Role of Anesthesia Practitioners in Post-Traumatic Stress Disorder
Main Article Content
Abstract
This article explores the critical role of anesthesia practitioners in the prevention of post-traumatic stress disorder (PTSD) among trauma patients undergoing surgery. It highlights the prevalence and significance of PTSD in trauma survivors and emphasizes the importance of trauma-informed care in anesthesia practice. The article outlines key strategies for anesthesia providers to address PTSD risk, including identifying high-risk patients, implementing trauma-informed care practices, and providing compassionate preoperative preparation and counseling. It also emphasizes the need for effective communication during anesthesia induction and emergence to ease patient distress. The article discusses challenges faced by anesthesia practitioners in PTSD prevention, such as time constraints and limited resources, and proposes solutions to overcome these barriers. Furthermore, it advocates for the integration of PTSD prevention into institutional protocols and guidelines. Overall, this article emphasizes the potential benefits of trauma-informed care in anesthesia practice for patients, healthcare providers, and the healthcare system, and calls for continued research and implementation efforts to promote patient well-being and PTSD prevention.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
U.S. Department of Veterans Affairs, Washington. How common is PTSD in adults? [updated 2023 February 3; cited 2023 Aug 22]. PTSD: National Center for PTSD; [about 1 screen]. Available from: https://www.ptsd.va.gov/understand/common/common_adults.asp
Mann SK, Marwaha R, Torrico TJ. Posttraumatic Stress Disorder. 2024 Feb 25. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024, Jan. PMID: 32644555.
Qian J, Wang W, Sun S, Liu L, Sun Y, Yu X. Interventions to reduce post-traumatic stress disorder symptoms in health care professionals from 2011 to 2021: a scoping review. BMJ Open. 2022;12:e058214.
El-Gabalawy R, Sommer JL, Pietrzak R, et al. Post-traumatic stress in the postoperative period: current status and future directions. Can J Anaesth. 2019;66:1385-95.
Pai A, Suris AM, North CS. Posttraumatic stress disorder in the DSM-5: controversy, change, and conceptual considerations. Behav Sci (Basel). 2017;7:7.
Best day psychiatry and counseling. North Carolina: 5. Best day psychiatry and counseling. 2023. [cited 2023 Sep 16] Available from: https://bestdaypsych.com/ptsd-examined-the-five-types-of-post-traumatic-stress-disorder/
Park E, Meyer RML, Gold JI. The role of medical specialization on posttraumatic symptoms in pediatric nurses. J Pediatr Nurs. 2020;53:22-8.
LeardMann CA, McMaster HS, Warner S, et al. Comparison of posttraumatic stress disorder checklist instruments from diagnostic and statistical manual of mental disorders, fourth edition vs fifth edition in a large cohort of US military service members and veterans. JAMA Netw Open. 2021;4:e218072.
Park YS, Park KH, Lee J. Validation of the Korean version of impact of event scale-revised (IES-R) in Korean nurses during the COVID-19 pandemic. Int J Environ Res Public Health. 2021;18:11311.
Weathers FW, Bovin MJ, Lee DJ, et al. The clinician-administered PTSD scale for DSM-5 (CAPS-5): development and initial psychometric evaluation in military veterans. Psychol Assess. 2018;30:383-95.
Alexander W. Pharmacotherapy for post-traumatic stress disorder in combat veterans: focus on antidepressants and atypical antipsychotic agents. P T. 2012;37:32-8.
Al Jowf GI, Ahmed ZT, Reijnders RA, de Nijs L, Eijssen LMT. To predict, prevent, and manage post-traumatic stress disorder (PTSD): a review of pathophysiology, treatment, and biomarkers: review. Int J Mol Sci. 2023;24:5238.
Manley EL, Rametta L, Blau A. PTSD: anesthesia considerations for the patient with post-traumatic stress disorder. AANA J. 2022;90:359-65.
Tolly B, Waly A, Peterson G, Erbes CR, Prielipp RC, Apostolidou I. Adult emergence agitation: a veteran-focused narrative review. Anesth Analg. 2021;132:353-64.
Morena M, Berardi A, Peloso A, et al. Effects of ketamine, dexmedetomidine and propofol anesthesia on emotional memory consolidation in rats: consequences for the development of post-traumatic stress disorder. Behav Brain Res. 2017;329:215-20.
Yu Y, Li Y, Han D, et al. Effect of dexmedetomidine on posttraumatic stress disorder in patients undergoing emergency trauma surgery: randomized controlled trial. JAMA Netw Open. 2023;6:e2318611.
Zhong J, Li Y, Fang L, et al. Effects of sevoflurane and propofol on posttraumatic stress disorder after emergency trauma: a double-blind randomized controlled trial. Front Psychiatry. 2022;13:853795.
Lakshmi MD, Madhusudhana R, Naggaih SK. Awareness among the patients under general anesthesia: a cross-sectional study. Cureus. 2023;15:e33567.
Dove P, Gilmour F, Weightman WM, Hocking G. Patient perceptions of regional anesthesia: influence of gender, recent anesthesia experience, and perioperative concerns. Reg Anesth Pain Med. 2011;36:332-5.
Krediet E, Bostoen T, Breeksema J, van Schagen A, Passie T, Vermetten E. Reviewing the potential of psychedelics for the treatment of PTSD. Int J Neuropsychopharmacol. 2020;23:385-400.