In both the groups, the incidence of emergence delirium
and nausea and vomiting was noted in postoperative period.
As a Perioperative Nurse at a private surgical hospital, it became apparent to me that although opioids, Fentanyl in particular, were positively associated with decreasing pain and emergence delirium
in children undergoing myringotomy (with or without grommet insertion), Fentanyl was also associated with increased incidence of postoperative nausea and vomiting (PONV) in these children.
The combination of benzodiazepines with Ketamine not only reduces its emergence delirium
but also provide better sedation and amnesia.
Development and psychometric evaluation of the pediatric anesthesia emergence delirium
One of the common side effects of ketamine is emergence delirium
Despite the melatonin groups being more anxious than the midazolam group at induction, the melatonin groups had significantly less emergence delirium
compared with the midazolam group (72).