Safe use of electroconvulsive therapy in a highly suicidal survivor of carbon monoxide poisoning

Abstract It has been reported that electroconvulsive therapy (ECT) may increase the likelihood of delayed neuropsychiatric sequelae (DNS) after carbon monoxide (CO) poisoning. We present a suicidal patient of CO intoxication, who received ECT safely and effectively 5 weeks after CO exposure and revi...

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Bibliographic Details
Published in:General hospital psychiatry 2012, Vol.34 (1), p.103.e1-103.e3
Main Authors: Chiang, Chih-Lin, M.D, Tseng, Mei-Chih Meg, M.D., M.Sc
Format: Article
Language:English
Subjects:
Adult
Carbon Monoxide Poisoning
Depression
Depressive Disorder, Major - therapy
Electroconvulsive Therapy
Humans
Male
Outcome Assessment (Health Care)
Psychiatry
Suicide
Suicide, Attempted
Survivors - psychology
Taiwan
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Summary:Abstract It has been reported that electroconvulsive therapy (ECT) may increase the likelihood of delayed neuropsychiatric sequelae (DNS) after carbon monoxide (CO) poisoning. We present a suicidal patient of CO intoxication, who received ECT safely and effectively 5 weeks after CO exposure and review the previously reported ECT-related DNS cases and the recent studies about the predictors of DNS. We propose that ECT can be safely implemented in carefully selected patients without known risk factors for DNS after an extended observation period from CO exposure.
ISSN:0163-8343
1873-7714
DOI:10.1016/j.genhosppsych.2011.08.017