A Case Report of Prolonged Apnea during ECT in a Patient with Suicidal Attempt by Organophosphorus Poison

Sussan Moudi; Ebrahim Alijanpour; Ali-asghar Manouchehri; Hasan Jafarian

IJ Psychiatry and Behavioral Sciences

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A Case Report of Prolonged Apnea during ECT in a Patient with Suicidal Attempt by Organophosphorus Poison

Author(s):

Sussan Moudi^1,*,

Ebrahim Alijanpour²,

Ali-asghar Manouchehri³,

Hasan Jafarian⁴

1Psychiatry and Behavioral Sciences Research Center,Zare Hospital, Sari Iran. Assistant professor of psychiatry, University of Medical Sciences, Babol, Iran

2Assistant professor of Anesthesiology, Babol University of Medical Sciences, Babol, Iran

3Forensic medicine and toxicologist, Assistant professor, Babol University of Medical Sciences, Babol, Iran

4Anesthesiologist, Department of Anesthesiology, Yahya Nejad Hospital, Babol University of Medical Sciences, Babol, Iran

IJ Psychiatry and Behavioral Sciences:Vol. 6, issue 1; 68-71

Published online:Jun 30, 2012

Article type:Case Report

Received:Feb 19, 2012

Accepted:Mar 12, 2012

How to Cite:Sussan MoudiEbrahim AlijanpourAli-asghar ManouchehriHasan JafarianA Case Report of Prolonged Apnea during ECT in a Patient with Suicidal Attempt by Organophosphorus Poison.Iran J Psychiatry Behav Sci.2012;6(1):68-71.

Abstract

Organophosphorus pesticides have been used in some cases for suicidal attempts. Such poison can affect plasma cholinesterase activity. The case was a 47-year-old man hospitalized due to suicide attempt with swallowing agricultural poison. The patient, diagnosed with major depressive disorder (MDD), underwent treatment with electroconvulsive therapy (ECT). At the first ECT session, the patient developed apnea for 45 minutes following receiving 20 mg succinylcholine. The patient was intubated; after restoration of respiration depth and rate, the patient was extubated. Collectively, in cases with history of suicide attempts, taking organophosphorus pesticides should be warn for pre-ECT anesthesia.

Declaration of interest: None.

Citation: A case report of prolonged apnea during ECT in a patient with suicidal attempt by organophosphorus poison. Moudi S, Alijanpour E, Manouchehri AA, Jafarian H. Iran J Psychiatry Behav Sci 2011; 6(1):68-71.

Keywords

Apnea

Electroconvulsive Therapy

Organophosphorus

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