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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

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

The effect of different dosage of intranasal dexmedetomidine on preventing emergence delirium or agitation in children: A network meta-analysis of randomized controlled trials.
Li Y, Jiang Y, Zhang L
PLoS One 2024;19(9):e0304796. Epub 2024 Sep 6 doi: 10.1371/journal.pone.0304796. PMID: 39240955Free PMC Article
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

Clinical prediction guides

The effect of different dosage of intranasal dexmedetomidine on preventing emergence delirium or agitation in children: A network meta-analysis of randomized controlled trials.
Li Y, Jiang Y, Zhang L
PLoS One 2024;19(9):e0304796. Epub 2024 Sep 6 doi: 10.1371/journal.pone.0304796. PMID: 39240955Free PMC Article
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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