ABSTRACT
We present a novel positioning technique to assist in the gentle and safe management of the postictal agitated patient.
Subject(s)
Durable Medical Equipment , Electroconvulsive Therapy/methods , Psychomotor Agitation , Humans , Patient PositioningABSTRACT
Postictal agitation after electroconvulsive therapy is a common and serious condition and when severe, requires prompt intervention to safeguard the patient and medical staff from the potential for mayhem and physical harm. We present a case report on the successful use of dexmedetomidine, an alpha2 agonist, in the postictal management of severe agitation in a 34-year-old morbidly obese woman, after prior modes of intervention had failed to deliver ideal conditions.
Subject(s)
Delirium , Dexmedetomidine/therapeutic use , Electroconvulsive Therapy , Psychomotor Agitation/drug therapy , Adult , Combined Modality Therapy , Delirium/complications , Electroconvulsive Therapy/adverse effects , Female , Humans , Hypnotics and Sedatives/therapeutic use , Treatment OutcomeABSTRACT
Bilateral anterior cingulumotomy has been used to treat psychiatric diseases and chronic pain. We report an interesting case involving a young woman who underwent cingulumotomy for the treatment of intractable total body pain secondary to generalized reflex sympathetic dystrophy. Her initial response after two procedures was excellent though 1 year later her pain recurred and was resistant to a subsequent cingulumotomy.
