Page last updated: 2024-10-27

fentanyl and Agitated Emergence

fentanyl has been researched along with Agitated Emergence in 12 studies

Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
fentanyl : A monocarboxylic acid amide resulting from the formal condensation of the aryl amino group of N-phenyl-1-(2-phenylethyl)piperidin-4-amine with propanoic acid.

Research Excerpts

ExcerptRelevanceReference
"Lidocaine-based regimen for induction of anesthesia reduced the risk of postinduction hypotension in older patients compared to the fentanyl-based regimen."5.69Comparison of the hemodynamic effects of opioid-based versus lidocaine-based induction of anesthesia with propofol in older adults: a randomized controlled trial. ( Amin, SM; Arafa, AS; ElSayed, OS; Hasanin, A; Hassan, A; Khaled, D; Mostafa, M, 2023)
"Sevoflurane or fentanyl was titrated immediately according to monitor thresholds."3.11Emergence agitation in paediatric day case surgery: A randomised, single-blinded study comparing narcotrend and heart rate variability with standard monitoring. ( Erngaard, L; Hansen, TG; Larsen, LG; Lé Greves, S; Wegger, M, 2022)
"The incidence of emergence delirium was lower in the dexmedetomidine group than in the melatonin group (17 versus 37%, relative risk 0."3.11Atomised intranasal dexmedetomidine versus oral melatonin in prevention of emergence delirium in children undergoing ophthalmic surgery with sevoflurane: A randomised double-blind study. ( Ashok, V; Jangra, S; Ram, J; Sethi, S, 2022)
"Remifentanil has a significant effect on reducing the occurrence of delirium (P = 0."2.84The influence of analgesic-based sedation protocols on delirium and outcomes in critically ill patients: A randomized controlled trial. ( An, Y; Liu, D; Lyu, J; Zhao, H, 2017)
"Incidence of EA and postoperative pain scores were recorded at 10-min intervals in the postanaesthetic care unit (PACU)."2.82Comparison of effects of intravenous midazolam and ketamine on emergence agitation in children: Randomized controlled trial. ( Jung, JW; Kang, E; Kim, KM; Kim, YH; Ko, MJ; Lee, KH, 2016)
"Fentanyl dose response was evidenced by oxycodone administration differences ( P ≤ 0."1.91Middle Ear Condition at the Time of Pediatric Myringotomy Tube Placement: Pain Associations Following Intraoperative Fentanyl/Ketorolac and Seasonal Variation. ( Ampah, SB; Cohen, WG; Cook-Sather, SD; Lee, DR; Sobol, SE; Zhang, B, 2023)
"Postoperative pain was evaluated using the Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) and the rescue fentanyl requirement in post anesthesia care unit (PACU) was analyzed."1.72Association between ABO blood groups and postoperative pain in children after adenotonsillectomy: a prospective cohort study. ( Guo, G; Hong, M; Lian, J; Lin, X; Luo, Q; Shen, L; Wang, J; Wang, S; Wu, J; Xiao, Q; Xu, Y, 2022)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's6 (50.00)24.3611
2020's6 (50.00)2.80

Authors

AuthorsStudies
Sun, M1
Peng, T1
Sun, Y2
Huang, Z1
Jiang, J1
Wang, C1
Li, Y2
Zhang, Y1
Kong, W1
Fan, L1
Sun, X1
Zhao, X1
Larsen, LG1
Wegger, M1
Lé Greves, S1
Erngaard, L1
Hansen, TG1
Jangra, S1
Ashok, V1
Sethi, S1
Ram, J1
Cohen, WG2
Zhang, B2
Lee, DR2
Ampah, SB2
Sobol, SE2
Cook-Sather, SD2
Shen, L1
Wu, J2
Xiao, Q1
Hong, M1
Wang, S1
Wang, J1
Luo, Q1
Lin, X1
Lian, J1
Xu, Y1
Guo, G1
Amin, SM1
Hasanin, A1
ElSayed, OS1
Mostafa, M1
Khaled, D1
Arafa, AS1
Hassan, A1
Liu, D1
Lyu, J1
Zhao, H1
An, Y1
Zhong, Q1
Qu, X1
Xu, C1
Liu, J1
Yuan, X1
Kim, KM1
Lee, KH1
Kim, YH1
Ko, MJ1
Jung, JW1
Kang, E1
Ydemann, M1
Nielsen, BN1
Wetterslev, J1
Henneberg, S1
Lauritsen, T1
Steen, N1
Edström, B1
Afshari, A1
Moore, AD1
Anghelescu, DL1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Midazolam Effect on Agitation Postnasal Surgery: A Double Blinded Randomized Controlled Trial[NCT05165914]100 participants (Actual)Interventional2021-05-27Completed
Does Intraoperative Clonidine Reduce Post Operative Agitation in Children Anaesthetised With Sevoflurane? A RCT Including Pharmacokinetic Investigation.[NCT02361476]Phase 4379 participants (Actual)Interventional2015-01-31Completed
Clonidine for Tourniquet-related Pain in Children: A Pilot Study[NCT04564430]Phase 420 participants (Anticipated)Interventional2021-03-01Recruiting
Effect of Different Administrations of Propofol on Emergence Agitation in Preschool Children Undergoing Ambulatory Surgery[NCT05420402]168 participants (Anticipated)Interventional2022-08-01Active, not recruiting
Investigation of the DNA Methylation Profile in Children Who Presented Emergence Delirium[NCT03787849]175 participants (Actual)Interventional2018-09-24Completed
Effectivity of 0.5 mg/kg Propofol in the End of Anesthesia to Reduce the Incidence of Postanesthetic Emergence Agitation in Pediatric Patients Under General Inhalation Anesthesia[NCT03528954]54 participants (Actual)Interventional2018-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Fentanyl and Morphine Requirements

