Abstract

Background

Modified electroconvulsive therapy (m-ECT) is utilized worldwide as an effective treatment for drug-resistant psychiatric disorders. However, during m-ECT, treatment of hypotension and hypertension in response to rapid hemodynamic changes is required. We used noninvasive continuous blood pressure monitoring system for continuous hemodynamic measurement during m-ECT.

Case presentation

The patient was a 77-year-old man with depression complicated by coronary artery aneurysms (CAAs). We managed general anesthesia during m-ECT by using the ClearSight™ system (Edwards Lifesciences Corp, Irvine, CA, USA) for hemodynamic measurement. As a result, we performed a total of 10 m-ECTs. No rupture of CAAs or myocardial ischemia occurred and depressive symptoms improved.

Conclusion

We successfully managed the anesthesia in m-ECT for a depressed patient with CAAs without complications by using the ClearSight™ system, which was used for the effective management of circulatory fluctuations.

Details

Title
Anesthetic management of modified electroconvulsive therapy for a patient with coronary aneurysms: a case report
Author
Nakayama Riho 1 ; Yoshida Takuya 1   VIAFID ORCID Logo  ; Obata Norihiko 1 ; Mizobuchi Satoshi 1 

1  Kobe University Hospital, Department of Anesthesiology, Kobe city, Japan (GRID:grid.411102.7) (ISNI:0000 0004 0596 6533) 
Publication year
2019
Publication date
Dec 2019
Publisher
Springer Nature B.V.
e-ISSN
23639024
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/s40981-019-0298-y
ProQuest document ID
2317027388
Copyright
© The Author(s) 2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.