Comment on “The Effect of Bispectral Index Monitoring on Emergence Delirium in Pediatric Patients: A Retrospective Observational Study”
Abstract
This letter comments on the article “The Effect of Bispectral Index Monitoring on Emergence Delirium in Pediatric Patients: A Retrospective Observational Study.” The study addresses an important clinical issue in pediatric anesthesia by evaluating the potential role of bispectral index monitoring in reducing emergence delirium and improving postoperative recovery. In this commentary, we highlight several clinically relevant points, including anesthetic depth monitoring, volatile anesthetic exposure, pain assessment, and standardized delirium evaluation, and offer suggestions based on recent evidence to support future research in this field.
Keywords
References
- Uslu Bayhan B, Gazioğlu Kişi T, Sarı Ş, Kürkçüoğlu BS. The effect of bispectral index monitoring on emergence delirium in pediatric patients: a retrospective observational study. Duzce Med J. 2026;28(1):57-63. doi:10.18678/dtfd.1825287.
- Liu K, Liu C, Ulualp SO. Prevalence of emergence delirium in children undergoing tonsillectomy and adenoidectomy. Anesthesiol Res Pract. 2022;2022:1465999. doi:10.1155/2022/1465999.
- Miyasaka KW, Suzuki Y, Brown EN, Nagasaka Y. EEG-guided titration of sevoflurane and pediatric anesthesia emergence delirium: a randomized clinical trial. JAMA Pediatr. 2025;179(7):704-12. doi:10.1001/jamapediatrics.2025.0517.
- Haidar L, Abadi F, Sarieddine T, Vitali A, Zouein FA, Massoud G. EEG-guided anesthesia for the prevention of emergence delirium in children: a systematic review and meta-analysis. JAMA Pediatr. 2026;180(4):394-401. doi:10.1001/jamapediatrics.2025.6005.
- Li Y, Jiang Y, Zhang L. The effect of different dosage of intranasal dexmedetomidine on preventing emergence delirium or agitation in children: a network meta-analysis of randomized controlled trials. PLoS One. 2024;19(9):e0304796. doi:10.1371/journal.pone.0304796.
Details
Primary Language
English
Subjects
Anaesthesiology
Journal Section
Letter to Editor
Authors
Publication Date
August 21, 2026
Submission Date
June 17, 2026
Acceptance Date
August 8, 2026
Published in Issue
Year 2026 Volume: 28 Number: 2
