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Article Dans Une Revue The journal of ECT Année : 2018

Management of Emergency Electroconvulsive Therapy in the Intensive Care Unit for Life-Threatening Psychiatric Conditions: A Case Series

Loïc Chimot
  • Fonction : Auteur
Romain Dumont
  • Fonction : Auteur
Olivier Loutrel
  • Fonction : Auteur
François Etcheverrigaray
  • Fonction : Auteur
Alexandre Massri
  • Fonction : Auteur
Jean-Marie Vanelle
  • Fonction : Auteur
Anne Sauvaget
  • Fonction : Auteur

Résumé

Catatonia can lead to severe complications and may be lethal but is often underdiagnosed. The clinical presentation can be similar to coma. In these situations, electroconvulsive therapy (ECT) can be used as first-line treatment to enable extubation, recovery of autonomy, and rapid discharge from intensive care. We report 4 cases of patients hospitalized in the intensive care unit with comatose clinical presentation and life-threatening condition caused by catatonia. All patients received ECT sessions, after which the catatonic symptoms partially or fully remitted. We discuss the clinical identification, general considerations, ECT feasibility, and parameters in the intensive care unit, as well as the differential diagnosis, drug precautions, and prevention concerns.
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Dates et versions

hal-03158600 , version 1 (04-03-2021)

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Citer

Samuel Bulteau, Edouard Laforgue, Loïc Chimot, Romain Dumont, Olivier Loutrel, et al.. Management of Emergency Electroconvulsive Therapy in the Intensive Care Unit for Life-Threatening Psychiatric Conditions: A Case Series. The journal of ECT, 2018, 34 (1), pp.55-59. ⟨10.1097/YCT.0000000000000451⟩. ⟨hal-03158600⟩
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