Postanesthetic Emergence Delirium in Children: Qualitative Differences Between Sevoflurane Vs Desflurane: A Randomized Clinical Trial

Background: Emergence Delirium (ED) is considered a usual complication in pediatric anesthesia.Aim: Analyze the quantitative and qualitative differences in ED in children receiving general anesthesia with sevoflurane or desflurane in day case surgery.Materials and Methods: Two hundred and two children, ASA I-II, who required outpatient elective day case surgery, were assigned to receive anesthesia with sevoflurane or desflurane.ED was assessed by a masked investigator using the Pediatric Anesthesia Emergence Delirium (PAED) scale at 5 and 15 minutes (min).Results: Mean time to wake up was shorter with desflurane compared with sevoflurane (6.0 versus 8.3 min, p = 0.0001).