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Incidence of Emergence Delirium in Pediatric Patients on Comparative Study of Ketamine IV Induction vs. Sevoflurane Inhalation Induction
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Author(s): Amruta Hippalgaonkar (Krishna Vishwa Vidyapeeth, India), N. V. Kanase (Krishna Institute of Medical Sciences, India), R. M. Mulla (Krishna Institute of Medical Sciences, India)and Taufikin Arslan Bawi (State Islamic Institute, IAIN Kudus, Indonesia)
Copyright: 2024
Pages: 14
Source title:
Advancements in Clinical Medicine
Source Author(s)/Editor(s): P. Paramasivan (Dhaanish Ahmed College of Engineering, India), S. Suman Rajest (Dhaanish Ahmed College of Engineering, India), Karthikeyan Chinnusamy (Veritas, USA), R. Regin (SRM Instıtute of Science and Technology, India)and Ferdin Joe John Joseph (Thai-Nichi Institute of Technology, Thailand)
DOI: 10.4018/979-8-3693-5946-4.ch014
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Abstract
To better understand the occurrence of emergence delirium (ED) in the paediatric population, this prospective observational study compared two anaesthesia induction techniques: intravenous (i.v.) ketamine and inhalational sevoflurane. This study included two hundred paediatric patients aged two to twelve who scheduled elective surgical procedures. Two groups of patients were randomly assigned, and each group underwent an intravenous ketamine induction or an inhalational sevoflurane induction. The “Paediatric Anaesthesia ED Scale (PAED)” was the primary outcome measure for ED occurrence. Secondary outcomes included time to emergence, challenges during emergence, and the frequency of postoperative vomiting and respiratory problems. Compared to the ketamine induction group (30%), the sevoflurane induction group had a much lower incidence of ED (12%). Sevoflurane-induced
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