			Home About us Contact

Emergence Behaviour (emergence + behaviour)

Distribution by Scientific Domains

Medical Sciences	83%

Selected Abstracts

Emergence behaviour in children: defining the incidence of excitement and agitation following anaesthesia

PEDIATRIC ANESTHESIA, Issue 5 2002
JENNIFER W. COLE MD
Background: Children display a variety of behaviour during anaesthetic recovery. The purpose of this study was to study the frequency and duration of emergence behaviour in children following anaesthesia and the factors that alter the incidence of various emergence behaviour following anaesthesia. Methods: A prospective study of children who required outpatient lower abdominal surgery was designed to determine an incidence and duration of emergence agitation. We developed a 5-point scoring scale to study the postanaesthetic behaviour in these children. The scale included behaviour from asleep (score=1) to disorientation and severe restlessness (score=5). Children were scored by a blinded observer every 10 min during the first hour of recovery or until discharge from same day surgery. Results: We found 27 of 260 children experienced a period of severe restlessness and disorientation (score 5) during anaesthesia emergence. Thirty percent of the children (79/260) experienced a period of inconsolable crying or severe restlessness (score 4 or 5) following anaesthesia. The frequency of this behaviour was greatest on arrival in the recovery room, but many children who arrived asleep in the recovery room later experienced a period of agitation or inconsolable crying. Conclusions: Repeated assessments of behaviour following anaesthetic recovery are required to define an incidence and duration of emergence agitation. Emergence agitation occurs most frequently in the initial 10 min of recovery, but many children who arrive asleep experience agitation later during recovery. [source]

Geographical variation in predictive seedling emergence in a perennial desert grass

JOURNAL OF ECOLOGY, Issue 1 2000
Steven E. Smith
Summary 1,Mechanisms that link germination and emergence to environmental cues associated with seedling success (predictive germination) would be expected to evolve when seedlings have a greater mortality risk than seeds, but may be less important in perennial plants than in annual plants. 2,We investigated variation in predictive seedling emergence among divergent populations of a short-lived perennial desert grass, Digitaria californica, from sites that differed in climatic and edaphic factors. This species is native to environments in which the amount and duration of adequate soil moisture may control germination and seedling establishment success. 3,We utilized a special irrigation system that permits application of a range of amounts of water within a single experiment in a glasshouse. Emergence data were subjected to probit and survival analyses to describe differences among the populations in response to applied water. 4,Significant variation in predictive emergence was shown to exist among populations of D. californica when measured as amount of water required for 50% emergence following 3 days of water application, or as time required to achieve this level of emergence. Both climatic and soil characteristics were important with populations that originated from sites with less summer precipitation, and soils with higher water-holding capacity tended to have lower water requirements for emergence. 5,The report demonstrates the existence of subtle variation in predictive emergence among populations of a perennial grass representing a relatively narrow range of ecological amplitude. It also establishes the usefulness of line-source irrigation and probit analysis procedures in studying seedling emergence behaviour. [source]

Post-induction alfentanil reduces sevoflurane-associated emergence agitation in children undergoing an adenotonsillectomy

ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 5 2009
J. Y. KIM
Background: Emergence agitation is a common problem in paediatric anaesthesia, especially after volatile induction and maintenance anaesthesia (VIMA) with sevoflurane. The purpose of this study was to investigate the effect of alfentanil to prevent emergence agitation without delayed recovery after VIMA with sevoflurane in children undergoing an adenotonsillectomy. Methods: One hundred and five children, aged 3,10 years, were randomly allocated to receive normal saline (control group), alfentanil 10 ,g/kg (A10) or 20 ,g/kg (A20) 1 min after loss of the eyelash reflex. Anaesthesia was induced and maintained with sevoflurane. Time to tracheal extubation, recovery time, Paediatric Anaesthesia Emergence Delirium (PAED) scale and emergence behaviour were assessed. Results: The incidence of severe agitation was significantly lower in the A10 and A20 groups compared with those in the control group (11/32 and 12/34 vs. 24/34, respectively) (P=0.007, 0.006, respectively). PAED scales were significantly different between the three groups (P=0.008), and lower in the A10 and A20 groups than that in the control group (P=0.044, 0.013, respectively). However, the incidence of severe agitation and PAED scale was not different between the A10 and the A20 groups. Time to tracheal extubation and recovery time were similar in all three groups. Conclusion: The administration of alfentanil 10 ,g/kg after induction of anaesthesia for children undergoing an adenotonsillectomy under VIMA reduced the incidence of emergence agitation without delaying the recovery time or causing significant hypotension. [source]

Rapid emergence does not explain agitation following sevoflurane anaesthesia in infants and children: a comparison with propofol

PEDIATRIC ANESTHESIA, Issue 1 2003
Ira Todd Cohen MD
Summary Background: Emergence agitation in children is frequently associated with the use of the new highly insoluble volatile anaesthetics. Rapid emergence has been cited as one of the possible causes. Propofol also permits rapid emergence from general anaesthesia but is not associated with agitation. Methods: The emergence characteristics of children receiving sevoflurane and propofol anaesthesia were examined. After induction with sevoflurane, 53 children, aged 2,36 months, who were undergoing ambulatory surgery, were randomized to receive maintenance anaesthesia with either sevoflurane or propofol. Introperative analgesia with either 2 µg·kg,1 of intravenous fentanyl or a caudal block with 0.25% bupivacaine was supplied according to surgical procedure. An observer blinded to anaesthetic technique recorded the time to achieve extubation and recovery and assessed emergence behaviour. Data were analysed using Wilcoxon scores, Kruskal,Wallis test, chi-square and multiple regression analysis. Results: The results showed that the time to extubation and recovery were similar between the two study groups, but that emergence agitation was significantly higher in the sevoflurane group compared with the propofol group. No relationship between analgesic technique and agitation scores was found. Conclusions: Although both sevoflurane and propofol allow for rapid emergence from general anaesthesia, only sevoflurane is associated with a high incidence of emergence agitation in infants and young children. Rapid emergence does not fully explain this phenomena. [source]