title: [How I manage the child who is not awakening as expected].
abstract: Regarding immediate post-anaesthesia problems, one must distinguish slow awakening and the apparition of neurologic or behavioural problems. Post-anaesthesia delirium, an usual cause of transient agitation in the recovery room following halogenated-based anaesthetic, is not included in this discussion. There are two false causes of slow awakening: residual curarization and a total spinal. Slow awakening is usually caused by overdose, either absolute or relative. Regarding the occurrence of neurologic or behavioural problems, one must consider situations at risk, patients at risk, the consequences of iatrogenicity but also the unknown cerebral tumour or metabolic disorder.
authors.affiliation: Service d'anesthésiologie, cliniques universitaires St-Luc, avenue Hippocrate 10-1821, 1200 Bruxelles, Belgique. Electronic address: francis.veyckemans@uclouvain.be.
authors.forename: F
authors.initials: F
authors.lastname: Veyckemans
mesh_terms: D000758:Anesthesia / Q000009:adverse effects*; D000762:Anesthesia Recovery Period; D000777:Anesthetics / Q000008:administration & dosage / Q000009:adverse effects; D001519:Behavior / Q000187:drug effects; D002648:Child; D055191:Delayed Emergence from Anesthesia / Q000628:therapy*; D062787:Drug Overdose; D006801:Humans; D009422:Nervous System Diseases / Q000139:chemically induced; D019148:Neuromuscular Blockade; D003473:Neuromuscular Nondepolarizing Agents; D011595:Psychomotor Agitation / Q000209:etiology; D012306:Risk
chemical_list: D000777:Anesthetics; D003473:Neuromuscular Nondepolarizing Agents
keywords: Awakening; Embolie; Embolism; Late; Maladie métabolique; Metabolic disorder; Retard; Réveil