Risk factors for emergence delirium in U.S. military members

Jason M McGuire1, Joseph F Burkard

  • 1University of San Diego, Hahn School of Nursing and Health Science, San Diego, CA, USA. mcguirecrna@gmail.com

Insights

Emergence delirium (ED), a postanesthesia complication, is increasingly noted in the US military. This review explores potential risk factors like pain and trauma in veterans, guiding future research.

Area of Science:

  • Anesthesiology
  • Military Medicine
  • Psychology

Background:

  • Emergence delirium (ED) is a common postanesthesia complication.
  • While extensively studied in pediatrics, ED is gaining attention in the US military surgical population.
  • Increased incidence necessitates understanding ED in military personnel.

Purpose of the Study:

  • To identify potential risk factors for emergence delirium in the US military population.
  • To explore the relationship between physiological and psychological changes in veterans and their surgical experiences.
  • To provide a foundation for future scientific inquiry into ED within this demographic.

Main Methods:

  • Review of existing literature on emergence delirium across pediatric, adult, and elderly populations.
  • Exploration of potential etiologies for ED in the military context.
  • Identification of risk factors specific to US military veterans.

Main Results:

  • Pain and physical trauma associated with military service are identified as potential risk factors for ED.
  • Psychological trauma from military duty may also contribute to ED.
  • Existing data on ED in general populations supports potential causes in military veterans.

Conclusions:

  • Pain, physical trauma, and psychological stress are significant potential risk factors for ED in US military personnel.
  • Further scientific investigation is warranted to elucidate the specific mechanisms and prevalence of ED in this population.
  • Understanding these risk factors can inform clinical practice and targeted interventions for military veterans.

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