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Can anesthesia trigger delayed-onset posttraumatic stress disorder in veterans?

Kathrene Carter Berger¹, Kathleen Scharer

¹School of Nursing, University of North Carolina, Chapel Hill, North Carolina, USA. bergerk@mailbox.sc.edu

Perspectives in Psychiatric Care

|June 26, 2012

Summary

Delayed-onset posttraumatic stress disorder (PTSD) can occur after surgery. Clinicians should consider surgical and anesthetic history in patients presenting with PTSD symptoms.

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Area of Science:

Neuroscience
Psychiatry
Gerontology

Background:

Posttraumatic stress disorder (PTSD) is often associated with direct trauma exposure.
Delayed-onset PTSD, particularly after medical procedures, is less understood.
Aging and anesthesia may influence memory and psychological responses to surgery.

Observation:

A case study of a 60-year-old Vietnam veteran presenting with delayed-onset PTSD following surgery.
The patient's history included significant combat trauma.
The presentation highlights the complex interplay of past trauma, surgical experience, and potential contributing factors.

Findings:

Surgery can act as a trigger for latent or delayed-onset PTSD.
Mechanisms of traumatic memory storage may be implicated in the development of PTSD post-surgery.
Anesthesia and the aging process could potentially modulate the risk or presentation of PTSD.

Implications:

Clinicians should inquire about surgical and anesthetic history in patients with delayed-onset PTSD.
Understanding the role of memory, anesthesia, and aging is crucial for managing PTSD.
Proactive screening and communication among patient, surgeon, and anesthetist can mitigate risks.