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Defining awakening from anesthesia in infants: a narrative review of published descriptions and scales of behavior
Author(s) -
Sury Michael R. J.,
Bould Matthew D.
Publication year - 2011
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2011.03538.x
Subject(s) - medicine , narrative , narrative review , anesthesia , intensive care medicine , literature , art
Summary Objectives: A descriptive tool or validated scale of consciousness is desirable in infants to test the value of any depth of anesthesia monitor. Methods: We have reviewed published descriptions and scales of observed behavior that may be applicable to the study of infants during the transition from anesthesia to wakefulness. Results: Potentially useful scales were found that had been developed for the assessment and study of natural sleep, neurological state, arousal, anesthesia, sedation, coma, and pain. Scales or criteria of behavior had been developed for anesthetised children, but there were no agreed definitions or criteria specifically for anesthetised infants or neonates. Conclusion: Criteria for awakening of infants from anesthesia need to be developed and agreed.