med j west black sea Medical Journal of Western Black Sea 2822-4302 2587-0602 Zonguldak Bülent Ecevit Üniversitesi 10.29058/mjwbs.1835988 Anaesthesiology Anesteziyoloji Pediatrik adenotonsillektomi sonrası uyanma deliryumu üzerine preemptif analjezi ve preoperatif anksiyetenin etkileri Effects of preemptive analgesia and preoperative anxiety on emergence delirium after pediatric adenotonsillectomy https://orcid.org/0000-0002-3586-7494 Küçükosman Gamze Department of Anesthesiology and Reanimation, University of Health Sciences Trabzon Kanuni Training and Research Hospital, Trabzon, Türkiye https://orcid.org/0000-0002-1324-6144 Köksal Bengü G. Department of Anesthesiology and Reanimation, Zonguldak Bülent Ecevit University, Faculty of Medicine, Zonguldak, Türkiye https://orcid.org/0000-0002-7111-8685 Bollucuoğlu Keziban Department of Anesthesiology and Reanimation, Zonguldak Bülent Ecevit University, Faculty of Medicine, Zonguldak, Türkiye https://orcid.org/0000-0002-0520-7532 Okyay Rahşan D. Department of Anesthesiology and Reanimation, Zonguldak Bülent Ecevit University, Faculty of Medicine, Zonguldak, Türkiye https://orcid.org/0000-0003-3744-1996 Alp Dilay İ. Department of Anesthesiology and Reanimation, Zonguldak Bülent Ecevit University, Faculty of Medicine, Zonguldak, Türkiye https://orcid.org/0000-0003-3538-0317 Pişkin Özcan Department of Anesthesiology and Reanimation, Zonguldak Bülent Ecevit University, Faculty of Medicine, Zonguldak, Türkiye https://orcid.org/0000-0002-6869-5932 Ayoğlu Hilal Department of Anesthesiology and Reanimation, Zonguldak Bülent Ecevit University, Faculty of Medicine, Zonguldak, Türkiye 04 29 2026 10 1 142 150 12 05 2025 03 06 2026 Copyright © 2017, Batı Karadeniz Tıp Dergisi 2017 Batı Karadeniz Tıp Dergisi

Amaç: Postoperatif uyanma deliryumu (PED), özellikle çocuklarda anesteziden uyanma sırasında huzursuzluk, yönelim bozukluğu ve ajitasyon ile karakterizedir. Etiyolojisinde preoperatif anksiyete, baş-boyun cerrahisi, inhalasyon ajanları ve ağrı rol oynar. Bu çalışmada, pediatrik adenotonsillektomi sonrası PED üzerine preemptif analjezi ve preoperatif anksiyetenin etkileri araştırılmıştır. Gereç ve Yöntemler: Etik kurul onayı ve yazılı ebeveyn onamı alındıktan sonra 64 pediatrik hasta çalışmaya dahil edildi. Bu prospektif gözlemsel çalışmada hastalar, intravenöz asetaminofen uygulama zamanına göre; cerrahi insizyondan 30 dakika önce (Grup 1) veya cerrahinin bitiminden 15 dakika önce (Grup 2) olacak şekilde sınıflandırıldı. Preoperatif anksiyete modified Yale Preoperative Anxiety Scale (m-YPAS) ile, postoperatif deliryum Pediatric Anesthesia Emergence Delirium (PAED) ölçeği ile ve ağrı Wong-Baker Faces Pain Scale (WBFPS) ile değerlendirildi. Ölçümler postoperatif 0, 5, 10, 15, 30, 45 ve 60. dakikalarda kaydedildi. p

Aim: Postoperative emergence delirium (PED) is characterized by restlessness, disorientation, and agitation, particularly in children during emergence from anesthesia. Its etiology includes preoperative anxiety, head-neck surgery, inhalation agents, and pain. This study evaluated the effects of preemptive analgesia and preoperative anxiety on PED after pediatric adenotonsillectomy.Material and Methods: After ethics committee approval and written parental consent were obtained, 64 pediatric patients were enrolled. In this prospective observational study, patients were categorized according to the timing of intravenous acetaminophen administration: 30 minutes before surgical incision(Group 1) or 15 minutes before the end of surgery (Group 2). Preoperative anxiety was assessed using the modified Yale Preoperative Anxiety Scale (m-YPAS), postoperative delirium using the Pediatric Anesthesia Emergence Delirium (PAED) scale, and pain using the Wong-Baker Faces Pain Scale (WBFPS). Measurements were recorded at 0, 5, 10, 15, 30, 45, and 60 minutes postoperatively. A p value

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