Document Detail

Use of esmolol to control bleeding and heart rate during electroconvulsive therapy in a patient with an intracranial aneurysm.
MedLine Citation:
PMID:  9278838     Owner:  NLM     Status:  MEDLINE    
Electroconvulsive therapy (ECT) is a commonly used treatment modality for patients with major affective disorders that are unresponsive to pharmacological therapy. While ECT has been shown to be a very safe treatment, it is associated with transient hemodynamic alterations, including hypertension, which are associated with an increased risk of rupture of an intracranial aneurysm. We describe our use of the ultrashort acting beta-blocker, esmolol, for blood-pressure control in a woman with known cerebral aneurysmal disease who required ECT for treatment of recurrent major depression.
J E Kolano; A Chhibber; C C Calalang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  9     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-10-23     Completed Date:  1997-10-23     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:  493-5     Citation Subset:  IM    
Department of Anesthesiology, University of Rochester medical Center, NY 14642, USA.
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MeSH Terms
Adrenergic beta-Antagonists / therapeutic use*
Cerebral Hemorrhage / drug therapy*,  etiology
Electroconvulsive Therapy*
Heart Rate / drug effects*
Intracranial Aneurysm / complications,  drug therapy*
Propanolamines / therapeutic use*
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/Propanolamines; 84057-94-3/esmolol

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

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