Clinical approach to agitation after electroconvulsive therapy: A case report and literature review

Journal of ECT

Volumn 18, Issue 4, 2002, Pages 213-217

  Augoustides, John G ^a   Greenblatt, Eric ^a   Abbas, Muhammad A ^a   O'Reardon, John P ^a   Datto, Catherine J ^a,b  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

Author keywords

Anesthesia; ECT Agitation; Electroconvulsive therapy; Propofol

Indexed keywords

DIAZEPAM; DROPERIDOL; HALOPERIDOL; LITHIUM; LORAZEPAM; METHOHEXITAL; MIDAZOLAM; NEUROLEPTIC AGENT; PROPOFOL; SUXAMETHONIUM;

ADULT; AGITATION; ARTICLE; BIPOLAR DISORDER; CASE REPORT; DISEASE SEVERITY; ELECTROCONVULSIVE THERAPY; HUMAN; MALE; NEUROLOGICAL COMPLICATION; TREATMENT INDICATION; TREATMENT OUTCOME;

ANESTHESIA RECOVERY PERIOD; BIPOLAR DISORDER; DRUG THERAPY, COMBINATION; ELECTROCONVULSIVE THERAPY; HUMANS; MALE; MIDAZOLAM; MIDDLE AGED; PROPOFOL; PSYCHOMOTOR AGITATION;

EID: 0036459909     PISSN: 10950680     EISSN: None     Source Type: Journal    
DOI: 10.1097/00124509-200212000-00009     Document Type: Article

References (17)

1. Mallampati SR, Gatti SP, Gugingo LD, et al. A clinical sign to predict difficult tracheal intubation. Can Anesth Soc 1985;32:429-34.
2. Devanand DP, Briscoe KM, Sackeim HA, et al. Clinical features and predictors of postictal excitement. Convuls Ther 1989;5:140-6.
3. Daniel WF, Weiner RD, Crovitz HF, et al. ECT induced delirium and further ECT: a case report. Am J Psychiatry 1983;140:922-4.
4. Sackeim HA, Decina P, Malitz S, et al. Postictal excitement following bilateral and right-unilateral ECT. Am J Psychiatry 1983;140:1367-8.
5. Papakostas Y, Stefanis C, Markianos M, et al. Electrode placement and prolactin response to electroconvulsive therapy. Convuls Ther 1986; 2:99-107.
6. Leechuy I, Abrams R, Kohlhaas J. ECT-induced postictal delirium and electrode placement. Am J Psychiatry 1988;145:880-1.
7. American Psychiatric Association Task Force. The Practice of Electroconvulsive Therapy: Recommendations for Treatment Training, and Privileging. Washington, DC: American Psychiatric Association, 2001.
8. el-Mallakh RS. Complications of concurrent lithium and electroconvulsive therapy: Review of clinical material and theoretical considerations. Biol Psychiatry 1988;23:595-601.
9. Small JG, Milstein V. Lithium interactions: Lithium and electroconvulsive therapy. J Clin Psychopharmacol 1990;10:346-50.
10. Narahashi T. Drug-ionic channel interactions: Single-channel measurements. Ann Neurol 1984;16:S39.
11. Trimble MR, Ring HA, Schmitz B. Neuropsychiatric aspects of epilepsy. In: Fogel BS, Schiffer RB, eds. Neuropsychiatry. Baltimore: Williams and Wilkins, 1996.
12. Devanand DP, Sackeim HA. Use of increased anesthetic dose prior to electroconvulsive therapy to prevent postictal excitement. Gen Hosp Psychiatry 1992;14:345-9.
13. Swartz C. Electroconvulsive therapy emergence agitation and succinylcholine dose. J Nerv Ment Dis 1990;178:455-7.
14. Auriacombe M. Reneric JP, Usandizaga D, et al. Post-ECT agitation and plasma lactate concentrations. J ECT 2000;16:263-7.
15. Swartz CM. ECT emergence agitation and methohexitalsuccinylcholine interaction. Gen Hosp Psychiatry 1993;15:339-41.
16. Liston EH, Sones DE. Postictal hyperactive delirium in ECT: Management with midazolam. Convuls Ther 1990;6:19-25.
17. Fink M. Post-ECT delirium. Convuls Ther 1993;9:326-30.