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Reduced regional cerebral oxygen saturation increases risk for emergence delirium in pediatric patients

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اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • بيانات النشر:
      Frontiers Media SA, 2023.
    • الموضوع:
      2023
    • نبذة مختصرة :
      ObjectivesTo assess whether decreased regional cerebral oxygen saturation (rScO2) is associated with the emergence delirium (ED) following general anesthesia in the pediatric population.MethodsA retrospective observational cohort study was conducted on 113 children (ASA I–III) aged 2–14 years who underwent selective surgery under general anesthesia between 2022-01 and 2022-04. Intraoperatively, the rScO2 was monitored using a cerebral oximeter. The Pediatric Anesthesia Emergence Delirium (PAED) score was used to evaluate the patients for ED.ResultsThe incidence of ED was 31%. Low rScO2 was reported in 41.6% of patients, who had a higher incidence of ED (P 2 was significantly associated with incident ED events [odds ratio (OR), 10.77; 95% confidence interval, 3.31–35.05]. Children under 3 years of age had a higher incidence of ED after rScO2 desaturation during anesthesia compared to older children (OR, 14.17 vs. 4.64).ConclusionIntraoperative rScO2 desaturation significantly increased the incidence of ED following general anesthesia. Monitoring should be enhanced to improve the oxygen balance in vital organs to improve the quality and safety of anesthesia.
    • ISSN:
      2296-2360
    • الرقم المعرف:
      10.3389/fped.2023.1117455
    • Rights:
      CC BY
      URL: http://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (http://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
    • الرقم المعرف:
      edsair.doi.dedup.....5e2a7125cd5fe63dd7c4865c94c06b90