Date of Award

Spring 4-28-2024

Document Type


Degree Name

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

Subject Categories

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.

Acknowledgement 1


Acknowledgement 2


Licensing Permission

Copyright, all rights reserved. Fair Use



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.