Date of Award
2024
Degree Name
Management Practice in Nurse Anesthesia
College
College of Business
Type of Degree
D.N.A.P.
Document Type
Research Paper
First Advisor
Megan E. Workman, DMP, APRN, CRNA
Second Advisor
Alberto Coustasse, Dr.PH. MD, MBA, MPH
Abstract
Title: Do pediatric patients that receive dexmedetomidine as premedication experience less emergence delirium than pediatric patients that receive midazolam as premedication?
Problem Statement: Midazolam remains the current choice within the practice for premedication in the prevention of emergence delirium, however as research continues there could possibly be a gap between the research and current practice. Throughout the practice of pediatric anesthesia most providers choose to premedicate with midazolam while there may be a more beneficial option of dexmedetomidine.
Results: The study found a significant variance in the incidence of emergence delirium among pediatric patients, ranging from 18.1% to 89%, depending on the scoring system used. The PAED scoring system indicated an 89% incidence with a cutoff of 10 points, while a cutoff of 12 points showed 19.3%. Other scoring systems reported incidences of 18.1% and 18.9%. The findings highlight the variability in diagnosing emergence delirium based on different assessment tools. Overall, the research emphasizes the need for standardized criteria in evaluating the emergence of delirium in pediatric anesthesia.
Subject(s)
Health services administration.
Pediatric anesthesia.
Preanesthetic medication.
Delirium.
Recommended Citation
McCloud, Shelby, "Do pediatric patients that receive dexmedetomidine as premedication experience less emergence delirium than pediatric patients that receive midazolam as premedication?" (2024). Theses, Dissertations and Capstones. 1873.
https://mds.marshall.edu/etd/1873
Included in
Anesthesiology Commons, Business Administration, Management, and Operations Commons, Health and Medical Administration Commons, Nursing Commons, Pediatrics Commons
