Periprocedural Management of Electroconvulsive Therapy in Pregnancy during COVID-19 Outbreak: The First Case Report in Thailand

2021 ◽  
Vol 104 (8) ◽  
pp. 1381-1388
Keyword(s):  
Case Report ◽  
Electroconvulsive Therapy ◽  
Multidisciplinary Team ◽  
Retrospective Chart Review ◽  
Electrical Current ◽  
Safe Patient Care ◽  
Periprocedural Management ◽  
First Case ◽  
Prolonged Seizure ◽  
Psychotic Features

Objective: To described the periprocedural electroconvulsive therapy (ECT) management of a patient in the 3rd trimester of pregnancy, the ECT complications, and their treatment. Materials and Methods: A retrospective chart review was conducted of a 26-year-old parturient with bipolar I disorder with psychotic features during the coronavirus disease 2019 (COVID-19) outbreak. Case Report: The patient was admitted and scheduled for ECT. Fifteen ECT sessions (eight on her first admission, and another seven on a second admission) were performed. General anesthesia with endotracheal intubation was conducted after sufficient preoxygenation. Complications were observed: prolonged seizure, decreased fetal heart rate, and hypersecretion. Nonetheless, good outcomes were achieved after treated with thiopental to terminate the seizure, intravenous crystalloid loading and left uterine displacement to stabilize the fetus, and suctioning and an antisialagogue for secretion clearance. Conclusion: In ECT during pregnancy, it can be challenging to apply electrical current, induce anesthesia and airway management to achieve safe patient care and ensure adequate seizure duration. Moreover, the ECT is conducted in a non-operating room setting where equipment may be deficient. A prerequisite is good periprocedural collaboration among members of the multidisciplinary team which include a psychiatrist, an anesthesiologist, and an obstetrics-gynecologist, as well as proper protective equipment to prevent the contamination to the environment. Keywords: Coronavirus disease 2019 (COVID-19); Electroconvulsive therapy (ECT); Multidisciplinary team; Periprocedural management; Pregnancy

scholarly journals Is the Concept of Delirious Mania Valid in the Elderly? A Case Report and a Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Pramudith M. Maldeniya ◽  
Akshya Vasudev
Keyword(s):  
Case Report ◽  
Electroconvulsive Therapy ◽  
Classification System ◽  
The Elderly ◽  
Sudden Onset ◽  
Review Of The Literature ◽  
Clinical Assessments ◽  
Previous Diagnosis ◽  
Formal Classification ◽  
Psychotic Features

Delirious mania has been well recognized in the published literature and in the clinic. Over the years there has been refinement of understanding of its clinical features, course, and treatment. The literature suggests that delirious mania should be considered in individuals who present with a constellation of sudden onset delirium, mania, and psychosis. However, delirious mania is not recognized under a formal classification system nor are there any formal guidelines for its treatment. We, as such, question if the concept of delirious mania in the elderly is valid. We present a case of an elderly man with marked features of delirium with minimal manic or psychotic features who had a previous diagnosis of bipolar I disorder. On thorough clinical assessments no identifiable cause of his delirium was found. We therefore considered his presentation to be more likely due to delirious mania. Electroconvulsive therapy was considered and offered to which he responded very well. We invite the reader to consider whether delirious mania is a valid concept in the elderly, where features of delirium may be more prominent than manic or psychotic features.

scholarly journals Mania possibly linked with bupropion for smoking cessation: A case report

2016 ◽  
Vol 6 (6) ◽  
pp. 314-317
Author(s):  
Stephanie Dwyer ◽  
Robin Hieber
Keyword(s):  
Smoking Cessation ◽  
Case Report ◽  
Electroconvulsive Therapy ◽  
Literature Search ◽  
Psychiatric History ◽  
First Case ◽  
Initiation Of Therapy ◽  
Minimal Information ◽  
Reduced Risk

Abstract Bupropion is an antidepressant thought to have a reduced risk of inducing mood switching as compared to other antidepressants. Minimal information is available on the induction of mood shifts when used for smoking cessation. This case describes a 38-year-old female who experienced mania following initiation of bupropion for smoking cessation. After completion of a thorough literature search, this appears to be the first case report describing mania induced by bupropion that was refractory to medications and was resolved with electroconvulsive therapy. This case highlights the need for clinicians to perform thorough histories of patients to avoid missing psychiatric history prior to starting bupropion as well as monitor for changes in mood or behavior after initiation of therapy.

Catatonia LSD Induced?

