Emergence delirium and agitation (EAD) associated with sevoflurane general anesthesia are very commonly observed in young children. Such events pose a risk for injury as well as decreased parental satisfaction, especially in the ambulatory and office-based setting. This article reviews the different approaches described in the literature to reduce EAD. A novel approach using a Bispectral Index System (BIS)-guided anesthesia with propofol washout technique is proposed as a viable and effective approach to prevent EAD.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3683883PMC
http://dx.doi.org/10.2344/0003-3006-60.3.67DOI Listing

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