Early postoperative negative behaviour (e-PONB) and long-term negative behaviour changes affect young children after general anaesthesia. The aetiology and physiopathological mechanism are currently unclear. For clinicians, the more relevant components of e-PONB are pain, emergence delirium and emergence agitation. The recognition of the different aspects of e-PONB remains challenges, even for expert nurses and doctors. Several risk factors were described, but none clear indication for clinical practice is available due to the lack of consensus on definition, validated tools and gold standard management. Actually, suggested management of e-PONB includes total intravenous general anaesthesia, prevention of preoperative anxious, accurate assessment of e-PONB during early period after awakening, adequate parental information and pharmacologic management of selected cases.
Somaini, M., Ingelmo, P. (2016). Negative Behaviour After Surgery. In M. Astuto, P.M. Ingelmo (a cura di), Perioperative Medicine in Pediatric Anesthesia (pp. 403-416). Springer International Publishing Switzerland [10.1007/978-3-319-21960-8_22].
Negative Behaviour After Surgery
Ingelmo P
2016
Abstract
Early postoperative negative behaviour (e-PONB) and long-term negative behaviour changes affect young children after general anaesthesia. The aetiology and physiopathological mechanism are currently unclear. For clinicians, the more relevant components of e-PONB are pain, emergence delirium and emergence agitation. The recognition of the different aspects of e-PONB remains challenges, even for expert nurses and doctors. Several risk factors were described, but none clear indication for clinical practice is available due to the lack of consensus on definition, validated tools and gold standard management. Actually, suggested management of e-PONB includes total intravenous general anaesthesia, prevention of preoperative anxious, accurate assessment of e-PONB during early period after awakening, adequate parental information and pharmacologic management of selected cases.
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