Carlos A Archilla

Title : Post-operative emergence delirium in paediatric patients, etiology, prevention and recent research

Abstract:

The presentation will cover pathophysiology, incidence, risk factors and literature review and author’s research work that include risk factors and ameliorating techniques. Post-operative emergence delirium and agitation has been described in both adults and pediatric patients accounting for significant behavioral and cognitive impairment in the immediate post-operative period. The incidence in pediatric patients is high with reported 20-60% of patients developing this condition. Will review past and present research looking at prophylactic agents and techniques as well as the role of opioid and non-opioid analgesics in affecting or mitigating this condition.

Take Away Notes

: • Emergence delirium and agitation is common especially in pediatric patients with an incidence of 20-60%

. • This condition is a great dissatisfier for patients and caretakers

• Will review prophylactic treatments as well as the effect of single modal versus multi-modal analgesia on this condition

• Current literature review and results of most recent research study looking this condition under the auspices of US Food and Drug Administration

• Will review pathophysiology of this condition and similarities with adult symptomatology

• Will review how multiple disciplines can work together to improve post-operative behavioral and cognitive outcomes

Biography:

Dr. Carlos A. Archilla is the Chairman of the Anesthesiology Department at the Nemours Children’s Hospital in Orlando, Florida, USA. He graduated from the University Of Puerto Rico School of Medicine and completed his training in Anesthesia, Pediatric Anesthesia and Critical Care Medicine at the Johns Hopkins Hospital. He is an Associate Professor at Florida State University and the University of Central Florida, College of Medicine. He is a frequent presenter and expert panelist at national and international meetings. He is a member of the American Society of Anesthesiologists and the European Society of Pediatric Anesthesia.