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IJ Psychiatry and Behavioral Sciences
IJPBS is the Official Journal of Mazandaran University of Medical Sciences
e-ISSN 1735-9287
p-ISSN 1735-8639
Image Credit:Iran J Psychiatry Behav Sci
Outline
A Case Report of Prolonged Apnea during ECT in a Patient with Suicidal Attempt by Organophosphorus Poison
Authors
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
*Corresponding Author: Psychiatry and Behavioral Sciences Research Center,Zare Hospital, Sari Iran. Assistant professor of psychiatry, University of Medical Sciences, Babol, Iran, Tel: +98-9111149817, Fax: +98-111-2291951 Email: sussanmo@hotmail.com
Published online:Jun 30, 2012
Article type:Case Report
Received:Feb 19, 2012
Accepted:Mar 12, 2012
How to Cite:Moudi S, Alijanpour E, Manouchehri A, Jafarian H. A Case Report of Prolonged Apnea during ECT in a Patient with Suicidal Attempt by Organophosphorus Poison. Iran J Psychiatry Behav Sci. 2012;6(1):. doi:
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.
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Copyright
© 2012, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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