgesia following intravenous or rectal acetaminophen after adenotonsillectomy in children  F. Capici, P.M.
Characteristics of pain in hospitalized medical patients, surgical patients, and outpatients attending a pain management centre  M.P. Rockett, G. Simpson,
Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia 
Parkinson's disease and anaesthesia
N.M. Gibbs, S.V. Gibbs  British Journal of Anaesthesia 
Effect of combining tramadol and morphine in adult surgical patients: a systematic review and meta-analysis of randomized trials  V. Martinez, L. Guichard,
Social media and anaesthesia journals
R.S. Vela Vásquez, R. Peláez Romero  British Journal of Anaesthesia 
Optimizing oxygenation and intubation conditions during awake fibre-optic intubation using a high-flow nasal oxygen-delivery system  S. Badiger, M. John,
Paracetamol and selective and non-selective non-steroidal anti-inflammatory drugs for the reduction in morphine-related side-effects after major surgery:
Differential effects of lidocaine and remifentanil on response to the tracheal tube during emergence from general anaesthesia  J.H. Lee, B.-N. Koo, J.-J.
Prediction of tracheostomy tube size for paediatric long-term ventilation: an audit of children with spinal cord injury  Behl S. , Watt J.W.H.   British.
A different use of visual analytic techniques in anaesthetics
Codeine phosphate in paediatric medicine
Mind the gap when performing emergency front-of-neck access
Acupuncture for treatment of therapy-resistant post-dural puncture headache: a retrospective case series  J. Dietzel, T. Witstruck, S. Adler, T.I. Usichenko 
Evaluation of a single preoperative dose of pregabalin for attenuation of postoperative pain after laparoscopic cholecystectomy  A. Agarwal, S. Gautam,
Preoperative supplementation with fibrinogen concentrate in cardiac surgery: A randomized controlled study  A. Jeppsson, K. Waldén, C. Roman-Emanuel,
Pain after orthopaedic surgery: differences in patient reported outcomes in the United States vs internationally. An observational study from the PAIN.
Measuring quality of recovery-15 after day case surgery
C. Cozowicz, J. Poeran, S.G. Memtsoudis  British Journal of Anaesthesia 
Neuromuscular junction in health and disease
Efficacy of intravenous magnesium in neuropathic pain
Psychology of pain British Journal of Anaesthesia
Do team processes really have an effect on clinical performance
Differential diagnosis of facial pain and guidelines for management
Safety culture and the 5 steps to safer surgery: an intervention study
F.J. Baldwin, A.P. Morley  British Journal of Anaesthesia 
Expertise in practice: an ethnographic study exploring acquisition and use of knowledge in anaesthesia  A. Smith, D. Goodwin, M. Mort, C. Pope  British.
Anaesthetists’ non-technical skills
E.K. Aasvang, M.U. Werner, H. Kehlet  British Journal of Anaesthesia 
Complex regional pain syndrome
Distraction and interruption in anaesthetic practice
J.G. Hardman, J.S. Wills  British Journal of Anaesthesia 
Do old pharmacokinetic parameter estimates predict new data?
Routine screening for pain combined with a pain treatment protocol in head and neck cancer: a randomised controlled trial  J.E. Williams, J. Peacock,
Visual metaphors on anaesthesia monitors do not improve anaesthetists' performance in the operating theatre  K. van Amsterdam, F. Cnossen, A. Ballast,
L1–2 roots block with psoas compartment block?
Clinical diagnostic tools for screening of perioperative stroke in general surgery: a systematic review  Z. Sun, Y. Yue, C.C.H. Leung, M.T.V. Chan, A.W.
C. Price, J. Lee, A.M. Taylor, A.P. Baranowski 
Pain assessment in conscious healthy volunteers: a crossover study evaluating the analgesia/nociception index  Q. Yan, H.Y. An, Y. Feng  British Journal.
Z Mokini, C Buccino, G Vitale, T Mauri, R Fumagalli, A Pesenti 
Early thromboelastometry variables predict maximum clot firmness in children undergoing cardiac and non-cardiac surgery  A. Perez-Ferrer, J. Vicente-Sanchez,
Ketamine: a growing global health-care need
Teamwork, communication, and anaesthetic assistance in Scotland
Determining the probability of a foreign body aspiration from history, symptoms and clinical findings in children  J. Kaufmann, M. Laschat, U. Frick,
Effects of acute plasma volume expansion on renal perfusion, filtration, and oxygenation after cardiac surgery: a randomized study on crystalloid vs colloid 
Neurological biomarkers in the perioperative period
J Lee, S Gupta, C Price, A.P. Baranowski 
Chronic widespread pain, including fibromyalgia: a pathway for care developed by the British Pain Society  J. Lee, B. Ellis, C. Price, A.P. Baranowski 
R. Badenes, F. Bilotta  British Journal of Anaesthesia 
ICU fire evacuation preparedness in London: a cross-sectional study
Premature awakening and underuse of neuromuscular monitoring in a registry of patients with butyrylcholinesterase deficiency†  J.L. Thomsen, C.V. Nielsen,
S. Radhakrishna  British Journal of Anaesthesia 
Effect of acute cigarette smoking on gastric contents in regular smoker volunteers. A prospective randomized cross-over study  S. Lazaar, E. Boselli,
Flow cytometric investigation of sugammadex-induced anaphylaxis
Cervical epidural analgesia in current anaesthesia practice: systematic review of its clinical utility and rationale, and technical considerations  H.
Regional anaesthesia to improve pain outcomes in paediatric surgical patients: a qualitative systematic review of randomized controlled trials  S. Suresh,
C. P. Bourdeaux, K. Birnie, A. Trickey, M. J. C. Thomas, J. Sterne, J
C.M. Chalmers, A.M. Bal  British Journal of Anaesthesia 
Effect of body mass index on the ED50 volume of bupivacaine 0
F. Neunhoeffer, T. Wahl, M. Hofbeck, H. Renk, M. Esslinger, M
Effect of concentration of local anaesthetic solution on the ED50 of bupivacaine for supraclavicular brachial plexus block†   P.K. Gupta, P.M. Hopkins 
Calculation of cerebral perfusion pressure in the management of traumatic brain injury: joint position statement by the councils of the Neuroanaesthesia.
Presentation transcript:

