Analysis of risk factors of delirium and agitation during anesthesia emergence in pediatric neurosurgery patients

doi:10.3969/j.issn.1006-7795.2023.02.010

Abstract

Abstract: Objective To explore the risk factors of delirium and agitation in pediatric neurosurgery patients during anesthesia emergency. Methods The clinical data of pediatric neurosurgery patients were retrospectively investigated with 120 cases in the delirium and agitation group, and 392 cases in the matched control group. Multivariate Logistic regression analysis was used to explore the risk factors of delirium and agitation in pediatric neurosurgery patients during anesthesia emergency. Results Multivariate Logistic regression analysis showed that oral midazolam before operation (OR=2.695, 95% CI： 1.183－6.139, P=0.018), intraoperative infusion of dexmedetomidine (OR=0.210, 95% CI： 0.049－0.902, P=0.036) and combined inhalation anesthesia (OR=2.862, 95% CI： 1.300－6.301, P=0.009) were the risk factors of delirium and agitation in pediatric neurosurgery patients during anesthesia emergency. Conclusion Oral midazolam before entering the operating room and combined inhalation anesthesia are independent risk factors for delirium and agitation, and dexmedetomidine can reduce the occurrence of delirium and agitation for pediatric neurosurgery patients.

Key words: pediatric neurosurgery patients, delirium and agitation, anesthesia emergency, risk factors

CLC Number:

R614

Wang Chengwei, Yuan Linsong, Zhou Yang, Wang Huiwen. Analysis of risk factors of delirium and agitation during anesthesia emergence in pediatric neurosurgery patients[J]. Journal of Capital Medical University, 2023, 44(2): 244-247.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2023.02.010

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2023/V44/I2/244

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