Emergence delirium is a complex of perceptual deficits and psychomotor agitation most commonly seen in preschool children in the early post-anesthetic period. It increases the risk of bed falls, accidental catheter removal, surgical wound dehiscence, and delayed discharge in children. Exogenous 40 Hz stimulation can improve cognitive functioning. Therefore, the aim of this study was to explore the effect of 40Hz stimulation on the incidence of emergence delirium in children undergoing vascular malformation surgery under sevoflurane anesthesia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
90
Exogenous 40Hz stimulation is a physical intervention that induces gamma oscillations, oscillations and pulsations at the corresponding frequency, and may lead to a significant reduction in β-amyloid, reversal of tau protein hyperphosphorylation, and consequently improvement of cognitive function in patients.
Henan Provincial People's Hospital
Zhengzhou, Henan, China
The incidence of emergence delirium
Emergence delirium was considered to have occurred in the subject child if Pediatric Anesthesia Emergence Delirium (PAED) scale ≥10 or Cornell Assessment of Pediatric Delirium (CAPD) scale ≥10 (PAED range: 0-20 points, CAPD range: 0 \~ 32 points).
Time frame: From extubation to 2 h after extubation and day 1, day 2, day 3 after surgery.
The incidence of pain
If the Face, Legs, Activity, Cry and Consolability (FLACC) scale ≥ 4 (0 \[no pain\] \~ 10 \[worst pain\]), the child was considered to be in pain.
Time frame: Day 1, day 2, day 3 after surgery.
The incidence of postoperative nausea and vomiting
Follow up patients for nausea and vomiting
Time frame: Day 1, day 2, day 3 after surgery.
Sleep quality
Assessment of children's daily sleep quality by Self-Rating Scale of Sleep (SRSS), with a score range of 10 \~ 50, with higher scores indicating poorer sleep quality.
Time frame: Day 1, day 2, day 3 after surgery.
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