Postoperative Delirium Clinical Trial
Official title:
Does Blood Sugar Level Affect Postoperative Agitations in Outpatient Pediatric Surgery?
The aim of this study is to investigate the effect of fasting time and blood glucose levels on postoperative agitations in pediatric patients who will undergo outpatient surgery.
Emergence delirium is a very important clinic phenomenon, characterized by irritability and
severe restlessness in children recovering from anesthesia; it may cause injury to the child
recovering from anesthesia or to surgical site and may also lead to parents, who witness
emergence delirium to question the quality of anesthesia. Postoperative agitaitons, has been
noted with the newer, less soluble inhaled agents and emergence delirium has become a serious
problem, taken care in postanesthesia care unit for anesthesiologists. Preoperative anxiety,
premedication, anesthetic drugs, pain, type of surgery and emergence in a foreign environment
are the factors which take part in the development of emergence delirium. Emotional and less
social children, the children with anxious parents, children undergoing upper airway surgery
are under risk. Detection of children at risk, the use of appropriate adjuvant drugs, strict
control of postoperative pain, and accompanying parents to their children in the recovery
room are currently the primary measures to prevent recovery agitation. Further studies are
required to discover underlying causes and management of emergence delirium.
In this study pre-and postoperative blood glucose values, preoperative fasting times and
hemodynamic values of 200 American Society of Anesthesiologists (ASA) physical status I-2
patients will be recorded. At the end of the operation, patients will be evaluated with
Modified Aldrete Sedation Scale, FLACC Pain Rating Scale and PAED Agitation Scale. The
results obtained will be evaluated with statistical methods and the relationship between
preoperative fasting time and blood glucose levels and postoperative agitations will be
investigated.
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