title: Safe use of electroconvulsive therapy in a highly suicidal survivor of carbon monoxide poisoning.
abstract: It has been reported that electroconvulsive therapy (ECT) may increase the likelihood of delayed neuropsychiatric sequelae (DNS) after carbon monoxide (CO) poisoning. We present a suicidal patient of CO intoxication, who received ECT safely and effectively 5 weeks after CO exposure and review the previously reported ECT-related DNS cases and the recent studies about the predictors of DNS. We propose that ECT can be safely implemented in carefully selected patients without known risk factors for DNS after an extended observation period from CO exposure.
authors.affiliation: Department of Psychiatry, National Taiwan University Hospital, Taipei 10002, Taiwan.
authors.forename: Chih-Lin
authors.initials: CL
authors.lastname: Chiang
authors.forename: Mei-Chih Meg
authors.initials: MC
authors.lastname: Tseng
mesh_terms: D000328:Adult; D002249:Carbon Monoxide Poisoning; D003865:Major Depressive Disorder / Q000628:therapy; D004565:Electroconvulsive Therapy; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D013406:Suicide, Attempted; D017741:Survivors / Q000523:psychology*; D013624:Taiwan