Anesthetic Management for Electroconvulsive Therapy in Pregnant Patient - Case Report

International Journal of Medical Science

© 2023 by SSRG - IJMS Journal

Volume 10 Issue 4

Year of Publication : 2023

Authors : Jangho Bae, Kiyoung Shin, Goh Daehun, Yoon Giyong, Seongsik Kang

10.14445/23939117/IJMS-V10I4P105

How to Cite?

Jangho Bae, Kiyoung Shin, Goh Daehun, Yoon Giyong, Seongsik Kang, "Anesthetic Management for Electroconvulsive Therapy in Pregnant Patient - Case Report," SSRG International Journal of Medical Science, vol. 10,  no. 4, pp. 25-27, 2023. Crossref, https://doi.org/10.14445/23939117/IJMS-V10I4P105

Abstract:

Maternal mental health disorder causes significant morbidity for mothers and their newborns. Psychotropic medication might not be quite safe in these cases. In addition, pharmaco-resistant, life-threatening, and severe symptoms such as catatonia and suicidal behavior, which affect the health and safety of both parturient and child, can appear with the acute need for an instant therapeutic response. Electroconvulsive therapy (ECT) may be investigated in several situations as a potential substitute for pharmaceutical treatment. The monitoring of the depth of anesthesia is achieved using a frontal electroencephalographic device called the Bispectral index (BIS). High pre-ictal BIS value has been positively correlated with seizure duration. This report describes how a pregnant woman in her second trimester who needed ECT because of paranoid schizophrenia was successfully managed under anesthesia while being monitored by BIS.

Keywords:

Bispectral index, Electroconvulsive therapy, Paranoid schizophrenia, Pregnancy, Seizure.

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