Korean J Anesthesiol.
2008 Aug;55(2):259-262. 10.4097/kjae.2008.55.2.259.
Anesthesia for electroconvulsive therapy during pregnancy: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Paik Hospital, College of Medicine, Inje University, Busan, Korea. anespc@medimail.co.kr
- KMID: 2299216
- DOI: http://doi.org/10.4097/kjae.2008.55.2.259
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.
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