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Delirium, Emergence

MedGen UID:
897910
•Concept ID:
C0920253
•
Mental or Behavioral Dysfunction
Synonyms: Agitated Emergence; Agitation, Emergence; Agitations, Emergence; Anesthesia Emergence Delirium; Delirium, Anesthesia Emergence; Delirium, Post-Operative; Delirium, Postoperative; Emergence Agitation; Emergence Delirium; Emergence Delirium, Anesthesia; Emergence Excitement; Emergence, Agitated; Excitement, Emergence; Excitement, Postanesthetic; Post Operative Delirium; Post-Operative Delirium; Postanesthetic Excitement; Postoperative Delirium

Definition

A form of DELIRIUM which occurs after GENERAL ANESTHESIA. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDelirium, Emergence

Professional guidelines

PubMed

Dexmedetomidine - An Alternative to Midazolam in the Treatment of Ketamine-Induced Emergence Delirium: A Systematic Review.
Strickley T, Smith K, Ericksen AM
J Perianesth Nurs 2024 Apr;39(2):311-318. Epub 2023 Nov 7 doi: 10.1016/j.jopan.2023.08.003. PMID: 37943188
Intranasal esketamine: From origins to future implications in treatment-resistant depression.
Sanders B, Brula AQ
J Psychiatr Res 2021 May;137:29-35. Epub 2021 Feb 19 doi: 10.1016/j.jpsychires.2021.02.020. PMID: 33647726
Preoperative anxiety management, emergence delirium, and postoperative behavior.
Banchs RJ, Lerman J
Anesthesiol Clin 2014 Mar;32(1):1-23. doi: 10.1016/j.anclin.2013.10.011. PMID: 24491647

Recent clinical studies

Etiology

Effect of Intraoperative Intravenous Lidocaine on Postoperative Delirium in Elderly Patients with Hip Fracture: A Prospective Randomized Controlled Trial.
Li X, Wu J, Lan H, Shan W, Xu Q, Dong X, Duan G
Drug Des Devel Ther 2023;17:3749-3756. Epub 2023 Dec 15 doi: 10.2147/DDDT.S437599. PMID: 38125207Free PMC Article
Emergence delirium in children is related to epileptiform discharges during anaesthesia induction: An observational study.
Koch S, Rupp L, Prager C, Wernecke KD, Kramer S, Fahlenkamp A, Spies CD
Eur J Anaesthesiol 2018 Dec;35(12):929-936. doi: 10.1097/EJA.0000000000000867. PMID: 30113351
Childhood preoperative anxiolysis: Is sedation and distraction better than either alone? A prospective randomized study.
Sola C, Lefauconnier A, Bringuier S, Raux O, Capdevila X, Dadure C
Paediatr Anaesth 2017 Aug;27(8):827-834. Epub 2017 Jun 16 doi: 10.1111/pan.13180. PMID: 28620924
A comparison of single dose dexmedetomidine with propofol for the prevention of emergence delirium after desflurane anaesthesia in children.
Makkar JK, Bhatia N, Bala I, Dwivedi D, Singh PM
Anaesthesia 2016 Jan;71(1):50-7. Epub 2015 Oct 7 doi: 10.1111/anae.13230. PMID: 26444149
Should sevoflurane be used for maintenance of anaesthesia in children?
Duffen A, Williams A
Br J Hosp Med (Lond) 2011 Oct;72(10):598. doi: 10.12968/hmed.2011.72.10.598. PMID: 22041739

Diagnosis

Emergence delirium in children is related to epileptiform discharges during anaesthesia induction: An observational study.
Koch S, Rupp L, Prager C, Wernecke KD, Kramer S, Fahlenkamp A, Spies CD
Eur J Anaesthesiol 2018 Dec;35(12):929-936. doi: 10.1097/EJA.0000000000000867. PMID: 30113351

Therapy

Effect of Intraoperative Intravenous Lidocaine on Postoperative Delirium in Elderly Patients with Hip Fracture: A Prospective Randomized Controlled Trial.
Li X, Wu J, Lan H, Shan W, Xu Q, Dong X, Duan G
Drug Des Devel Ther 2023;17:3749-3756. Epub 2023 Dec 15 doi: 10.2147/DDDT.S437599. PMID: 38125207Free PMC Article
Emergence delirium in children is related to epileptiform discharges during anaesthesia induction: An observational study.
Koch S, Rupp L, Prager C, Wernecke KD, Kramer S, Fahlenkamp A, Spies CD
Eur J Anaesthesiol 2018 Dec;35(12):929-936. doi: 10.1097/EJA.0000000000000867. PMID: 30113351
Childhood preoperative anxiolysis: Is sedation and distraction better than either alone? A prospective randomized study.
Sola C, Lefauconnier A, Bringuier S, Raux O, Capdevila X, Dadure C
Paediatr Anaesth 2017 Aug;27(8):827-834. Epub 2017 Jun 16 doi: 10.1111/pan.13180. PMID: 28620924
A comparison of single dose dexmedetomidine with propofol for the prevention of emergence delirium after desflurane anaesthesia in children.
Makkar JK, Bhatia N, Bala I, Dwivedi D, Singh PM
Anaesthesia 2016 Jan;71(1):50-7. Epub 2015 Oct 7 doi: 10.1111/anae.13230. PMID: 26444149
Should sevoflurane be used for maintenance of anaesthesia in children?
Duffen A, Williams A
Br J Hosp Med (Lond) 2011 Oct;72(10):598. doi: 10.12968/hmed.2011.72.10.598. PMID: 22041739

Clinical prediction guides

Effect of Intraoperative Intravenous Lidocaine on Postoperative Delirium in Elderly Patients with Hip Fracture: A Prospective Randomized Controlled Trial.
Li X, Wu J, Lan H, Shan W, Xu Q, Dong X, Duan G
Drug Des Devel Ther 2023;17:3749-3756. Epub 2023 Dec 15 doi: 10.2147/DDDT.S437599. PMID: 38125207Free PMC Article
Emergence delirium in children is related to epileptiform discharges during anaesthesia induction: An observational study.
Koch S, Rupp L, Prager C, Wernecke KD, Kramer S, Fahlenkamp A, Spies CD
Eur J Anaesthesiol 2018 Dec;35(12):929-936. doi: 10.1097/EJA.0000000000000867. PMID: 30113351
Childhood preoperative anxiolysis: Is sedation and distraction better than either alone? A prospective randomized study.
Sola C, Lefauconnier A, Bringuier S, Raux O, Capdevila X, Dadure C
Paediatr Anaesth 2017 Aug;27(8):827-834. Epub 2017 Jun 16 doi: 10.1111/pan.13180. PMID: 28620924

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