background: strabismus surgery under general anesthesia is one of the most common ophthalmic procedures in children with emergence delirium as an important post-operative complication. additionally, postoperative pain is another important issue which is considered as a contributing factor to emergence delirium. we conducted a study to compare meperidine with paracetamol on postoperative pain an...

background: the present study was aimed to evaluate the efficacy of acetaminophen plus dexamethasone on post‑operative emergence agitation in pediatric adenotonsillectomy. methods: a total of 128 patients were randomized and assigned among four groups as: intravenous (iv) dexamethasone, oral acetaminophen, iv dexamethasone plus oral acetaminophen, placebo. group 1 received 0.2 mg/kg dexamethaso...

there are several etiologies for agitation and headache in the recovery room, including preoperative or intraoperative drug administrations, physical disorders such as painful surgical procedures, and finally, unusual consequences of some operations such as subarachnoid hemorrhage after orbital decompression, a disastrous complication that should be particularly considered whenever facing any s...

Objective: To investigate the risk factors for postoperative agitation in patients who underwent laparotomy under general anesthesia and to observe the effect of targeted care risk management on prevention of agitation, reduction in care-related adverse events and shortening of hospital stay. Methods: This study was subdivided into two phases. In Phase I, we explored the risk factors for postop...

Postoperative agitation is a common problem after sevoflurane anesthesia in children. In the present study, we evaluated if tropisetron or clonidine could reduce the incidence of postoperative agitation after day case adenoidectomy in small children. We included 75 unpremedicated children aged 1-7 yr who were randomly assigned to receive either placebo, tropisetron (0.1 mg/kg) or clonidine (1.5...

E MERGENCE agitation (EA) in children, also called postanesthetic or postoperative delirium, agitation, or excitement in children, is a specific pediatric postoperative complication. Its reported incidence ranges from 2 to 80%. This explains in part why it is usually considered as a part of the “normal” emergence process by many pediatric anesthesiologists. However, for those who episodically c...

BACKGROUND Remifentanil can be an alternative to N(2)O in general anesthesia. Intraoperative remifentanil may lead to acute opioid tolerance. This study aims to assess the effect of remifentanil substituted for 70% N(2)O on postoperative pain in children undergoing tonsillectomy/adenoidectomy. In addition, we evaluated the effect of remifentanil infusion on incidence of emergence agitation in t...

BACKGROUND Management of postoperative pain and emergence agitation following adenotonsillectomy in pediatrics has been a major challenge for anesthesiologists. Although analgesic sparing effect of ketamine has been studied during tonsillectomy in pediatrics, there is a lot of controversy about its efficacy. Present study was designed to evaluate the effect of intravenous low dose ketamine (0.2...

Background: We have noticed a high incidence of postoperative agitation (POA) following functional endoscopic sinus surgery (FESS), we reviewed our anesthesia protocol and designed this study. The present study investigated the possible contributing factors in the development of POA in adults, by avoiding these factors postoperative agitation can

BACKGROUND The rapid emergence and recovery from general anesthesia afforded by sevoflurane is associated with a high incidence of emergence agitation in children. Small doses of ketamine reduce the incidence of emergence agitation. This study compared the effects of ketamine 0.25 mg/kg and 0.5 mg/kg on emergence agitation and postoperative pain. METHODS The effects of added intravenous ketam...