Incidence and associated factors of emergence agitation after general anesthesia and surgery among pediatric patients: A prospective follow-up study

Objectives: This study was designed to see the risk factors that contribute to emergence agitation (EA) and also to know the effectiveness of low-flow (LF) anesthesia technique in EA in pediatric patients. Methods: A total of 200 pediatric patients aged 6 months–6 years underwent surgery with general anesthesia were divided into two groups. The high-flow (HF) group was maintained with 5 l fresh gas flow (FGF), and the LF group was maintained with 500 ml FGF. The outcome was measured after the surgery was completed on Face, Legs, Activity, Cry, and Consolability and pediatric anesthesia emergence delirium (PAED) scores. Agitation defined in PAED score ≥10, and no agitation defined in PAED score <10. Results: EA incidence in the HF group was higher compared to the LF group (59.5 vs. 4.7%, p<0.001). HF anesthesia technique was a single risk factor for agitation event, whereas LF anesthesia may prevent EA incidence until up to 92.7%. Conclusion: LF anesthesia reduced agitation incidences. The effectiveness of LF was 92.7% in reducing the incidence of agitation. HF anesthesia was the main risk factor for agitation incidences.

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Impact of parental onchocerciasis and intensity of transmission on development and persistence ofOnchocerca volvulusinfection in offspring: an 18 year follow-up study

Parasitology ◽

10.1017/s0031182003003834 ◽

2003 ◽

Vol 127 (4) ◽

pp. 327-335 ◽

Cited By ~ 18

Author(s):

A. K. KIRCH ◽

H. P. DUERR ◽

B. BOATIN ◽

W. S. ALLEY ◽

W. H. HOFFMANN ◽

...

Keyword(s):

Associated Factors ◽

Multiple Logistic Regression Analysis ◽

Infection Intensity ◽

Control Programme ◽

Multiple Logistic Regression ◽

Transmission Potential ◽

Follow Up Study ◽

The Impact ◽

Onchocerciasis Control

This study analysed the impact and the extent by which parentalOnchocerca volvulusinfection, intensity of transmission ofO. volvulusinfective 3rd-stage larvae (L3) and anthropometric factors may influence the acquisition, development and persistence ofO. volvulusinfection in offspring. A total of 15 290 individuals in 3939 families with 9640 children were surveyed for microfilariae ofO. volvulus, and prevalence and level ofO. volvulusinfection in children aged 0 to 20 years from infected and non-infected parents were followed longitudinally for 18 years. Children fromO. volvulus-infected mothers had not only a substantially higher risk to become infected; they also acquired infection earlier in life and developed higher infection levels. Multiple logistic regression analysis showed that maternalO. volvulusinfection and children's age are the predominant predictors for patentO. volvulusinfection, while the intensity of transmission, measured by the annual transmission potential (ATP) ofO. volvulusL3, was less decisive. Longitudinal follow up of children showed that during vector control activities by the Onchocerciasis Control Programme (OCP) and in low-level transmission areas, infection persisted at higher levels in children fromO. volvulus-positive mothers. In summary, the dominant risk factor for children to become infected is maternal onchocerciasis, and also age-associated factors will strongly impact on the development of patentO. volvulusinfection in offspring.

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Levels of Adherence and Associated Factors Among Children on ART Over Time in Northwest, Ethiopia: Evidence from a Multicenter Follow-Up Study [Corrigendum]

HIV/AIDS - Research and Palliative Care ◽

10.2147/hiv.s337140 ◽

2021 ◽

Vol Volume 13 ◽

pp. 903-904

Author(s):

Fisha GebreEyesus ◽

Dagninet Mitku ◽

Tadesse Tarekegn ◽

Bogale Temere ◽

Tamene Terefe ◽

...

Keyword(s):

Associated Factors ◽

Northwest Ethiopia ◽

Follow Up Study ◽

Over Time

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Incidence and associated factors of laryngospasm among pediatric patients who undergone surgery under general anesthesia, in university of Gondar Compressive Specialized Hospital, Northwest Ethiopia, 2019: Cross sectional study

10.21203/rs.2.14692/v1 ◽

2019 ◽

Author(s):

Wubie Birlie Chekol ◽

Debas Yaregal Melese

Keyword(s):

General Anesthesia ◽

Associated Factors ◽

Pediatric Patients ◽

Multivariable Analysis ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Induction Phase ◽

Upper Respiratory Tract ◽

Cross Sectional ◽

Airway Devices

Abstract Objective: this study was aimed to assess the incidence and associated factors of laryngospasm among pediatric patients who undergone surgery under general anesthesia (GA). Results : The incidence of laryngospasm among pediatric patients who undergone surgery under GA was 57 (18.39%) . Of this 34 (59.6%) were happened during emergence, 12 (21.1%) during maintenance and 11 (19.3%) during induction phase of GA. In multivariable analysis, airway anomalies (AOR : 14.64,95%CI:1.71,125.04) , orophyrangeal secretion (AOR : 2.45,95%CI:1.19,5.06), attempts of airway devices insertion (AOR : 2.47,95%CI:1.16,5.22) , upper respiratory tract infection (AOR : 2.91,95%CI:1.008,8.41) and inadequate depth of anesthesia (AOR : 7.92,95%CI:2.7,23.22) were significantly associated with incidence of laryngospasm .

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