Anesthetic-Induced Intraoperative Dream Associated With Remission of a Psychiatric Disorder: A Case Report. Issue 8 (10th August 2022)

• Record Type: Journal Article
• Authors: Chow, Harrison S.; Hack, Laura M.; Kawai, Makoto; Heifets, Boris D.
• Is Part Of: A & A practice. Volume 16:Issue 8(2022)
• Page Start: e01613
• Publication Date: 2022-08-10
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000001613
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Trauma is associated with debilitating acute and posttraumatic stress disorders, which have limited treatment options. We report on a patient undergoing surgical hand repair after a recent knife attack who experienced vivid dreaming and subsequent remission of acute stress disorder. After local anesthesia with propofol sedation she recalled a dream wherein she relived the attack, sought medical care, completed surgery, and returned home with a healed hand. While intraoperative dreaming is common, this case details potential associations between anesthetic state, dreaming, intraoperative electroencephalography, and remission of a psychiatric disorder. Our experience suggests a novel intervention for stress disorders.