Emergence Delirium: A Nursing Perspective

ABSTRACT Emergence delirium is a condition that can affect all segments of the postoperative population, but is seen most often in pediatric and older adult patients. Most cases of emergence delirium resolve quickly and without incident; however, severe episodes may lead to increased incidence of in...

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Bibliographic Details
Published in:AORN journal 2009-03, Vol.89 (3), p.509-520
Main Author: Hudek, Kim
Format: Article
Language:English
Subjects:
Adolescent
Adults
Aged
Anesthesia
Anesthesia & Perioperative Care
Anesthesia - adverse effects
Anxiety
cognition disorders after anesthesia
Consciousness
Continuing education
Delirium
Delirium - diagnosis
Delirium - etiology
Delirium - nursing
Delirium - therapy
emergence agitation
emergence delirium
Female
Geriatrics
Humans
Intensive care
Nursing
Nursing Assessment
Nursing care
Pain
Patients
Pediatrics
Perianesthesia
Perioperative Care - nursing
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - nursing
Postoperative Complications - therapy
postoperative confusion
Risk Factors
Surgery
Unconsciousness
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Summary:ABSTRACT Emergence delirium is a condition that can affect all segments of the postoperative population, but is seen most often in pediatric and older adult patients. Most cases of emergence delirium resolve quickly and without incident; however, severe episodes may lead to increased incidence of injury to both patients and staff members and increased costs. To minimize the incidence of emergence delirium and treat it when it occurs, perioperative nurses must be aware of the risk factors that contribute to this condition, including the patient's age, type of anesthesia, anxiety level, level of postoperative pain, and preexisting medical conditions. AORN J 89 (March 2009) 509–516. © AORN, Inc, 2009.
ISSN:0001-2092
1878-0369
DOI:10.1016/j.aorn.2008.12.026