We found dexmedetomidine to be an effective agent for providing sedation in spontaneously breathing patients, in the treatment of the clinical signs and symptoms of drug withdrawal, and in the treatment of two common postanesthesia problems: emergence delirium
and postoperative shivering.
Distinguishing the diagnosis of pain at emergence from emergence delirium may be difficult as the behaviours may appear similar, at least intitially, and similar pharmacological treatment options may be indicated with some urgency before the clinical distinction is made.
Recently, Sikich and Lerman (26) developed a paediatric anaesthesia emergence delirium scale incorporating cognitive-related assessment items in addition to agitation behaviours and proved its reliability and validity.
Does dexmedetomidine prevent emergence delirium in children after sevoflurane-based general anesthesia?