Skip Navigation


BJA Advance Access originally published online on May 2, 2006
British Journal of Anaesthesia 2006 96(6):747-753; doi:10.1093/bja/ael094
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
96/6/747    most recent
ael094v1
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (3)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Lepousé, C.
Right arrow Articles by Leon, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lepousé, C.
Right arrow Articles by Leon, A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?


© The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Emergence delirium in adults in the post-anaesthesia care unit

C. Lepousé*, C. A. Lautner, L. Liu, P. Gomis and A. Leon

Department of Anaesthesiology and Intensive Care, Hôpital Robert Debré CHU Reims, REIMS Cedex, F-51092, France

*Corresponding author: Department of Anaesthesiology, Hôpital Robert Debré, Avenue du Général Koenig, 51092 Reims, France. E-mail: clepouse{at}chu-reims.fr

Background. Emergence delirium in the post-anaesthesia care unit (PACU) is poorly understood. The goal of this prospective study was to determine frequency and risk factors of emergence delirium in adults after general anaesthesia.

Methods. In this prospective study, 1359 consecutive patients were included. Contextual risk factors and occurrence of delirium according to the Riker sedation scale were documented. Groups were defined for the analysis according to the occurrence or not of agitation, then after exclusion of patients with preoperative anxiety and neuroleptics, or both, and antidepressants or benzodiazepines treatments.

Results. Sixty-four (4.7%) patients developed delirium in the PACU, which can go from thrashing to violent behaviour and removal of tubes and catheters. Preoperative anxiety was not found to be a risk factor. Preoperative medication by benzodiazepines (OR=1.910, 95% CI=1.101–3.315, P=0.021), breast surgery (OR=5.190, 95% CI=1.422–18.947, P=0.013), abdominal surgery (OR=3.206, 95% CI=1.262–8.143, P=0.014), and long duration of surgery increased the risk of delirium (OR=1.005, 95% CI=1.002–1.008, P=0.001), while a previous history of illness and long-term treatment by antidepressants decreased the risk (respectively, OR=0.544, 95% CI=0.315–0.939, P=0.029 and OR=0.245, 95% CI=0.084–0.710, P=0.010).

Conclusions. Preoperative benzodiazepines, breast and abdominal surgery and surgery of long duration are risk factors for emergence delirium.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Vet Rec.Home page
A. R. Mohamadnia, G. Hughes, and K. W. Clarke
Maintenance of anaesthesia in sheep with isoflurane, desflurane or sevoflurane
Vet Rec., August 16, 2008; 163(7): 210 - 215.
[Abstract] [Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.