Post-Traumatic Stress Disorder or Emergence Phenomena? a Case of Psychomotor Agitation After Procedural Sedation and Analgesia

Post-Traumatic Stress Disorder or Emergence Phenomena? a Case of Psychomotor Agitation After Procedural Sedation and Analgesia Publisher Pubmed

Jalali A¹ ; Akbari H² ; Bahreini M³

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1. Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
2. Imam-Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
3. Prehospital and Hospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Drug Metabolism and Personalized Therapy Published:2019

Abstract

Psychomotor agitation can be problematic in an overcrowded emergency department (ED) during uncontrolled procedural sedation. Although emergence phenomena have been studied, various presentations may exist. During procedural sedation, a 58-year-old man was sedated with a dissociative dose of ketamine in conjunction with propofol. His shoulder dislocation was reduced successfully but eventually, an exaggerated agitation occurred resembling a post-traumatic stress disorder (PTSD) flashback of past war scenes He was controlled by physical and chemical restraint with an intramuscular injection of 0.1 mg/kg midazolam. After resolution of sedation in rather stable psychiatric conditions, he left the ED with his relatives insisting for discharge against medical advice. A PTSD flashback may occur from ketamine sedation in patients with a past history of military experience and can be a manifestation of psychologic adverse effects of ketamine. © 2019 Walter de Gruyter GmbH, Berlin/Boston.

2. Ketamine-Propofol Combination (Ketofol) Vs Propofol for Procedural Sedation and Analgesia: Systematic Review and Meta-Analysis, American Journal of Emergency Medicine (2016)

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Mohammad Jalili (1)

Pooya Payandemehr (1)

Style	Citing Format
MLA	Jalali A, Akbari H, Bahreini M. "Post-Traumatic Stress Disorder or Emergence Phenomena? a Case of Psychomotor Agitation After Procedural Sedation and Analgesia." Drug Metabolism and Personalized Therapy, vol. 34, no. 4, 2019, pp. -.
APA	Jalali A, Akbari H, Bahreini M (2019). Post-Traumatic Stress Disorder or Emergence Phenomena? a Case of Psychomotor Agitation After Procedural Sedation and Analgesia. Drug Metabolism and Personalized Therapy, 34(4), -.
Chicago	Jalali A, Akbari H, Bahreini M. "Post-Traumatic Stress Disorder or Emergence Phenomena? a Case of Psychomotor Agitation After Procedural Sedation and Analgesia." Drug Metabolism and Personalized Therapy 34, no. 4 (2019): -.
Harvard	Jalali A, Akbari H, Bahreini M (2019) 'Post-Traumatic Stress Disorder or Emergence Phenomena? a Case of Psychomotor Agitation After Procedural Sedation and Analgesia', Drug Metabolism and Personalized Therapy, 34(4), pp. -.
Vancouver	Jalali A, Akbari H, Bahreini M. Post-Traumatic Stress Disorder or Emergence Phenomena? a Case of Psychomotor Agitation After Procedural Sedation and Analgesia. Drug Metabolism and Personalized Therapy. 2019;34(4):-.
BibTex	@article{ author = {Jalali A and Akbari H and Bahreini M}, title = {Post-Traumatic Stress Disorder or Emergence Phenomena? a Case of Psychomotor Agitation After Procedural Sedation and Analgesia}, journal = {Drug Metabolism and Personalized Therapy}, volume = {34}, number = {4}, pages = {-}, year = {2019} }
RIS	TY - JOUR AU - Jalali A AU - Akbari H AU - Bahreini M TI - Post-Traumatic Stress Disorder or Emergence Phenomena? a Case of Psychomotor Agitation After Procedural Sedation and Analgesia JO - Drug Metabolism and Personalized Therapy VL - 34 IS - 4 SP - EP - PY - 2019 ER -

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Abstract