Successful Recovery of a Catatonic Patient with Severe Pneumonia and Respiratory Failure: Modified Electroconvulsive Therapy Following Tracheotomy.
Actas Esp Psiquiatr
; 52(2): 183-188, 2024 Apr.
Article
in En
| MEDLINE
| ID: mdl-38622014
ABSTRACT
BACKGROUD Catatonia encompasses a group of severe psychomotor syndromes affecting patients' motor, speech, and complex behaviors. Common features include rigidity, reduced mobility, speech, sputum production, defecation, and eating. Risks associated with catatonia, such as increased muscle tension and reduced swallowing and coughing reflexes, along with risks from therapeutic approaches like prolonged bed rest and sedative drugs, can elevate the risk of aspiration pneumonia, severe pneumonia, and acute respiratory failure. These complications significantly impede catatonia treatment, leading to poor prognosis and jeopardizing patient safety. CASE DESCRIPTION In this report, we present a case of catatonia complicated by severe pneumonia and respiratory failure, successfully managed with modified electroconvulsive therapy alongside tracheotomy. We hope this case provides valuable insights for psychiatrists encountering similar scenarios, facilitating the development of rational therapeutic strategies for prompt improvement of patient condition.
Full text:
1
Collection:
01-internacional
Health context:
4_TD
Database:
MEDLINE
Main subject:
Pneumonia
/
Respiratory Insufficiency
/
Catatonia
/
Electroconvulsive Therapy
Limits:
Humans
Language:
En
Journal:
Actas Esp Psiquiatr
/
Actas esp. psiquiatr
/
Actas espanolas de psiquiatria
Year:
2024
Document type:
Article