TY - JOUR PY - 2016// TI - Emergence delirium with post-traumatic stress disorder among military veterans JO - Curēus A1 - Nguyen, Son A1 - Pak, Mila A1 - Paoli, Daniel A1 - Neff, Donna F. SP - e921 EP - e921 VL - 8 IS - 12 N2 - 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

LA - en SN - 2168-8184 UR - http://dx.doi.org/10.7759/cureus.921 ID - ref1 ER -