Paediatric anaesthesia & critical care

EEG ‐Guided Sevoflurane Anesthesia and Emergence Delirium in Children: A Randomized Controlled Trial

Paediatr AnaesthPublished Randomised controlled trial

Authors' conclusion

EEG-guided anesthesia was associated with lower PAEDS scores and reduced sevoflurane consumption compared with standard management.

Study context

Population
Behaviorally noncompliant children aged 4–10 years undergoing dental procedures under GA
Participants
100 children
Comparison
EEG-guided vs standard minimum alveolar concentration (MAC)-guided sevoflurane anaesthesia
Primary endpoint
ED incidence assessed by the Pediatric Anesthesia Emergence Delirium Scale (PAEDS)
Methodological detailsprospective
  • Prospective

Primary result

As reported in the abstract

ED incidence

ED incidence

At 10 min postoperatively

Secondary outcomes

Mean

OutcomeEEG-SStandardMean difference (95% CI)P value
Maintenance end-tidal sevoflurane (EtSevo)1.88 (SD 0.25)1.98 (SD 0.20)0.10 (0.006–0.190)P = 0.036

Median

OutcomeEEG-SStandard
PAEDS score upon arrival to PACU4 (IQR 4)8 (IQR 4.5)

Pediatric Anesthesia Emergence Delirium Scale (PAEDS) score upon arrival to PACU

Median PAEDS scores during the first 120 min significantly lower in EEG-S group

Postoperative FLACC pain scores

Lower in the EEG-S group; potential confounder for emergence delirium (ED) outcomes

Original publication

EEG ‐Guided Sevoflurane Anesthesia and Emergence Delirium in Children: A Randomized Controlled Trial. Paediatr Anaesth. Published 12 August 2026. doi:10.1002/pan.70279

Composed by AI from the published abstract and checked against it. How Briefs are made →

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