Effects of preemptive analgesia and preoperative anxiety on emergence delirium after pediatric adenotonsillectomy
Year: 2026
Type: article
Study design: Observational Study
Abstract: Aim: Postoperative emergence delirium (PED) is characterized by restlessness, disorientation, and agitation, particularly in children during emergence from anesthesia. Its etiology includes preoperative anxiety, head-neck surgery, inhalation agents, and pain. This study evaluated the effects of preemptive analgesia and preoperative anxiety on PED after pediatric adenotonsillectomy.Material and Methods: After ethics committee approval and written parental consent were obtained, 64 pediatric patients were enrolled. In this prospective observational study, patients were categorized according to the timing of intravenous acetaminophen administration: 30 minutes before surgical incision(Group 1) or 15 minutes before the end of surgery (Group 2). Preoperative anxiety was assessed using the modified Yale Preoperative Anxiety Scale (m-YPAS), postoperative delirium using the Pediatric Anesthesia Emergence Delirium (PAED) scale, and pain using the Wong-Baker Faces Pain Scale (WBFPS). Measurements were recorded at 0, 5, 10, 15, 30, 45, and 60 minutes postoperatively. A p value
Language: English
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7159595199
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