Date of Award
Doctor of Nursing Practice (DNP)
Dr. Brian Garrett
First Committee Member
Dr. Joy Shoemaker
Second Committee Member
Dr. Amy Bishop
General Anesthesia, PTSD, Posttraumatic Stress Disorder, Anesthesia
Medicine and Health Sciences
General anesthesia is an induced state of unconsciousness administered by anesthesia providers to obtain patient amnesia, analgesia, and akinesia. Adult patients with posttraumatic stress disorder (PTSD) are at risk for general anesthesia-related complications throughout the perioperative setting. Emergence delirium is a clinically significant postoperative complication that patients with PTSD have an increased risk of developing. Postoperative complications of emergence delirium include patient or medical staff injury, surgical site damage, prolonged postanesthesia care unit (PACU) stay, and increased medical care costs. Evidence demonstrates that implementing preventive interventions decreases the incidence of emergence delirium. There are no standardized, evidence-based general anesthesia guidelines for adult patients with PTSD. This project aimed to develop an evidence-based practice guideline for adult patients receiving general anesthesia with PTSD or at-risk for developing emergence delirium. A comprehensive literature search utilizing a PICO question was implemented to analyze and synthesize available evidence to develop the evidence-based guideline. Utilizing the Plan-Do-Study-Act (PDSA) quality improvement model, this project outlines a plan for implementing and evaluating the evidence-based practice guideline.
Copyright, all rights reserved. Fair Use
Closson, Bradley, "General Anesthesia Clinical Practice Guidelines for Patients with Posttraumatic Stress Disorder" (2024). Doctor of Nursing Practice Scholarly Projects. 100.