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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.
Abstract:
Emergence delirium (ED) is a postanesthesia phenomenon occurring in both adults and children during recovery from general anesthesia. Although the pediatric population has been an ongoing focus of research and publications regarding ED, a renewed interest in ED has developed among military nurses and anesthesia providers because of its increasing incidence among the US military surgical population. The purpose of this article is to identify potential risk factors for emergence delirium in the US military population. Possible relationships between the physiological and psychological changes in US military veterans and the surgical experience are explored. A review of ED as it occurs among the pediatric, adult, and elderly populations is also provided to support potential etiologies for the occurrence of ED in the military population. Pain and physical and psychological trauma as a result of military duty are identified and linked to ED as potential risk factors. Identification of these risk factors may provide guidance for scientific inquiry into this phenomenon in the military population. Implications for future study are also explored.
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