Management for electroconvulsive therapy of a patient with inoperable coronary artery disease and ankylosing spondylitis.

Abstract:

:A 69-year-old male with severe coronary artery disease, ankylosing spondylitis, and severe major depression was scheduled for electroconvulsive therapy (ECT). The patient had previously failed or proved intolerant of antidepressant drug therapy. The nature and severity of the patient's diseases and complexity of potential interactions with ECT and anesthesia required sequential assessment of hemodynamic and airway tolerances with successive treatments. Despite substantial risks for particular patients, ECT may provide the only treatment option for life-threatening psychiatric illness and warrants innovative approaches to anesthetic management.

journal_name

J Clin Anesth

authors

Snyder DS,Lipsey JR,McPherson RW

doi

10.1016/0952-8180(92)90071-8

subject

Has Abstract

pub_date

1992-05-01 00:00:00

pages

226-9

issue

3

eissn

0952-8180

issn

1873-4529

pii

0952-8180(92)90071-8

journal_volume

4

pub_type

杂志文章
  • Anesthetic management of the pregnant burn patient: excision and grafting to emergency Cesarean section.

    abstract::Pregnant patients with burn injuries present a unique challenge for general medical care and require special anesthetic considerations. A 21 year old woman at 28 weeks' gestation, who suffered 45% total burn surface area partial and full-thickness burns during a fire in her home, is presented. Anesthetic management in...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2013.01.019

    authors: Radosevich MA,Finegold H,Goldfarb W,Troianos C

    更新日期:2013-11-01 00:00:00

  • Evaluation of anesthetic technique on surgical site infections (SSIs) at a single institution.

    abstract:STUDY OBJECTIVE:To determine whether the previously published relationship between anesthetic technique and rate of surgical site infections (SSIs) was influenced by institution specific effects. DESIGN:Retrospective Review of Quality Assurance and Hospital Epidemiology databases. SETTING:Metropolitan medical center....

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2014.04.015

    authors: Curry CS,Smith KA,Allyn JW

    更新日期:2014-12-01 00:00:00

  • Prolonged neuromuscular blockade following vecuronium infusion.

    abstract::Administration of vecuronium by infusion is an increasingly common technique, both in the operating room and in the intensive care unit (ICU), for patients requiring prolonged neuromuscular blockade and mechanical ventilation. The major advantage of vecuronium over older neuromuscular blocking agents is its rapid excr...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(90)90107-e

    authors: Lagasse RS,Katz RI,Petersen M,Jacobson MJ,Poppers PJ

    更新日期:1990-07-01 00:00:00

  • Apneic oxygenation during prolonged laryngoscopy in obese patients: a randomized, controlled trial of nasal oxygen administration.

    abstract:STUDY OBJECTIVE:To evaluate the influence of nasal oxygen (O(2)) administration on the duration of arterial oxygen saturation (SpO(2)) >or=95% during simulated difficult laryngoscopy in obese patients. DESIGN:Prospective, randomized, controlled trial. SETTING:University hospital. PATIENTS:30 obese men undergoing gen...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2009.05.006

    authors: Ramachandran SK,Cosnowski A,Shanks A,Turner CR

    更新日期:2010-05-01 00:00:00

  • Isoflurane hepatitis-induced liver failure: a case report.

    abstract::A case of fulminant hepatic failure two days following an uneventful operation during isoflurane anesthesia is presented. Investigations included elevated bilirubin and serum transaminases in the absence of any other cause of hepatic dysfunction. The patient died on the fourth postoperative day. Subsequent postmortem ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2011.12.004

    authors: Peiris LJ,Agrawal A,Morris JE,Basnyat PS

    更新日期:2012-09-01 00:00:00

  • Recall of risks following labor epidural analgesia.

    abstract:STUDY OBJECTIVE:To ascertain patients' recall of the risks of labor epidural analgesia from a discussion of informed consent during active labor. DESIGN:Survey analysis following an intervention. SETTING:Labor and delivery unit of a tertiary-care teaching hospital. PATIENTS:101 ASA physical status I and II parturien...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0952-8180(97)00258-4

    authors: Affleck PJ,Waisel DB,Cusick JM,Van Decar T

    更新日期:1998-03-01 00:00:00

  • Oral clonidine blunts the hemodynamic responses to brief but not prolonged laryngoscopy.

