Citation

Yanik M, Cengiz M, Ganidaǧli S, Kati M. Klin. Psikofarmakol. Bül. 2003; 13(4): 188-190.

Copyright

(Copyright © 2003, Kadıköy Hachette Yayıncılık)

DOI

unavailable

PMID

unavailable

Abstract

Organophosphate poisoning is a frequent used method of suicide attempt in Turkey. Organophosphates are irreversibly bound to cholinesterase enzyme, causing deactivation of the enzyme. As a result the of inhibition of plasma cholinesterase, increased sensitivity to drugs hydrolyzed by this enzyme can occur, e.g. neuromuscular blockers such as succinylcholine and mivacurium may be affected. Muscle paralysis continues if the action of these neuromuscular drugs is not terminated. In this case report we present a case of a 6-hour period of apnea and paralysis following anesthesia with a muscle relaxant for electroconvulsive therapy in a bipolar disorder patient with mixed episode who attempted suicide with organophosphate ten days prior.

Language: tr

Keywords

Suicide attempt; Electroconvulsive therapy; Anesthesia; Bipolar disorder-mixed episode; Organophosphate intoxication; Prolonged apnea