Successful electroconvulsive therapy after failed pharmacotherapies in an older female on hemodialysis with bipolar mania

McGrane, Ian R.; Munjal, Robert C; Skauge, Shelby L; Molinaro, Jason R.

doi:10.1111/bdi.13188

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…There was a recent report on a 75-year-old female patient on HD who was successfully treated with ECT after failing to respond to pharmacotherapy. 6…”

Section: Literature Reviewmentioning

confidence: 99%

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Electroconvulsive Therapy in a Patient With Depression on Hemodialysis

Watanabe

Yasuda

Tada

et al. 2022

J ECT

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Evidence on electroconvulsive therapy (ECT) for people receiving chronic hemodialysis has been rather scarce in the literature. We report the case of a 74-year-old male patient with major depressive disorder on chronic hemodialysis for 14 years with numerous physical complications including abdominal aortic aneurysm, ossification of the posterior longitudinal ligament, and cerebral stroke. Several antidepressant drugs failed to improve the patient, but judicious implementation of a total of 6 ECT sessions under a close liaison with medical experts brought him into remission without any notable adverse effects. In particular, flumazenil, as well as rocuronium and sugammadex, was used together with a strict control of blood pressure. We thoroughly discuss the case and provide a literature review on such topics as assessment of physical complications, medications used for anesthesia, electrode placement, and timing of hemodialysis during ECT sessions, which identified a clear need for more research on this medically challenging issue.

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“…There was a recent report on a 75-year-old female patient on HD who was successfully treated with ECT after failing to respond to pharmacotherapy. 6…”

Section: Literature Reviewmentioning

confidence: 99%

“…In another instance, a rocuronium-sugammadex combination was effective for muscle relaxation during ECT in patients undergoing HD, 5 as has been true in our patient. There was a recent report on a 75-year-old female patient on HD who was successfully treated with ECT after failing to respond to pharmacotherapy 6 …”

Section: Literature Reviewmentioning

confidence: 99%