Messieha Zakaria
University of Illinois at Chicago, Chicago, Illinois, USA.
Anesth Prog. 2013 Summer;60(2):67-71. doi: 10.2344/0003-3006-60.3.67.
Emergence delirium and agitation (EAD) associated with sevoflurane general anesthesia are very commonly observed in young children. Such events pose a risk for injury as well as decreased parental satisfaction, especially in the ambulatory and office-based setting. This article reviews the different approaches described in the literature to reduce EAD. A novel approach using a Bispectral Index System (BIS)-guided anesthesia with propofol washout technique is proposed as a viable and effective approach to prevent EAD.
与七氟醚全身麻醉相关的苏醒期谵妄和躁动（EAD）在幼儿中非常常见。此类事件会带来受伤风险以及降低家长满意度，尤其是在门诊和诊所环境中。本文回顾了文献中描述的减少EAD的不同方法。提出了一种使用脑电双频指数系统（BIS）引导麻醉并结合丙泊酚洗脱技术的新方法，作为预防EAD的一种可行且有效的方法。
