长期呼吸暂停的发展在苏克萨米先前的患者在电治疗期间:一个案例报告
Alican Bulut1, Basavaraja Papanna1, Bushra Ahmed1
1Psychiatry, Essex Partnership University NHS Foundation Trust, Colchester, GBR.
Cureus
|November 25, 2024
概括
在电疗法 (ECT) 期间施用苏克萨米后,一个罕见的持续性呼吸暂停病例强调了手术前评估的重要性. 这种不良反应,即使没有先前的敏感性,也强调了在精神病治疗中需要仔细评估药物.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 精神病学是一个精神病学.
背景情况:
- 苏沙美是一种常见的肌肉松剂,用于电疗法 (ECT).
- 长时间的呼吸暂停,虽然很少见,是苏克萨米的潜在并发症,通常与伪胆酶缺乏有关.
- 这种并发症可能导致严重的紧急情况和死亡率.
研究的目的:
- 在ECT中报告第一次使用苏克萨米后长时间呼吸暂停的病例.
- 强调需要进行彻底的手术前患者评估的必要性.
主要方法:
- 一个年轻的男性患者接受ECT的案例报告.
- 苏克萨米用于肌肉放松的使用.
- 监测不良反应,特别是长时间的呼吸暂停.
主要成果:
- 患者经历了持续的呼吸暂停后苏克萨米的管理.
- 患者或家人之前没有药物敏感性或不良反应的病史.
- 由于呼吸系统受到损害,该事件需要紧急管理.
结论:
- 第一次服用苏克萨米可以导致长时间的呼吸暂停,即使没有已知的敏感性史.
- 综合性程序前评估对于识别ECT中使用药物的潜在风险至关重要.
- 收集有关药物敏感性的详细患者和家庭病史对于安全的ECT程序至关重要.
更多相关视频
10:19Induction of an Isoelectric Brain State to Investigate the Impact of Endogenous Synaptic Activity on Neuronal Excitability In Vivo
Published on: March 31, 2016
8.0K
09:07Electroconvulsive Seizures in Rats and Fractionation of Their Hippocampi to Examine Seizure-induced Changes in Postsynaptic Density Proteins
Published on: August 15, 2017
12.0K
相关概念视频
Electroconvulsive Therapy
25
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...
25
Skeletal Muscle Relaxants: Adverse Effects
335
Skeletal muscle relaxants are widely used for muscle paralysis and relieving pain following any muscle injury or stiffness. However, depending on the drug type, they can have adverse effects that range from mild to severe. Usually, nondepolarizing neuromuscular blockers have minimal side effects. For example, drugs like d-tubocurarine, cisatracurium, and rocuronium cause hypotension, whereas drugs like baclofen, when stopped abruptly, can lead to the recurrence of spastic conditions.
Unlike...
Unlike...
335
Depolarizing Blockers: Pharmocokinetics
308
Depolarizing blockers are administered through intravenous injection. Succinylcholine is the most common choice of depolarizing blockers in emergency clinical practices. Although they have a rapid onset, they readily diffuse away from the motor end plate into the extracellular fluid. They are metabolized by enzymes such as liver butyrylcholinesterase and plasma pseudocholinesterases. This produces a short duration of action, typically 5-10 minutes long, unlike nondepolarizing blockers, which...
308
