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Cause analysis, prevention, and treatment of postoperative restlessness after general anesthesia in children with cleft palate

Journal of Dental Anesthesia and Pain Medicine 2017³â 17±Ç 1È£ p.13 ~ 20
Xu Hao, Mei Xiao Peng, Xu Li Xian,
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 ( Xu Hao ) - Xian Medical University Institution of Basic Medical Science
 ( Mei Xiao Peng ) - Xian JiaoTong University First Affiliated Hospital Department of Anesthesiology
 ( Xu Li Xian ) - Fourth Military Medical University School of Stomatology Department of Anesthesiology

Abstract


Cleft palate is one of the most common congenital malformations of the oral and maxillofacial region, with an incidence rate of around 0.1%. Early surgical repair is the only method for treatment of a cleft lip and palate. However, because of the use of inhalation anesthesia in children and the physiological characteristics of the cleft palate itself combined with the particularities of cleft palate surgery, the incidence rate of postoperative emergence agitation (EA) in cleft palate surgery is significantly higher than in other types of interventions. The exact mechanism of EA is still unclear. Although restlessness after general anesthesia in children with cleft palate is self-limiting, its effects should be considered by clinicians. In this paper, the related literature on restlessness after surgery involving general anesthesia in recent years is summarized. This paper focuses on induction factors as well as prevention and treatment of postoperative restlessness in children with cleft palate after general anesthesia. The corresponding countermeasures to guide clinical practice are also presented in this paper.

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Cleft Palate ; Emergence Agitaion ; General Anesthesia ; Surgery

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