Fuller Lab

Washington University

ANESTHESIOLOGY

Saint Louis · United States

NIH-funded
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NIH R01 · 2024

Awareness with Paralysis and Post-Traumatic Stress Disorder among Mechanically Ventilated Emergency Department Survivors: The ED-AWARENESS-2 Study

PROJECT SUMMARY/ABSTRACT Awareness with paralysis (AWP), or unintentional awareness, is memory recall during neuromuscular blockade (NMB) and can cause catastrophic psychological harm. Our team recently demonstrated a prevalence of AWP of 3.7% in mechanically ventilated emergency department (ED) patients, 25 times higher than that observed in the operating room (OR). Therefore, there is significant rationale to examine AWP in the ED, where 300,000 patients are mechanically ventilated annually. Post-traumatic stress disorder (PTSD) develops in up to 70% of patients who experience AWP, and ~ 35% of all critically ill ventilated patients. However, it is unknown to what degree mechanically…

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