Effect of Intraoperative and Awakening Electroencephalogram on Awakening Agitation After General Anesthesia in Children

Study Overview
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Brief Summary
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The purpose of this study was to analyze the relationship between intraoperative and awakening electroencephalogram waveforms and awakening agitation after general anesthesia in children

Official Title
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Jiangxi Provincial Children's Hospital

Conditions
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Emergence Agitation, Anesthesia, Children's Surgery

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The age of the child is 1-10 years old, regardless of gender; ASA grading I to II; Children undergoing hernia, appendix, or small orthopedic surgery under selective general anesthesia Exclusion Criteria: Respiratory infection occurred within 1 week before surgery; Potential or existing contraindications to general anesthesia; Significant abnormalities in blood routine or biochemical indicators; Patients with cognitive function, mental illness, or neurodevelopmental delay; Unable to cooperate in completing the test, the child's guardian refused to participate; Other reasons why researchers believe it is not suitable to participate in this experiment.

Ages Eligible for Study
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Minimum Age: 1 Year
Maximum Age: 10 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Emergence agitation group<br> | |
| Non emergence agitation group<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of emergence agitation | The level of postoperative emergence agitation (EA) was assessed using the pediatric anesthesia emergence delirium Scale (PAED) and the emergence agitation 5 Scale immediately after extubation, and then every 15 min until the child was returned to the ward. emergence agitation was defined as a PAED score of ≥12 or a emergence agitation 5 scale of >3. | The entire period from entering the recovery room to leaving the recovery room. Approximately 10 min-2 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| emergence time | The period of time between the cessation of the use of anesthetic drugs and the recovery of the child's autonomous consciousness and the ability to respond correctly to external stimuli. | Approximately 5 min-2 hours | 
| Postoperative pain intensity | Immediately after postoperative recovery, assess the pain intensity of the child using the FLACC pain scale, and then evaluate again every 15 minutes until the child leaves the recovery room. FLACC is divided into 0-10 points | The entire period from entering the recovery room to leaving the recovery room. Approximately 10 min-2 hours | 
| Compatibility during anesthesia induction period | The degree of cooperation between the patient and the doctor's instructions during anesthesia induction period. Using the Anesthesia Induction Cooperation Scale (ICC) for evaluation, the higher the ICC score, the worse the compatibility | Anesthesia induction period, up to 2 minutes |