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Korean J Anesthesiol > Volume 55(2); 2008 > Article
Korean Journal of Anesthesiology 2008;55(2):259-262.
DOI: https://doi.org/10.4097/kjae.2008.55.2.259   
Anesthesia for electroconvulsive therapy during pregnancy: A case report.
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
Department of Anesthesiology and Pain Medicine, Paik Hospital, College of Medicine, Inje University, Busan, Korea. anespc@medimail.co.kr
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.
Key Words: delirium; electroconvulsive therapy; pregnancy
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