Pediatric anesthesia & critical care
Intraoperative burst suppression and emergence delirium in pediatric: A prospective observational study
Authors' conclusion
This study demonstrated a notable association between intraoperative burst suppression and the incidence of postoperative emergence delirium.
Study context
- Population
- Children aged 6 months to 9 years undergoing GA with EEG monitoring, Beijing Children's Hospital, January 2022 to January 2023enrolled
- Participants
- 207 children
- Exposure
- Intraoperative burst suppression vs no burst suppression
- Outcome
- Emergence delirium (Pediatric Anesthesia Emergence Delirium Scale score ≥10)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Incidence of emergence delirium
- Children with burst suppression eight times more likely to develop emergence delirium (binary logistic regression)
- 8
Observational data: associations, not effects.
Further findings
Maintenance agent: IV propofol vs sevoflurane (risk factor for emergence delirium)
- 57 % lower incidence of emergence delirium with IV propofol than sevoflurane maintenance
- Binary logistic regression
Original publication
Intraoperative burst suppression and emergence delirium in pediatric: A prospective observational study. J Clin Anesth. Published 26 November 2025. doi:10. 1016/ j. jclinane. 2025. 112078
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