创伤后应激障碍的管理在病人接受骨折轴股骨手术

IF 0.1 Q4 ANESTHESIOLOGY Pediatric Anesthesia and Critical Care Journal Pub Date : 2021-01-01 DOI:10.26502/acc.029
Debanjan Bose, Nitu Yadav, N. Kad, M. Yadav
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引用次数: 0

摘要

创伤后应激障碍(PTSD)是一种在创伤事件后发展起来的精神障碍。手术患者的创伤后应激障碍会影响术后结果。有证据表明围手术期可以短暂地加重PTSD症状。麻醉师应该意识到它与心血管功能障碍、慢性疼痛、抑郁和认知功能障碍的关系。所以术中治疗创伤后应激障碍并尽量避免术中急性发作对麻醉师来说是极具挑战性的。我们在此报告一例股骨钉钉术中出现创伤后应激障碍的病例。
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Post-Traumatic Stress Disorder Management in a Patient while Undergoing Fracture Shaft Femur Surgery
Post-Traumatic Stress Disorder (PTSD) is a psychiatric disorder that develops after a traumatic event. PTSD in a surgical patient can impact postoperative outcomes. Evidence suggests that the perioperative process can transiently exacerbate PTSD symptoms. Anaesthetist should be aware of its association with cardiovascular dysfunction, chronic pain, depression and cognitive dysfunction. So managing PTSD intraoperatively and trying not to provoke an acute episode perioperatively is extremely challenging for an anaesthetist. Here we are reporting a case of intraoperative onset and management of post-traumatic stress disorder during femur nailing.
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