    abstract:STUDY OBJECTIVE:To determine whether a 300 micrograms dose of oral clonidine given 90 minutes prior to laryngoscopy and intubation provides hemodynamic protection from the stress of a brief (15-second) and/or a prolonged (45-second) laryngoscopy. DESIGN:Randomized, double-blind, placebo-controlled study. SETTING:Inpa...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(93)90089-w

    authors: Laurito CE,Baughman VL,Becker GL,Cunningham F,Pygon BH,Citron GM

    更新日期:1993-01-01 00:00:00

  • Anesthesia with antiphospholipid antibodies: anesthetic management of a parturient with lupus anticoagulant and anticardiolipin antibody.

    abstract::The anesthetic management of a parturient with a circulating lupus anticoagulant and an anticardiolipin antibody presenting to the obstetric suite taking heparin and aspirin is discussed. Issues concerning placement of a regional anesthetic with recent aspirin ingestion and heparin therapy are discussed. Documentation...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(95)00175-1

    authors: Fahy BG,Malinow AM

    更新日期:1996-02-01 00:00:00

  • Effect of tracheal intubation or laryngeal mask airway insertion on intraocular pressure using balanced anesthesia with sevoflurane and remifentanil.

    abstract:STUDY OBJECTIVES:To study the effect of tracheal intubation or laryngeal mask airway (LMA) insertion on intraocular pressure (IOP) in strabismus patients undergoing balanced anesthesia with sevoflurane and remifentanil. DESIGN:Open, prospective, randomized study. SETTING:Tertiary care academic medical institution. P...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0952-8180(01)00259-8

    authors: Eltzschig HK,Darsow R,Schroeder TH,Hettesheimer H,Guggenberger H

    更新日期:2001-06-01 00:00:00

  • Preoperative pregnancy testing in a tertiary care children's hospital: a medico-legal conundrum.

    abstract:STUDY OBJECTIVES:To track physician and nursing practice regarding preoperative pregnancy screening and testing in a setting where testing is the established policy. DESIGN:Prospective study. SETTING:University-affiliated, urban, tertiary care pediatric hospital. PATIENTS:261 menarcheal patients, aged 10 to 34 years...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0952-8180(98)00136-6

    authors: Wheeler M,Coté CJ

    更新日期:1999-02-01 00:00:00

  • Anesthesiology in the Belgian health care environment.

    abstract::This article focuses on anesthesiology practice in the context of Belgian health care. The first part describes the organization of Belgian health care, the role of private and public initiatives, the division of responsibilities between the different health authorities, the financing mechanisms, and the central role ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(94)90081-7

    authors: Vleugels AM

    更新日期:1994-07-01 00:00:00

  • Airway management for glossopexy in infants with micrognathia and obstructive breathing.

    abstract:STUDY OBJECTIVES:To identify airway management and tracheal intubation techniques for glossopexy in infants with preexisting airway obstruction under general anesthesia. DESIGN:Retrospective, observational study. SETTINGS:Operating room of a university hospital between January 2003 and March 2015. All operations were...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2016.10.019

    authors: Morimoto Y,Ohyamaguchi A,Inoue M,Yokoe C,Hanamoto H,Imaizumi U,Sugimura M,Niwa H

    更新日期:2017-02-01 00:00:00

  • Posterior reversible encephalopathy syndrome during pregnancy: seizures in a previously healthy parturient.

    abstract::Posterior reversible encephalopathy syndrome refers to a neuroradiologic disorder in which seizure activity (multiple seizures are more common than single events) is commonly the initial presenting symptom. We describe a case of posterior reversible encephalopathy syndrome in a previously healthy parturient who presen...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2006.07.004

    authors: Long TR,Hein BD,Brown MJ,Rydberg CH,Wass CT

    更新日期:2007-03-01 00:00:00

  • Prostaglandin E1 as a hypotensive drug during general anesthesia for total hip replacement.

    abstract:STUDY OBJECTIVE:To determine the effect of intravenous administration of prostaglandin E1 (PGE1) in inducing controlled hypotension during general anesthesia. DESIGN:Randomized, prospective study. SETTING:Inpatient surgery at a university hospital. PATIENTS:57 ASA physical status I and II patients scheduled for tota...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(93)90125-x

    authors: Yukioka H,Asada K,Fujimori M,Shimazu A

    更新日期:1993-07-01 00:00:00

  • Real-world experience with neuromuscular blockade reversal.

    abstract::Neuromuscular blocking agents are used in many surgical procedures and have enabled new surgical advances. The expanded landscape of neuromuscular blockade (NMB) reversal drugs allows for fast and complete NMB reversal and the reduction of postoperative complications from residual block. In the United States, neostigm...

