title: Prevention of sevoflurane delirium and agitation with propofol.
abstract: 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.
authors.affiliation: University of Illinois at Chicago, Chicago, Illinois, USA. messieha@uic.edu
authors.forename: Zakaria
authors.initials: Z
authors.lastname: Messieha
mesh_terms: D018685:Anesthetics, Inhalation / Q000009:adverse effects*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage*; D056805:Consciousness Monitors; D003693:Delirium / Q000139:chemically induced / Q000517:prevention & control*; D006801:Humans; D008738:Methyl Ethers / Q000009:adverse effects*; D015742:Propofol / Q000008:administration & dosage*; D011595:Psychomotor Agitation / Q000517:prevention & control*; D000077149:Sevoflurane
chemical_list: D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D000077149:Sevoflurane; D015742:Propofol