Anesthesia for electroconvulsive therapy during pregnancy: A case report.
10.4097/kjae.2008.55.2.259
- Author:
Sung Ho MOON
1
;
Se Hun LIM
;
Sang Eun LEE
;
Young Hwan KIM
;
Jeong Han LEE
;
Kun Moo LEE
;
Soon Ho CHEONG
;
Young Kyun CHOI
;
Young Jae KIM
;
Chee Mahn SHIN
Author Information
1. Department of Anesthesiology and Pain Medicine, Paik Hospital, College of Medicine, Inje University, Busan, Korea. anespc@medimail.co.kr
- Publication Type:Case Report
- Keywords:
delirium;
electroconvulsive therapy;
pregnancy
- MeSH:
Anesthesia;
Bipolar Disorder;
Cesarean Section;
Deceleration;
Delirium;
Electroconvulsive Therapy;
Female;
Heart Rate, Fetal;
Humans;
Pregnancy;
Propofol;
Thiopental
- From:Korean Journal of Anesthesiology
2008;55(2):259-262
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Electroconvulsive therapy (ECT) is sometimes indicated for the treatment of psychiatric disorders during pregnancy. We describe a patient at 17-26 weeks gestation who took twelve ECT treatments for her bipolar disorder. At third ECT, we changed the induction agent from thiopental sodium to propofol due to her post-ECT delirium. At ninth ECT, there was a brief fetal heart rate deceleration associated with maternal ECT. The patient gradually improved and was discharged in remission after twelve ECT treatments. A healthy boy was born by cesarean section at 38 weeks of gestation. We report this case with a brief review of the relevant literature.
