• Curēus · Dec 2016

    Case Reports

    Emergence Delirium With Post-traumatic Stress Disorder Among Military Veterans.

    • Son Nguyen, Mila Pak, Daniel Paoli, and Donna F Neff.
    • Orlando VA Medical Center, UCF College of Medicine.
    • Cureus. 2016 Dec 8; 8 (12): e921.

    AbstractThe 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.

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