title: Clinical approach to agitation after electroconvulsive therapy: a case report and literature review.
abstract: Agitation is a neurologic complication that may occur after electroconvulsive therapy (ECT). Severe agitation after ECT has been associated with multiple factors, both anesthetic and psychiatric. This case report describes severe postictal agitation after ECT in a patient with bipolar affective disorder. The clinical management of this challenging presentation is discussed, including both the anesthetic and psychiatric approaches.
authors.affiliation: Department of Anesthesia, University of Pennsylvania, PA 19104-4283, USA. yiandoc@hotmail.com
authors.forename: John G
authors.initials: JG
authors.lastname: Augoustides
authors.forename: Eric
authors.initials: E
authors.lastname: Greenblatt
authors.forename: Muhammad A
authors.initials: MA
authors.lastname: Abbas
authors.forename: John P
authors.initials: JP
authors.lastname: O'Reardon
authors.forename: Catherine J
authors.initials: CJ
authors.lastname: Datto
mesh_terms: D000762:Anesthesia Recovery Period; D001714:Bipolar Disorder / Q000628:therapy*; D004359:Drug Therapy, Combination; D004565:Electroconvulsive Therapy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008874:Midazolam / Q000008:administration & dosage*; D008875:Middle Aged; D015742:Propofol / Q000008:administration & dosage*; D011595:Psychomotor Agitation / Q000188:drug therapy* / Q000209:etiology
chemical_list: D008874:Midazolam; D015742:Propofol