Emergence delirium or pain after anaesthesia—how to distinguish between the two in young children: a retrospective analysis of observational studies  M. Somaini, T. Engelhardt, R. Fumagalli, P.M. Ingelmo  British Journal of Anaesthesia  Volume 116, Issue 3, Pages 377-383 (March 2016) DOI: 10.1093/bja/aev552 Copyright © 2016 The Author(s) Terms and Conditions

Fig 1 Component analysis of e-PONB. ‘No eye contact’ and ‘No awareness of surrounding’ better are correlated with the component one, in contrast all other items considered, particularly by ‘Abnormal facial expression’, ‘Crying’, and ‘Inconsolability’ are correlated to the second one. British Journal of Anaesthesia 2016 116, 377-383DOI: (10.1093/bja/aev552) Copyright © 2016 The Author(s) Terms and Conditions

Fig 2 The trend of the ‘true/false’ items during the 15 min after awakening. Data are number of children at each evaluation time. British Journal of Anaesthesia 2016 116, 377-383DOI: (10.1093/bja/aev552) Copyright © 2016 The Author(s) Terms and Conditions

Fig 3 Simplified (‘true’/′false′) approach to identify emergence delirium and distinguish from pain. * Treatment of ED should be considered to protect the child from self-injury and/or provide a quiet setting where the child can recover. British Journal of Anaesthesia 2016 116, 377-383DOI: (10.1093/bja/aev552) Copyright © 2016 The Author(s) Terms and Conditions