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Emergence Delirium With Post-traumatic Stress Disorder Among Military Veterans
The clinical characteristics of emergence delirium (ED) associated with post-traumatic stress disorder (PTSD) among military veterans encompass transient agitation, restlessness, disorientation, and violent verbal and physical behaviors due to re-experiencing of PTSD-related incidents. Two cases of ...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5218878/ https://www.ncbi.nlm.nih.gov/pubmed/28083465 http://dx.doi.org/10.7759/cureus.921 |
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author | Nguyen, Son Pak, Mila Paoli, Daniel Neff, Donna F |
author_facet | Nguyen, Son Pak, Mila Paoli, Daniel Neff, Donna F |
author_sort | Nguyen, Son |
collection | PubMed |
description | The clinical characteristics of emergence delirium (ED) associated with post-traumatic stress disorder (PTSD) among military veterans encompass transient agitation, restlessness, disorientation, and violent verbal and physical behaviors due to re-experiencing of PTSD-related incidents. Two cases of ED after general anesthesia associated with PTSD are presented. Different anesthesia methods were applied for the two cases. A traditional medical approach appeared not to prevent the incidence of ED. In the second case, dexmedetomidine infusion along with verbal coaching was effective in preventing ED for a veteran known to have “wild wake-ups” with prior anesthetics. Further clinical studies in effectively utilizing dexmedetomidine in this population with PTSD at high risk for ED are warranted. |
format | Online Article Text |
id | pubmed-5218878 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-52188782017-01-12 Emergence Delirium With Post-traumatic Stress Disorder Among Military Veterans Nguyen, Son Pak, Mila Paoli, Daniel Neff, Donna F Cureus Anesthesiology The clinical characteristics of emergence delirium (ED) associated with post-traumatic stress disorder (PTSD) among military veterans encompass transient agitation, restlessness, disorientation, and violent verbal and physical behaviors due to re-experiencing of PTSD-related incidents. Two cases of ED after general anesthesia associated with PTSD are presented. Different anesthesia methods were applied for the two cases. A traditional medical approach appeared not to prevent the incidence of ED. In the second case, dexmedetomidine infusion along with verbal coaching was effective in preventing ED for a veteran known to have “wild wake-ups” with prior anesthetics. Further clinical studies in effectively utilizing dexmedetomidine in this population with PTSD at high risk for ED are warranted. Cureus 2016-12-08 /pmc/articles/PMC5218878/ /pubmed/28083465 http://dx.doi.org/10.7759/cureus.921 Text en Copyright © 2016, Nguyen et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Anesthesiology Nguyen, Son Pak, Mila Paoli, Daniel Neff, Donna F Emergence Delirium With Post-traumatic Stress Disorder Among Military Veterans |
title | Emergence Delirium With Post-traumatic Stress Disorder Among Military Veterans |
title_full | Emergence Delirium With Post-traumatic Stress Disorder Among Military Veterans |
title_fullStr | Emergence Delirium With Post-traumatic Stress Disorder Among Military Veterans |
title_full_unstemmed | Emergence Delirium With Post-traumatic Stress Disorder Among Military Veterans |
title_short | Emergence Delirium With Post-traumatic Stress Disorder Among Military Veterans |
title_sort | emergence delirium with post-traumatic stress disorder among military veterans |
topic | Anesthesiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5218878/ https://www.ncbi.nlm.nih.gov/pubmed/28083465 http://dx.doi.org/10.7759/cureus.921 |
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