This page is part of the 10N-Matrix for a high quality conduct of pediatric anesthesia.
It refers to the concept No Postoperative Discomfort
Emergence delirium is part of an early negative postoperative behaviour. It is an abnormal mental state following anesthesia and surgery and separate to pain.
Emergence delirium is common following general anesthesia in young children. Effective recognition and treatment is essential to reduce self inflicted injuries and improve satisfaction of parents and caregivers.
Emergence delirium may result in self-injury of the child and increase the healthcare requirements:
- emergence delirium reduces parental and caregivers’ satisfaction
- short- and long-term psychological implications of emergence delirium are unclear
- children with emergence delirium may have a higher risk of developing separation anxiety, apathy, and sleep and eating disorders
Prevention and treatment
- increase awareness of existence, risk factors and triggers
- parental information and awareness.
- effective local standardised protocols for prevention, recognition and treatment
- Mason KP. Paediatric emergence delirium: a comprehensive review and interpretation of the literature. Br J Anaesth. 2017; 118: 335-343.
- Somaini M, Engelhardt T, Fumagalli R, Ingelmo PM. Emergence delirium or pain after anaesthesia–how to distinguish between the two in young children: a retrospective analysis of observational studies. Br J Anaesth. 2016; 116: 377-83.
More on Safetots.org
Review all 10N
- No Fear / No Awareness
- Normal Heart Rate
- No Postoperative Discomfort:
- No Pain
- No PONV
- No Emergence Delirium