Management for electroconvulsive therapy of a patient with inoperable coronary artery disease and ankylosing spondylitis

Douglas S. Snyder, John R. Lipsey, Robert W. McPherson

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)226-229
Number of pages4
JournalJournal of Clinical Anesthesia
Volume4
Issue number3
DOIs
StatePublished - Jan 1 1992

Keywords

  • Electroconvulsive therapy
  • anesthesia
  • ankylosing spondylitis
  • coronary artery disease
  • fiberoptic intubation
  • temporary pacing

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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