    journal_title:Journal of clinical anesthesia

    pub_type: 信件

    doi:10.1016/j.jclinane.2017.07.004

    authors: Groudine SB,Minkowitz HS,Valentine DL

    更新日期:2017-11-01 00:00:00

  • Comparative analysis of respiratory muscle strength before and after bariatric surgery using 5 different predictive equations.

    abstract:STUDY OBJECTIVE:Obesity has detrimental effects on general health and respiratory function. This study aimed to evaluate respiratory muscle strength in the morbidly obese population, before and after bariatric surgery, and to compare these estimates with the predictive values using different mathematical equations avai...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2016.03.005

    authors: Pouwels S,Buise MP,Smeenk FW,Teijink JA,Nienhuijs SW

    更新日期:2016-08-01 00:00:00

  • A prospective study to select and evaluate anesthesiology residents: phase I, the critical incident technique.

    abstract:STUDY OBJECTIVE:To develop categories of behavior that define an applicant's aptitude for anesthesia, and to attempt to determine the relative importance of these behaviors to successful residency performance. DESIGN:Prospective open study. SETTING:Anesthesia residencies at three midwest university teaching hospitals...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0952-8180(97)00195-5

    authors: Altmaier EM,From RP,Pearson KS,Gorbatenko-Roth KG,Ugolini KA

    更新日期:1997-12-01 00:00:00

  • Perioperative cardiac evaluation of simulated patients by practicing anesthesiologists is not consistent with 2007 ACC/AHA guidelines.

    abstract:STUDY OBJECTIVE:To determine if practicing anesthesiologists recommend preoperative evaluations consistent with the 2007 ACC/AHA guidelines on perioperative care. DESIGN:Survey instrument. SETTING:Academic medical center. SUBJECTS:ASA membership. MEASUREMENTS:In this Web-based survey, participants were presented wi...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2011.11.007

    authors: Vigoda MM,Behrens V,Miljkovic N,Arheart KL,Lubarsky DA,Dutton RP

    更新日期:2012-09-01 00:00:00

  • Uniport soft-tip, open-ended catheters versus multiport firm-tipped close-ended catheters for epidural labor analgesia: a quality assurance study.

    abstract:STUDY OBJECTIVE:To compare a multiport, firm-tipped, close-ended, epidural catheter (Portex catheter) with a uniport, open-ended, soft-tipped, wire-reinforced catheter (Arrow catheter) in obstetric patients. STUDY DESIGN:Prospective data collection for intradepartmental quality assurance. SETTING:Obstetric unit in a ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0952-8180(00)00116-1

    authors: Jaime F,Mandell GL,Vallejo MC,Ramanathan S

    更新日期:2000-03-01 00:00:00

  • Prevention of central venous catheter-related bloodstream infections: is it time to add simulation training to the prevention bundle?

    abstract:STUDY OBJECTIVE:To study the impact of adding simulation-based education to the pre-intervention mandatory hospital efforts aimed at decreasing central venous catheter-related blood stream infections (CRBSI) in intensive care units (ICU). DESIGN:Pre- and post-intervention retrospective observational investigation. SE...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2012.04.006

    authors: Burden AR,Torjman MC,Dy GE,Jaffe JD,Littman JJ,Nawar F,Rajaram SS,Schorr C,Staman GW,Reboli AC

    更新日期:2012-11-01 00:00:00

  • Anesthetic implications of thoracic endometriosis.

    abstract::Endometriosis occurs in 5% to 10% of women of childbearing age and involves the proliferation of endometrial tissue outside the uterine cavity. Thoracic endometriosis is the most frequent extrapelvic manifestation of endometriosis, numbering some 100 reported cases. It may include spontaneous pneumothorax, hemoptysis,...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0952-8180(01)00350-6

    authors: Gamaleldin H,Tetzlaff JE,Whalley D

    更新日期:2002-02-01 00:00:00

  • Hyperkalemic cardiac arrest following succinylcholine administration: The use of extracorporeal membrane oxygenation in an emergency situation.

    abstract::We report an 11-year-old male with undiagnosed myopathy, who developed cardiac arrest secondary to severe rhabdomyolysis and hyperkalemia following succinylcholine administration. The patient required extracorporeal membrane oxygenation support from which he was eventually weaned successfully. He died eleven days afte...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2003.09.020

    authors: Al-Takrouri H,Martin TW,Mayhew JF

    更新日期:2004-09-01 00:00:00

  • Effects of intravenous and oral clonidine on hemodynamic and plasma-catecholamine response due to endotracheal intubation.

