Emergence delirium subsequent to general anesthesia in service members who served during the global war on terrorism.

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dc.contributor.advisorPokorny, Marie E.en_US
dc.contributor.authorWilson, John Tyleren_US
dc.contributor.departmentNursingen_US
dc.date.accessioned2012-01-18T20:12:54Z
dc.date.available2013-01-31T12:32:53Z
dc.date.issued2011en_US
dc.description.abstractThe primary aims of this study were to investigate, through active duty Army anesthesia provider's perceptions, the following: 1) the extent and seriousness of emergence delirium (ED) in service members; 2) effects of ED on the safety of service members and OR/PACU personnel and 3) behaviors relevant to ED in service members. In addition to these primary aims, the study also focused on identifying through provider's perceptions, the following potential factors which may lead to the development of ED or to the alleviation of ED: 1) type of anesthetic agents; 2) physiological factors; 3) psychological factors; and 4) interventions used for alleviating the symptoms of ED. A final aim was to investigate from provider's perceptions, the relationship between perceived seriousness of ED and reported case experience, behaviors and consequences relevant to ED, and physiological and psychological factors related to the development or alleviation of ED symptoms.  This research utilized a descriptive correlational study design with a questionnaire survey and a convenience sampling technique totaling 89 active duty Army anesthesia providers. This study found that over 78% of active duty Army anesthesia providers have witnessed ED in their particular practice. Approximately 38% of the respondents felt that ED was a moderate problem. There was a statistically significant association between perceived severity of ED and ED case experience.   The behaviors which were often seen or always seen included hyperactive motor behavior, pulling at the monitoring equipment, and making disruptive movements. The current study found that the majority of anesthesia providers with ED case experience believed ED could be related to the anesthetic used. The anesthetic identified most strongly as potentially related to ED were potent inhalation agents (PIA's). Most of the providers with ED case experience believed physiological factors and psychological factors were related to ED. Over ninety percent of the providers with ED case experience reported that they intervened when their patients showed behaviors related to ED with the majority of the providers stating they talked to the patient during the ED episode.  en_US
dc.description.degreePh.D.en_US
dc.format.extent136 p.en_US
dc.format.mediumdissertations, academicen_US
dc.identifier.urihttp://hdl.handle.net/10342/3721
dc.language.isoen_US
dc.publisherEast Carolina Universityen_US
dc.subjectMedicineen_US
dc.subjectAnesthesiaen_US
dc.subjectUnited States. Armyen_US
dc.subjectEmergence deliriumen_US
dc.subjectGlobal war on terrorismen_US
dc.subjectPost-traumatic stress disorderen_US
dc.subjectTraumatic brain injuriesen_US
dc.subject.meshAnesthesia, General--psychology
dc.subject.meshMilitary Nursing
dc.subject.meshMilitary Personnel
dc.subject.meshVeterans
dc.subject.meshVeterans Health
dc.subject.meshMilitary Medicine
dc.subject.meshCognition--physiology
dc.subject.meshDelirium--etiology
dc.subject.meshHumans
dc.subject.meshWar
dc.subject.meshCombat Disorders--prevention and control
dc.subject.meshPostoperative Complications
dc.subject.meshRisk Factors
dc.titleEmergence delirium subsequent to general anesthesia in service members who served during the global war on terrorism.en_US
dc.typeDoctoral Dissertationen_US

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