The Journal of ECT

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Journal of ECT:
doi: 10.1097/YCT.0b013e31819140e1
Case Reports

Combination of Electroconvulsive Therapy With Skin Graft Surgery for a Schizophrenic Patient With Burns

Iwata, Ken MD, PhD*; Masuda, Michiko MD†; Soejima, Kazutaka MD, PhD†; Ohashi, Miyuki MD‡

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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.

© 2009 Lippincott Williams & Wilkins, Inc.


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