    abstract:STUDY OBJECTIVE:To investigate the effects of intravenous (IV) versus oral clonidine on alterations of heart rate (HR), mean arterial pressure (MAP), cardiac output (CO), and plasma-catecholamines due to endotracheal intubation. DESIGN:Randomized, double-blind, placebo-controlled study. SETTING:University hospital su...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/S0952-8180(97)00239-0

    authors: Zalunardo MP,Zollinger A,Spahn DR,Seifert B,Radjaipour M,Gautschi K,Pasch T

    更新日期:1997-03-01 00:00:00

  • Increased propofol requirement during succeeding administrations for electroconvulsive therapy.

    abstract:STUDY OBJECTIVE:To study patients' requirement for propofol dosages during the course of repeated deep sedation for electroconvulsive therapy (ECT). DESIGN:Prospective study. SETTING:Outpatient psychiatric clinic in a tertiary-care, university-affiliated, 1100-bed metropolitan hospital. PATIENTS:30 patients undergoi...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jclinane.2003.09.009

    authors: Cohen Y,Feldinger E,Ogorek D,Weinbroum AA

    更新日期:2004-06-01 00:00:00

  • Alkalinization of mepivacaine does not alter onset of caudal anesthesia.

    abstract:STUDY OBJECTIVE:To determine the effect of alkalinization of mepivacaine on onset of caudal anesthesia. DESIGN:Randomized, blind study. SETTING:Colon-Rectal Surgery Service of the Tertiary Center at Cleveland Clinic Foundation. PATIENTS:Young, healthy adults undergoing anal surgery. INTERVENTIONS:Addition of bicarb...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(92)90134-m

    authors: Tetzlaff JE,Rothstein L

    更新日期:1992-07-01 00:00:00

  • Influence of ketorolac tromethamine on clot elastic strength in humans as assessed by thromboelastography.

    abstract:STUDY OBJECTIVE:To evaluate the effect of ketorolac tromethamine on coagulation using thromboelastography (TEG). DESIGN:TEGs were performed in each patient before and after ketorolac administration. Each patient's predrug results were used as control measurements for comparison with the postdrug results. SETTING:Medi...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(93)90018-a

    authors: Reinhart DJ,Latson TW,Whitten CW,Klein KW,Allison PM,Patel M

    更新日期:1993-05-01 00:00:00

  • Cardiopulmonary exercise testing in a patient with a permanent tracheostomy.

    abstract::The benefits of cardiopulmonary exercise testing have been well established. Certain patient groups present challenges for conducting such a test. We were presented with a patient with a permanent tracheostomy at the preoperative assessment clinic. We describe our technique in overcoming the problem of connecting him ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2016.04.019

    authors: Tran S,Krige A

    更新日期:2016-11-01 00:00:00

  • Vasoplegic syndrome: An update on perioperative considerations.

    abstract::Vasoplegic syndrome (VS) is increasingly recognized as an important clinical entity in perioperative medicine. VS is characterized by significant arterial hypotension, normal or high cardiac output, low systemic vascular resistance, and increased requirements for intravenous volume and vasopressors. Tremendous variati...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/j.jclinane.2017.04.017

    authors: Liu H,Yu L,Yang L,Green MS

    更新日期:2017-08-01 00:00:00

  • Bevel direction of epidural needles reliably predicts direction of catheter placement and contrast spread in human cadavers: results of a pilot study.

    abstract:STUDY OBJECTIVE:To confirm the relationship between bevel orientation, catheter direction, and radiopaque contrast spread in the lumbar region. DESIGN:Pilot cadaver study. SETTING:Anatomy laboratory of a university hospital. MEASUREMENTS:Cadavers were randomized to two groups of 4 cadavers each. In Group 1, needle b...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2014.04.004

    authors: Shaparin N,Bernstein J,White RS,Kaufman A

    更新日期:2014-12-01 00:00:00

  • Blood, bone, and dura: anesthesia responsibility and pediatric neurosurgery.

    abstract::In conclusion, providing anesthesia for a small child undergoing craniofacial reconstructive surgery is an enormous challenge. Even with the most experienced pediatric anesthesiologist and pediatric surgeons, problems can develop suddenly and lead, as they did in this case, to serious morbidity and even death. It is d...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0952-8180(97)00162-1

    authors: Liang BA

    更新日期:1997-11-01 00:00:00