General Hospital Psychiatry 2012-01-01

Acute neurogenic pulmonary edema following electroconvulsive therapy: a case report.

Tohru Takahashi, Kuni Kinoshita, Tomonori Fuke, Kazuhisa Urushihata, Tomoyuki Kawamata, Shin Yanagisawa, Tomoki Kaneko, Shinsuke Washizuka, Tokiji Hanihara, Naoji Amano

Index: Gen. Hosp. Psychiatry 34(6) , 703.e9-703.e11, (2012)

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Abstract

We report the case of a 47-year-old man with depression who developed acute dyspnea, hypoxemia, and mild hemoptysis after electroconvulsive therapy (ECT).Intravenous carbazochrome sodium sulfate hydrate as a hemostatic drug (100 mg/day) was prescribed for 2 days. On the day of ECT, oxygen inhalation (4 L/min) was continued, and SpO2 was maintained at 94-96%.Chest radiography showed improvement in alveolar infiltration. Chest CT 6 days after ECT also confirmed the disappearance of ground glass opacities in the lung fields.NPE is life threatening and should be recognized as an uncommon adverse event associated with ECT.Copyright © 2012 Elsevier Inc. All rights reserved.