Amount used (NCT02361476)
Timeframe: Recorded during the stay in the postoperative recovery room

Interventionmg morphine equivalents (Mean)
Intervention0.46
Placebo0.7

First Administration of Fentanyl or Morphine

Time to administration (NCT02361476)
Timeframe: recovery room

InterventionMEDIAN time (min) to administration (Median)
Intervention105
Placebo60

Pain Assessment

"Pain score used:~FLACC score = Face, Legs, Activity, Cry, Consolability Score ranges from 0 to 10 (severity increases with increasing score) Pain is FLACC score more than 3" (NCT02361476)
Timeframe: recovery room - hours

InterventionPain Score (Mean)
Intervention1.57
Placebo2.45

Postoperative Agitation

Measured by Watchae Scale (score 1-4), scores 1-2 = no agitation and scores 3-4 = agitated (NCT02361476)
Timeframe: 1 day

Interventionparticipants with agitation (Number)
Intervention46
Placebo86

Adverse Events

(NCT02361476)
Timeframe: from intervention to discharge from the recovery room

,
Interventionparticipants (Number)
adverse eventsserious adverse eventsTreated for low blood pressure
Intervention020
Placebo520

Reviews

1 review available for fentanyl and Agitated Emergence

ArticleYear
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017
Emergence Delirium in Pediatric Anesthesia.
    Paediatric drugs, 2017, Volume: 19, Issue:1

    Topics: Anesthetics, Inhalation; Child; Child, Preschool; Clonidine; Desflurane; Dexmedetomidine; Emergence

2017

Trials

9 trials available for fentanyl and Agitated Emergence

ArticleYear
Intraoperative use of low-dose dexmedetomidine for the prevention of emergence agitation following general anaesthesia in elderly patients: a randomized controlled trial.
    Aging clinical and experimental research, 2022, Volume: 34, Issue:3

    Topics: Aged; Anesthesia Recovery Period; Anesthesia, General; Dexmedetomidine; Double-Blind Method; Emergen

2022
Emergence agitation in paediatric day case surgery: A randomised, single-blinded study comparing narcotrend and heart rate variability with standard monitoring.
    European journal of anaesthesiology, 2022, 03-01, Volume: 39, Issue:3

    Topics: Anesthesia Recovery Period; Anesthetics, Inhalation; Child; Child, Preschool; Emergence Delirium; Fe

2022
Atomised intranasal dexmedetomidine versus oral melatonin in prevention of emergence delirium in children undergoing ophthalmic surgery with sevoflurane: A randomised double-blind study.
    European journal of anaesthesiology, 2022, 11-01, Volume: 39, Issue:11

    Topics: Child; Dexmedetomidine; Double-Blind Method; Emergence Delirium; Fentanyl; Humans; Hypnotics and Sed

2022
Comparison of the hemodynamic effects of opioid-based versus lidocaine-based induction of anesthesia with propofol in older adults: a randomized controlled trial.
    Anaesthesia, critical care & pain medicine, 2023, Volume: 42, Issue:4

    Topics: Aged; Analgesics, Opioid; Anesthesia, General; Anesthetics, Intravenous; Emergence Delirium; Fentany

2023
The influence of analgesic-based sedation protocols on delirium and outcomes in critically ill patients: A randomized controlled trial.
    PloS one, 2017, Volume: 12, Issue:9

