| Anesthesia for electroconvulsive therapy during pregnancy: A case report. |
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Sung Ho Moon, Se Hun Lim, Sang Eun Lee, Young Hwan Kim, Jeong Han Lee, Kun Moo Lee, Soon Ho Cheong, Young Kyun Choi, Young Jae Kim, Chee Mahn Shin |
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Department of Anesthesiology and Pain Medicine, Paik Hospital, College of Medicine, Inje University, Busan, Korea. anespc@medimail.co.kr |
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| Abstract |
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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. |
| Key Words:
delirium; electroconvulsive therapy; pregnancy |
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