A 34-year-old female experienced accidental awareness during bedside intubation for tonsillar hemorrhage and subsequently developed post-traumatic stress disorder symptoms that improved with counseling.
Case Report (n=1)
Accidental awareness during general anesthesia can lead to severe psychological sequelae such as PTSD, highlighting the need for close patient follow-up and management.
Background: Accidental awareness during general anesthesia (AAGA) is an uncommon condition with possible long-term sequela. Here, we identify and describe a case of awareness in the perioperative setting and the resulting sequelae of symptoms consistent with post-traumatic stress disorder using the first-hand experience of a patient with awareness during anesthesia. Aim: This case report aims to identify and describe the symptomatic sequelae of perioperative awareness events and the importance of close patient follow-up and management. Case Presentation: A 34-year-old female developed uncontrolled tonsillar hemorrhage 2 days after successful adenotonsillectomy that necessitated bedside intubation. During regular clinic follow-up, the patient presented with symptoms suggestive of post-traumatic stress disorder (PTSD) secondary to recall events while under anesthesia. Conclusion: The contributory factors predisposing to perioperative awareness in the surgical environment need to be understood and avoided as much as possible. When awareness is suspected or known to have occurred the patient needs to be assisted through the post-op period and guided through the psychological sequelae that follow.
Njue et al. (Fri,) conducted a case report in Accidental awareness during general anesthesia (AAGA) (n=1). Bedside intubation was evaluated. A 34-year-old female experienced accidental awareness during bedside intubation for tonsillar hemorrhage and subsequently developed post-traumatic stress disorder symptoms that improved with counseling.