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KMID : 0853020110140010039
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Journal of Korean Burn Society
2011 Volume.14 No. 1 p.39 ~ p.42
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Emergence Agitation after Sevoflurane Anesthesia in Burn Injured Children
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Jang Young-Ho
Kim Sang-Kyu
Son Yong-Hoon
Park Jun-Mo
Lee Mi-Young
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Abstract
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Purpose: Sevoflurane is a well accepted anesthetic in children but results high incidence of undesirable emergence agitation (EA). We investigated the EA in burn injured children.
Methods: In 219 un-premedicated burn injured children aged 2∼8 years, mask induction with sevoflurane was performed. On arriving operating room, modified Yale preoperative anxiety scale (m-YPAS) was checked. In the postanesthesia care unit, EA scale was recorded as follows; EA1 (no EA), EA2 (mild EA) and EA3 (marked EA).
Results: The incidence of EA was 50.2%. The m-YPAS was significantly higher in EA2 and EA3 compared to EA1 (P＜ 0.001). Burn surface area was significantly wider in EA3 compared to EA1 (P＜0.05). In deep second-degree burned children, the incidence of EA1 was greatest, whereas EA3 was the greatest in third-degree burned children.
Conclusion: The incidence of EA after sevoflurane anesthesia in burn injured children was higher as the burn surface areas was greater. In addition, the symptoms of EA in third-degree burned children were more severe than in second-degree burned children.
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KEYWORD
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Burn, Children, Postoperative agitation, Sevoflurane
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