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

• Published in: Respirology case reports Vol. 10; no. 6; pp. e0956 - n/a
• Main Authors: Sekimoto, Yasuhito, Suzuki, Yoshifumi, Kanamori, Koichiro, Kobayashi, Isao, Ienaga, Hiroki, Takahashi, Kazuhisa
• Format: Journal Article
• Language: English
• Published: Chichester, UK John Wiley & Sons, Ltd 01.06.2022; John Wiley & Sons, Inc; Wiley
• Subjects: Age; Airway management; Auscultation; Blood; Blood vessels; Case Report; Case Reports; Convulsions & seizures; Edema; Electroconvulsive therapy; Hospitalization; Laboratories; laryngospasm; negative‐pressure pulmonary oedema; Oxygen saturation; Patients; Permeability; Schizophrenia; Tomography; Ventilators; Vital signs; laryngospasm; negative‐pressure pulmonary oedema; electroconvulsive therapy; schizophrenia
• ISSN: 2051-3380; 2051-3380
• DOI: 10.1002/rcr2.956

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. Electroconvulsive therapy (ECT) has been used for many years as an important treatment modality in patients with schizophrenia. 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 and this case illustrates the importance of recognizing this rare complication.