Abstract

Post-traumatic stress disorder (PTSD) is a well-known phenomenon among military veterans which places this population at an increased risk for emergence delirium after undergoing general anesthesia. Emergence delirium is a period of agitated psychomotor activity that occurs as the patient awakens from anesthesia and places both the patient and operating room staff at risk for harm. The case study component describes a 41-year-old male military veteran with a history of combat-related PTSD who presented to the operating room for the open repair of a ruptured bladder after he sustained self-inflicted blunt-force trauma to his abdomen during an episode of alcohol-induced psychosis. The patient's perioperative course is described, critiques made, and generalizable recommendations listed for preventing emergence delirium in military veterans with PTSD.

Author Details

Kimberly Wendland, BSN; Lauren Barnes, DNP, CRNA

Sigma Membership

Non-member

Lead Author Affiliation

Samford University, Birmingham, Alabama, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Post-traumatic Stress Disorder, Emergence Delirium, Midazolam, Ketamine, Dexmedetomidine, Anesthesia

Advisor

Barnes, Lauren

Second Advisor

Cahoon, Terri

Degree

DNP

Degree Grantor

Samford University

Degree Year

2024

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2024-01-26

Full Text of Presentation

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