title: A Case Report of Prolonged Apnea during ECT in a Patient with Suicidal Attempt by Organophosphorus Poison.
abstract: Organophosphorus pesticides have been used in some cases for suicidal attempts. Such poison can affect plasma cholinesterase activity. The case was a 47-year-old man hospitalized due to suicide attempt with swallowing agricultural poison. The patient, diagnosed with major depressive disorder (MDD), underwent treatment with electroconvulsive therapy (ECT). At the first ECT session, the patient developed apnea for 45 minutes following receiving 20 mg succinylcholine. The patient was intubated; after restoration of respiration depth and rate, the patient was extubated. Collectively, in cases with history of suicide attempts, taking organophosphorus pesticides should be warn for pre-ECT anesthesia.
authors.affiliation: Assistant professor of psychiatry, Babol University of Medical Sciences.
authors.forename: Sussan
authors.initials: S
authors.lastname: Moudi
authors.affiliation: Assistant professor of Anesthesiologist, Babol University of Medical Sciences.
authors.forename: Ebrahim
authors.initials: E
authors.lastname: Alijanpour
authors.affiliation: Forensic medicine and toxicologist, Assistant professor, Babol University of Medical Sciences.
authors.forename: Ali-Asghar
authors.initials: AA
authors.lastname: Manouchehri
authors.affiliation: Anesthesiologist, Department of Anesthesiology, Yahya Nejad Hospital, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Hasan
authors.initials: H
authors.lastname: Jafarian
keywords: Apnea; Electroconvulsive Therapy; Organophosphorus