Open AccessCaudal block and emergence delirium in pediatric patients: Is it analgesia or sedation?
Author(s) -
Aparna Sinha,
Jayashree Sood
Publication year - 2012
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.105887
Subject(s) - medicine , emergence delirium , ketamine , sedation , anesthesia , delirium , bupivacaine , incidence (geometry) , pacu , limiting , perioperative , anesthetic , sevoflurane , intensive care medicine , mechanical engineering , physics , optics , engineering
Emergence delirium (ED) although a short-lived and self-limiting phenomenon, makes a child prone to injury in the immediate postoperative period and hence is a cause of concern not only to the pediatric anesthesiologist, surgeons, and post anesthesia care unit staff but also amongst parents. Additional medication to quieten the child offsets the potential benefits of rapid emergence and delays recovery in day care settings. There is conflicting evidence of influence of analgesia and sedation following anesthesia on emergence agitation. We hypothesized that an anesthetic technique which improves analgesia and prolongs emergence time will reduce the incidence of ED. We selected ketamine as adjuvant to caudal block for this purpose.