1995 ◽  
Vol 29 (2) ◽  
pp. 324-327 ◽  
Author(s):  
K. M. H. Perera ◽  
A. Ferraro ◽  
M. R. M. Pinto
Keyword(s):  
Case Report ◽  
Electroconvulsive Therapy ◽  
Diagnostic Category ◽  
Lysergic Acid ◽  
Lysergic Acid Diethylamide ◽  
First Case ◽  
Catatonic Syndrome

The case of a patient who developed catatonia one week following Lysergic Acid Diethylamide (LSD) ingestion is presented. The psychosis developed two days after the intake. The catatonic syndrome resolved dramatically following one treatment of electroconvulsive therapy (ECT). This is perhaps the first case report of catatonia following the use of LSD. The need for a diagnostic category of organic catatonia is highlighted.

scholarly journals Endovascular Repair of Aortobronchial Fistula after Bentall Procedure

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Dane D. Gruenebaum ◽  
Ray Graf ◽  
Thomas Alexander ◽  
Sergio Tavares ◽  
Salim Surani
Keyword(s):  
Case Report ◽  
Endovascular Repair ◽  
Multidisciplinary Team ◽  
Surgical Repair ◽  
Rare Complication ◽  
Massive Hemoptysis ◽  
Multidisciplinary Collaboration ◽  
Bentall Procedure ◽  
Aortobronchial Fistula ◽  
First Case

Aortobronchial fistula (ABF) is a rare complication of aortic repair seen with both surgical and endovascular manipulation. The available literature largely refers to the need for surgical repair. We are not aware of any reports of endovascular repair after the Bentall procedure. This report describes a patient who after the Bentall procedure presented with massive hemoptysis from ABF, a multidisciplinary team decided on endovascular repair due to patient frailty to avoid redo sternotomy. We believe this is the first case report of endovascular repair and represents the success of multidisciplinary collaboration.

Neonatal airway lesions: our experience and a review of the literature

2012 ◽  
Vol 127 (1) ◽  
pp. 80-83 ◽  
Author(s):  
V Rangachari ◽  
R Aggarwal ◽  
A Jain ◽  
M C Kapoor
Keyword(s):  
Case Report ◽  
Multidisciplinary Team ◽  
Congenital Anomalies ◽  
Case Reports ◽  
High Index ◽  
Institutional Setting ◽  
Review Of The Literature ◽  
First Case ◽  
High Index Of Suspicion

AbstractObjectives:This paper reports on two rare cases of neonatal airway lesions with differing aetiology that were successfully managed by surgery, and provides a review of the literature on neonatal stridor and airway lesions.Case reports:In the first case report, a newborn presented with a nasopharyngeal teratoma. In the second case report, a newborn presented with a congenital laryngeal saccular cyst. Difficulties in the diagnosis of these lesions, and surgical and anaesthetic challenges in their management are discussed.Conclusion:Every case of neonatal airway distress must be evaluated and the cause of stridor needs to be established. It is important that rare lesions such as teratomas and laryngeal cysts are not overlooked; a high index of suspicion for these congenital anomalies is necessary. These airway lesions should be managed in an institutional setting by a multidisciplinary team.

A Case of Catatonia in a 14-Year-Old Girl with Schizophrenia Treated with Electroconvulsive Therapy

2013 ◽  
Vol 41 (1) ◽  
pp. 69-74 ◽  
Author(s):  
Frank Häßler ◽  
Olaf Reis ◽  
Steffen Weirich ◽  
Jacqueline Höppner ◽  
Birgit Pohl ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Response ◽  
Electroconvulsive Therapy ◽  
Rating Scale ◽  
Combined Treatment ◽  
Adolescent Patient

This article presents a case of a 14-year-old female twin with schizophrenia who developed severe catatonia following treatment with olanzapine. Under a combined treatment with amantadine, electroconvulsive therapy (ECT), and (currently) ziprasidone alone she improved markedly. Severity and course of catatonia including treatment response were evaluated with the Bush-Francis Catatonia Rating Scale (BFCRS). This case report emphasizes the benefit of ECT in the treatment of catatonic symptoms in an adolescent patient with schizophrenic illness.

The first case report of Pembrolizumab inducing thyroiditis and hypophysitis

2020 ◽  
Author(s):  
Rahman Maraqa Sima Abdel ◽  
Robert McMahon ◽  
Anusha Pinjala ◽  
Gastelum Alheli Arce ◽  
Mohsen Zena
Keyword(s):  
Case Report ◽  
First Case
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