Continuing Education
  • Prevention of Emergence Delirium in American Veterans: Best Practice Recommendations

    Emergence delirium (ED) is an acute neurologic impairment that can occur directly following the discontinuation of general anesthesia (GA) characterized by altered cognition, agitated psychomotor movements, and reactive aggression potentially leading to complications such as: self-extubation, dislodgement of various indwelling catheters, patient and staff injury, and increased length of stay in the post anesthesia care unit (PACU). Recent studies have shown ED prevalence in the general adult population is estimated at 8.3% but rates as high as 31% in certain populations such as combat veterans diagnosed with post-traumatic stress disorder (PTSD) have been observed. This presentation will provide knowledge concerning physiology of PTSD and summarize practice recommendations synthesized from the latest evidence-based data available in an effort to guide anesthesia practice. Practice recommendations will include preoperative assessment tools, premedication, pre-intra and post-operative management and rescue medication administration. (1 Class A CE with .5 Pharm)