Emergence Delirium With Post-traumatic Stress Disorder Among Military Veterans

  • Nguyen S
  • Pak M
  • Paoli D
  • et al.
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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.




Nguyen, S., Pak, M., Paoli, D., & Neff, D. F. (2016). Emergence Delirium With Post-traumatic Stress Disorder Among Military Veterans. Cureus. https://doi.org/10.7759/cureus.921

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