Recovery from general anesthesia in children and treatment of restless treatment.docVIP

Recovery from general anesthesia in children and treatment of restless treatment.doc

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Recovery from general anesthesia in children and treatment of restless treatment

 PAGE \* MERGEFORMAT 7 Recovery from general anesthesia in children and treatment of restless treatment Recovery from general anesthesia restless spirit of that is temporary frenzy (emergence delirium / emergence agitation) refers to the period of general anesthesia in children with the emergence of a sense of separation of the mental state and behavior, showing unable to appease, irritability, stubborn, or uncooperative, the typical appear cry, hands and feet tamper with, groaning, confusion and disorientation, and similar paranoid thinking. A typical example of these children are unable to recognize familiar people or things in the past. Severe postoperative agitation in children can not placate the hands and feet during this period will appear tamper with, the uprooting of infusion tube, catheter, even to play a key role in their treatment of medical equipment. Although the majority of postoperative agitation is self-limited (about 5 ~ 15 minutes), but its physiological aspects of the child harm can not be ignored, which requires anesthesia doctor as soon as possible to prevent or control in a timely. A clinical data 1.1 General information on anesthesia in our hospital from January 2005 to August 2009 for the implementation of pediatric surgery a total of 564 cases of anesthesia, including recovery from general anesthesia in children with 54 cases of agitation (9.6%): age 8 months to 13 years old . Narcotic premedication: atropine or scopolamine; anesthesia agents: enflurane, isoflurane, ketamine, midazolam, propofol, fentanyl, vecuronium. Anesthesia in children 42 cases of tracheal intubation. 1.2 Clinical features clinical manifestations in children are not able to pacify, irritability, stubborn or uncooperative, the typical appear cry, tamper with, groaning, confusion and disorientation. In addition, and these actions together is similar to paranoid thinking. These children can not recognize or identify familiar people or things in the past and will

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