Recurrent Aspiration in a Patient With Gastric Band Undergoing Electroconvulsive Therapy
Lubit, Elana B; Fetterman, Tammy Cohen; Ying, Patrick
We report a case of a 33-year-old woman with depression and suicidal ideation, treated successfully with electroconvulsive therapy (ECT) in the past. Since her previous course of ECT, she underwent gastric banding, a bariatric surgical procedure associated with increased risk of gastric regurgitation. Despite increasingly stringent measures to minimize the risk of regurgitation and aspiration during ECT, she had several episodes of regurgitation, the last of which precipitated an acute illness consistent with aspiration pneumonitis. We took additional precautions after each event, until she had no further episodes of regurgitation. We discuss the risk posed by the gastric band, the measures we implemented to minimize that risk, and our recommendations for assessment and management of post-gastric banding patients who present for ECT.
PMID: 26075693
ISSN: 1533-4112
CID: 1632062
Should we treat hypertension immediately before electroconvulsive therapy?
Chapter by: Lubit, Elana B
in: You're wrong, I'm right : dueling authors reexamine classic teachings in anesthesia by Scher, Corey S; Clebone, Anna; Miller, Sanford M; Roccaforte, J; Capan, Levon M [Eds]
[S.l.] : Springer, 2016
pp. 209-214
ISBN: 9783319431673
CID: 2453212