J Korean Burn Soc.  2011 Jun;14(1):39-42.

Emergence Agitation after Sevoflurane Anesthesia in Burn Injured Children

• Jang YH
• Kim SK
• Son YH
• Park JM
• Lee MY

Abstract

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.

Keyword

Burn; Children; Postoperative agitation; Sevoflurane

MeSH Terms

Aged
Anesthesia
Anxiety
Burns
Child
Dihydroergotamine
Humans
Incidence
Masks
Methyl Ethers
Operating Rooms
Dihydroergotamine
Methyl Ethers