title: Safe resumption of maintenance electroconvulsive therapy 12 days after surgical repair of hip fracture.
abstract: Hip fractures are a common injury affecting older individuals, especially women with osteoporosis. When patients who are at risk for hip fractures or who have had such a fracture that was recently repaired require electroconvulsive therapy, care must be taken to ensure complete muscle relaxation. Adequate muscle relaxation can be achieved using a dose of succinylcholine of approximately 1 mg/kg in most patients, but for patients who are at risk for complications resulting from inadequate muscle relaxation, the dose of succinylcholine may need to be increased by 40% to 50% to ensure complete relaxation.
authors.affiliation: From the Departments of *Anesthesiology and †Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Ethan O
authors.initials: EO
authors.lastname: Bryson
authors.forename: Lauren
authors.initials: L
authors.lastname: Liebman
authors.forename: Roya
authors.initials: R
authors.lastname: Nazarian
authors.forename: Charles H
authors.initials: CH
authors.lastname: Kellner
mesh_terms: D000368:Aged; D004565:Electroconvulsive Therapy / Q000379:methods*; D005260:Female; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D009126:Muscle Relaxation / Q000187:drug effects; D009467:Neuromuscular Depolarizing Agents / Q000008:administration & dosage; D010024:Osteoporosis; D011859:Radiography; D013390:Succinylcholine / Q000008:administration & dosage
chemical_list: D009467:Neuromuscular Depolarizing Agents; D013390:Succinylcholine