The safety of ECT in patients with chronic obstructive pulmonary disease

Kathryn M. Schak, Paul Mueller, Roxann D. Barnes, Keith G. Rasmussen

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Electroconvulsive therapy (ECT) involves the administration of general anesthesia and assisted ventilation while the patient is apneic. Objective: Care must be taken to screen for significant pulmonary dysfunction before treatment. Very little has been written about the safety and management strategy of ECT patients with chronic obstructive pulmonary disease (COPD). Method: In this retrospective chart review, authors describe their experience with patients in recent years who had this disorder and were treated with ECT Results: Authors list recommendations for the pre-ECT work up and anesthetic management during and after the treatments. Conclusion: Recent guidelines recommend administration of patients' prescribed inhalers on the morning of ECT treatment. Also, caution is recommended when using ECT in patients taking theophylline because this drug has been associated with prolonged seizures and status epilepticus in these patients.

Original languageEnglish (US)
Pages (from-to)208-211
Number of pages4
JournalPsychosomatics
Volume49
Issue number3
DOIs
StatePublished - May 2008

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Electroconvulsive Therapy
Chronic Obstructive Pulmonary Disease
Safety
Safety Management
Status Epilepticus
Nebulizers and Vaporizers
Theophylline
General Anesthesia
Ventilation
Anesthetics
Therapy
Seizures
Therapeutics
Guidelines
Lung
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

Cite this

The safety of ECT in patients with chronic obstructive pulmonary disease. / Schak, Kathryn M.; Mueller, Paul; Barnes, Roxann D.; Rasmussen, Keith G.

In: Psychosomatics, Vol. 49, No. 3, 05.2008, p. 208-211.

Research output: Contribution to journalArticle

Schak, Kathryn M. ; Mueller, Paul ; Barnes, Roxann D. ; Rasmussen, Keith G. / The safety of ECT in patients with chronic obstructive pulmonary disease. In: Psychosomatics. 2008 ; Vol. 49, No. 3. pp. 208-211.
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