Author/Authors :
Moudi، Sussan نويسنده Assistant professor of psychiatry, Babol University of Medical Sciences, Babol, Mazandaran, Iran..Psychiatry and Behavioral Sciences Research Center, Mazandaran University of Medical Sciences, Sari Iran , , Alijanpour، Ebrahim نويسنده Department of Pharmacology & Physiology, School of Medicine, Babol University of Medical Sciences, Babol, Iran , , Manouchehri، Aliasghar نويسنده Department of Internal Medicine, Babol University of Medical Sciences, Babol, Iran , , Jafarian، Hasan نويسنده Anesthesiologist, Department of Anesthesiology, Yahya Nejad Hospital, Babol University of Medical Sciences, Babol, Iran. ,
Abstract :
Organophosphorus pesticides have been used in some cases for suicidal attempts. Such poison can affect
plasma cholinesterase activity. The case was a 47-year-old man hospitalized due to suicide attempt with
swallowing agricultural poison. The patient, diagnosed with major depressive disorder (MDD), underwent
treatment with electroconvulsive therapy (ECT). At the first ECT session, the patient developed apnea for 45
minutes following receiving 20 mg succinylcholine. The patient was intubated; after restoration of respiration
depth and rate, the patient was extubated. Collectively, in cases with history of suicide attempts, taking
organophosphorus pesticides should be warn for pre-ECT anesthesia.
Declaration of interest: None.
Citation: A case report of prolonged apnea during ECT in a patient with suicidal attempt by
organophosphorus poison. Moudi S, Alijanpour E, Manouchehri AA, Jafarian H. Iran J Psychiatry Behav Sci
2011; 6(1):68-71.
