A case of negative-pressure pulmonary oedema after first-time electroconvulsive therapy

Yasuhito Sekimoto; Yoshifumi Suzuki; Koichiro Kanamori; Isao Kobayashi; Hiroki Ienaga; Kazuhisa Takahashi

doi:10.1002/rcr2.956

A case of negative-pressure pulmonary oedema after first-time electroconvulsive therapy

Respirol Case Rep. 2022 May 10;10(6):e0956. doi: 10.1002/rcr2.956. eCollection 2022 Jun.

Authors

Yasuhito Sekimoto^{1

2}, Yoshifumi Suzuki^{1

2}, Koichiro Kanamori^{1

2}, Isao Kobayashi^{1

2}, Hiroki Ienaga¹, Kazuhisa Takahashi²

Affiliations

¹ Department of Pulmonology Koshigaya Municipal Hospital Koshigaya City Japan.
² Department of Respiratory Medicine Juntendo University Faculty of Medicine and Graduate School of Medicine Tokyo Japan.

Abstract

Electroconvulsive therapy (ECT) has been used for many years as an important treatment modality in patients with schizophrenia. Recently, many new oral medications have become available to treat schizophrenia. However, ECT remains a valuable therapy for patients who are resistant to oral medications. A 16-year-old girl with schizophrenia was admitted to our hospital with hypoxaemia due to negative-pressure pulmonary oedema (NPPE) after her first ECT. NPPE is an exceedingly rare complication after ECT. However, it can result in serious morbidity if not immediately recognized and treated. This case illustrates the importance of recognizing this rare complication.

Keywords: electroconvulsive therapy; laryngospasm; negative‐pressure pulmonary oedema; schizophrenia.

Publication types

Case Reports