Document Detail


Management for electroconvulsive therapy of a patient with inoperable coronary artery disease and ankylosing spondylitis.
MedLine Citation:
PMID:  1610580     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 69-year-old male with severe coronary artery disease, ankylosing spondylitis, and severe major depression was scheduled for electroconvulsive therapy (ECT). The patient had previously failed or proved intolerant of antidepressant drug therapy. The nature and severity of the patient's diseases and complexity of potential interactions with ECT and anesthesia required sequential assessment of hemodynamic and airway tolerances with successive treatments. Despite substantial risks for particular patients, ECT may provide the only treatment option for life-threatening psychiatric illness and warrants innovative approaches to anesthetic management.
Authors:
D S Snyder; J R Lipsey; R W McPherson
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  4     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:    1992 May-Jun
Date Detail:
Created Date:  1992-07-30     Completed Date:  1992-07-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  226-9     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anesthesia / methods*
Coronary Disease / complications*
Depressive Disorder / complications*,  therapy
Electroconvulsive Therapy / methods*
Humans
Male
Spondylitis, Ankylosing / complications*
Comments/Corrections
Comment In:
J Clin Anesth. 1993 May-Jun;5(3):260-1   [PMID:  8100429 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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