Prevention of Emergence Delirium in American Veterans: Best Practice Recommendations (1 Class A CE with .5 Pharm)

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Class A Credits: 1.00

Pharmacology Credits: .5

Format: Video

Course Launch Date: 9/24/20

Course Expires: 9/25/23

Emergence delirium (ED) is an acute neurologic impairment that can occur directly following the discontinuation of general anesthesia (GA) characterized by altered cognition, agitated psychomotor movements, and reactive aggression potentially leading to complications such as: self-extubation, dislodgement of various indwelling catheters, patient and staff injury, and increased length of stay in the post anesthesia care unit (PACU). Recent studies have shown ED prevalence in the general adult population is estimated at 8.3% but rates as high as 31% in certain populations such as combat veterans diagnosed with post-traumatic stress disorder (PTSD) have been observed. This presentation will provide knowledge concerning physiology of PTSD and summarize practice recommendations synthesized from the latest evidence-based data available in an effort to guide anesthesia practice. Practice recommendations will include preoperative assessment tools, premedication, pre-intra and post-operative management and rescue medication administration.

The American Association of Nurse Anesthetists is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.

Post-Test Attempt Notice
A minimum passing score of 80% is required to pass this course. You have TWO opportunities to achieve a passing score. If you fail to achieve a passing score of 80%, you will not receive CE credit for this course.

Content Disclaimer:

The views, information, or opinions expressed within the videos and audio are solely those of the individuals involved and do not necessarily represent those of the American Association of Nurse Anesthetists.

Course content has been prepared by the presenter/developer, and each viewer agrees that the presenter/developer is solely responsible for the content and the accuracy thereof. The viewer agrees that the American Association of Nurse Anesthetists has no responsibility or liability for the accuracy or completeness of the content.

  • Understand the difference between patients at high and low risk for emergence delirium.
  • Recognize the signs and symptoms of emergence delirium.
  • Develop an anesthetic plan that includes pharmacologic and non-pharmacologic approaches to optimize prevention of emergence delirium in the patient with PTSD.

Kristen Roman, SRNA, MSN, MFA, CNL

SRNA, USC School of Nurse Anesthesia

Kristen Roman is an SRNA completing her second year of the Doctoral of Nurse Anesthesia Program at the University of Southern California. She is a member of the California Association of Nurse Anesthetists (CANA), a member of the CANA Government Relations Committee and served as the 2018-2019 USC Student Representative to CANA. Kristen has lobbied on behalf of CANA and AANA at the State and National level as part of CANA Lobby Day and AANA Mid-Year Assembly. Prior to pursuing the DNAP, Kristen was a nurse in the pediatric ICU at Children’s Hospital Los Angeles, an image calibrator for the NASA Mars Rover Project, and a safety monitor on a man-made island in the Arctic Ocean. She is excited to become an active member of the AANA.

Ignacio Diaz, BSN, SRNA

SRNA, USC School of Nurse Anesthesia

Ignacio Diaz is a second-year Doctor of Nurse Anesthesia Practice (DNAP) student registered nurse anesthetist (SRNA) at the University of Southern California (USC). Email:

He serves as the USC DNAP Class of 2021 Community Service Committee Representative and credits philanthropy as the most integral facet in his aspirations of becoming an outstanding nurse anesthesiologist dedicated to humanitarian aid and disaster relief efforts.

As a committed advocate for expanding healthcare access to low socioeconomic communities, Ignacio continues to volunteer in several leadership positions at Los Angeles and Orange County public healthcare events as well as international mission trips.

He is an active member of the California Association of Nurse Anesthetists (CANA) and the American Association of Nurse Anesthetists (AANA), vigilantly seeking opportunities to advance the nurse anesthesia profession and promote evidence-based practice.