TY - JOUR
T1 - Management for electroconvulsive therapy of a patient with inoperable coronary artery disease and ankylosing spondylitis
AU - Snyder, Douglas S.
AU - Lipsey, John R.
AU - McPherson, Robert W.
PY - 1992
Y1 - 1992
N2 - 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.
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
UR - http://www.scopus.com/inward/record.url?scp=0026539794&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0026539794&partnerID=8YFLogxK
U2 - 10.1016/0952-8180(92)90071-8
DO - 10.1016/0952-8180(92)90071-8
M3 - Article
C2 - 1610580
AN - SCOPUS:0026539794
VL - 4
SP - 226
EP - 229
JO - Journal of Clinical Anesthesia
JF - Journal of Clinical Anesthesia
SN - 0952-8180
IS - 3
ER -