We report on the use of electroconvulsive therapy (ECT) on a patient with schizophrenia immediately after skin graft surgery for extensive burns. The patient was 22 years old and had been burned in more than 33% of his body because of a suicide attempt. After his admission to a burn unit, he continued to make repeated suicide attempts. Electroconvulsive therapy with a muscle relaxant and intubation was administered after scheduled skin graft surgery. His hallucinations diminished after a series of ECT treatments, and his behavior improved. This combination avoids an anesthetic procedure and makes it possible for physicians to administer ECT earlier for burned psychopharmacological treatment-resistant psychiatric patients. The combination treats a patient's physical and mental illnesses simultaneously.
From the *Departments of Neuropsychiatry, †Plastic Surgery, and ‡Anesthesiology, Tokyo Metropolitan Hiroo General Hospital, Tokyo, Japan.
Received for publication September 28, 2008; accepted October 13, 2008.
Reprints: Ken Iwata, MD, PhD, Department of Neuropsychiatry, Tokyo Metropolitan Hiroo General Hospital, 2-34-10, Ebisu, Shibuya-ku, Tokyo 150-0013, Japan (e-mail: firstname.lastname@example.org).
Conflict of Interest Statement: Authors of this paper do not have any significant relation with or financial interest in a company (or its competitor) that makes a product discussed in the paper.