Incidence up to more than 40%

Might be occurring together with EEG-changes

Methods usually tried to reduce the incidence: addition of nitrous oxide, premedication with benzodiazepines, early extubation, switching to other inhaled anaesthetics

Propofol maintenance after sevoflurane induction seems to be the best alternative.

A recent study also indicates that a switch to desflurane for maintenance after sevoflurane inhalation induction reduces the incidence of emergence agitation by 50 %

A paranoid delusion is said to be a common feature of this state of agitation.

Information about this phenomenon should be explained to the parents before the procedure.