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Critical Illness; Deep Sedation; Emergence Delirium; Fem

2017
Effect of preoperative visiting operation room on emergence agitation in preschool children under sevoflurane anesthesia.
    International journal of pediatric otorhinolaryngology, 2018, Volume: 104

    Topics: Anesthesia Recovery Period; Anesthesia, General; Anesthetics, Inhalation; Child; Child, Preschool; E

2018
Effects of dexmedetomidine on emergence delirium in pediatric cardiac surgery.
    Minerva pediatrica, 2017, Volume: 69, Issue:3

    Topics: Anesthesia, General; Anesthetics, Inhalation; Cardiac Surgical Procedures; Child; Child, Preschool;

2017
Comparison of effects of intravenous midazolam and ketamine on emergence agitation in children: Randomized controlled trial.
    The Journal of international medical research, 2016, Volume: 44, Issue:2

    Topics: Anesthesia Recovery Period; Anesthesia, General; Anesthetics, Dissociative; Anesthetics, Inhalation;

2016
Effect of clonidine to prevent agitation in children after sevoflurane anaesthesia: a randomised placebo controlled multicentre trial.
    Danish medical journal, 2016, Volume: 63, Issue:6

    Topics: Adjuvants, Anesthesia; Adrenergic alpha-2 Receptor Agonists; Anesthesia; Anesthetics, Inhalation; Ch

2016
Effect of clonidine to prevent agitation in children after sevoflurane anaesthesia: a randomised placebo controlled multicentre trial.
    Danish medical journal, 2016, Volume: 63, Issue:6

    Topics: Adjuvants, Anesthesia; Adrenergic alpha-2 Receptor Agonists; Anesthesia; Anesthetics, Inhalation; Ch

2016
Effect of clonidine to prevent agitation in children after sevoflurane anaesthesia: a randomised placebo controlled multicentre trial.
    Danish medical journal, 2016, Volume: 63, Issue:6

    Topics: Adjuvants, Anesthesia; Adrenergic alpha-2 Receptor Agonists; Anesthesia; Anesthetics, Inhalation; Ch

2016
Effect of clonidine to prevent agitation in children after sevoflurane anaesthesia: a randomised placebo controlled multicentre trial.
    Danish medical journal, 2016, Volume: 63, Issue:6

    Topics: Adjuvants, Anesthesia; Adrenergic alpha-2 Receptor Agonists; Anesthesia; Anesthetics, Inhalation; Ch

2016

Other Studies

2 other studies available for fentanyl and Agitated Emergence

ArticleYear
Middle Ear Condition at the Time of Pediatric Myringotomy Tube Placement: Pain Associations Following Intraoperative Fentanyl/Ketorolac and Seasonal Variation.
    Anesthesia and analgesia, 2023, 05-01, Volume: 136, Issue:5

    Topics: Child; Double-Blind Method; Ear, Middle; Emergence Delirium; Fentanyl; Humans; Ketorolac; Oxycodone;

2023
Middle Ear Condition at the Time of Pediatric Myringotomy Tube Placement: Pain Associations Following Intraoperative Fentanyl/Ketorolac and Seasonal Variation.
    Anesthesia and analgesia, 2023, 05-01, Volume: 136, Issue:5

    Topics: Child; Double-Blind Method; Ear, Middle; Emergence Delirium; Fentanyl; Humans; Ketorolac; Oxycodone;

2023
Middle Ear Condition at the Time of Pediatric Myringotomy Tube Placement: Pain Associations Following Intraoperative Fentanyl/Ketorolac and Seasonal Variation.
    Anesthesia and analgesia, 2023, 05-01, Volume: 136, Issue:5

    Topics: Child; Double-Blind Method; Ear, Middle; Emergence Delirium; Fentanyl; Humans; Ketorolac; Oxycodone;

2023
Middle Ear Condition at the Time of Pediatric Myringotomy Tube Placement: Pain Associations Following Intraoperative Fentanyl/Ketorolac and Seasonal Variation.
    Anesthesia and analgesia, 2023, 05-01, Volume: 136, Issue:5

    Topics: Child; Double-Blind Method; Ear, Middle; Emergence Delirium; Fentanyl; Humans; Ketorolac; Oxycodone;

2023
Association between ABO blood groups and postoperative pain in children after adenotonsillectomy: a prospective cohort study.
    BMC anesthesiology, 2022, 12-28, Volume: 22, Issue:1

    Topics: ABO Blood-Group System; Analgesics, Opioid; Double-Blind Method; Emergence Delirium; Fentanyl; Human

2022