Post-Traumatic Stress Disorder Management in a Patient while Undergoing Fracture Shaft Femur Surgery

Abstract

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.