Citation

Nguyen S, Pak M, Paoli D, Neff DF. Cureus 2016; 8(12): e921.

Affiliation

Associate Dean for Nursing Research, UCF College of Nursing.

Copyright

(Copyright © 2016, Curēus)

DOI

10.7759/cureus.921

PMID

28083465

Abstract

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.

Language: en

Keywords

emergence delirium (ed); military veterans; post-traumatic stress disorder (ptsd)