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

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

doi:10.1016/0952-8180(92)90071-8

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

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

School of Medicine

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

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 language	English (US)
Pages (from-to)	226-229
Number of pages	4
Journal	Journal of Clinical Anesthesia
Volume	4
Issue number	3
DOIs	https://doi.org/10.1016/0952-8180(92)90071-8
State	Published - 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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10.1016/0952-8180(92)90071-8

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title = "Management for electroconvulsive therapy of a patient with inoperable coronary artery disease and ankylosing spondylitis",

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.",

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AU - Lipsey, John R.

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AB - 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.

KW - Electroconvulsive therapy

KW - anesthesia

KW - ankylosing spondylitis

KW - coronary artery disease

KW - fiberoptic intubation

KW - temporary pacing

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

Abstract

Keywords

ASJC Scopus subject areas

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