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Intermediate Technical IVT

emergence agitation

Behavioral disturbance during recovery from general anesthesia characterized by restlessness and disorientation.

Full Definition

Emergence agitation is a common phenomenon in pediatric anesthesia characterized by psychomotor agitation, inconsolable crying, disorientation, and thrashing movements during emergence from general anesthesia. It occurs most frequently in preschool-aged children and is associated with certain anesthetic agents, particularly sevoflurane. The condition is typically self-limiting but can pose safety risks and distress to families. Risk factors include rapid emergence, pain, bladder distension, and certain personality traits in children.

Usage

Usage note: Distinguished from emergence delirium by the presence of purposeful movement and responsiveness to consolation

In Context

  • "The child exhibited emergence agitation requiring physical restraint to prevent self-injury during recovery." — Post-anesthesia care unit note
  • "Prophylactic dexmedetomidine was administered to minimize emergence agitation risk." — Anesthesia plan

Also known as

emergence excitement post-anesthetic agitation

Contrasted with

smooth emergence calm recovery

Don't confuse with

emergence delirium postoperative pain

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