Citation

Moudi S, Alijanpour E, Manouchehri AA, Jafarian H. Iran. J. Psychiatry Behav. Sci. 2012; 6(1): 68-71.

Copyright

(Copyright © 2012, Mazandaran University of Medical Sciences and Health Services)

DOI

unavailable

PMID

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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.

Language: en

Keywords

adult; human; male; case report; suicide attempt; major depression; hospitalization; Electroconvulsive therapy; article; sertraline; psychiatric department; intensive care unit; electroconvulsive therapy; electrolyte; olanzapine; hospital discharge; artificial ventilation; organophosphate pesticide; suxamethonium; Organophosphorus; propofol; apnea; extubation; thiopental; ranitidine; atracurium; breathing rate; Apnea