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Related Concept Videos

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

205
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
205

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Related Experiment Video

Updated: Sep 18, 2025

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
04:51

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Case Report Highlights Vigilance for Electroconvulsive Therapy Preprocedural Fasting.

Osama Bhatti1, David Athan, Louise Dawson

  • 1Monash Health, Victoria, Australia.

The Journal of ECT
|June 23, 2025
PubMed
Summary
This summary is machine-generated.

A psychiatric patient intentionally broke fasting before Electroconvulsive therapy, leading to aspiration and intensive care. This case underscores the need for vigilance regarding fasting compliance in high-risk individuals.

Keywords:
ECTsuicide

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Area of Science:

  • Medical Case Reports
  • Patient Safety
  • Anesthesiology

Background:

  • Electroconvulsive therapy (ECT) requires fasting to prevent aspiration.
  • Ensuring patient fasting compliance can be challenging, especially in psychiatric settings.
  • Aspiration is a serious complication that can necessitate intensive care.

Purpose of the Study:

  • To report a case of aspiration due to intentional fasting violation before ECT.
  • To emphasize the importance of vigilance in confirming fasting adherence in at-risk psychiatric patients.
  • To highlight potential intentional sabotage of fasting protocols.

Main Methods:

  • A case report of a 50-year-old male patient undergoing ECT.
  • Description of the patient's surreptitious fasting violation.
  • Documentation of the subsequent intensive care unit admission.

Main Results:

  • The patient aspirated after breaking his fast before ECT.
  • Intensive care unit management was required.
  • High suspicion of intentional sabotage of fasting protocol was noted.

Conclusions:

  • Vigilance in confirming fasting compliance is crucial for psychiatric patients undergoing procedures like ECT.
  • Clinicians should be aware of the potential for patients to falsify fasting adherence.
  • Proactive measures and heightened awareness are necessary to prevent aspiration events in this population.