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Acute bilateral ECT in a depressed patient with a hip-aztreonam-spacer and subsequent maintenance ECT after prosthesis collocation

Published online by Cambridge University Press:  10 November 2014

Verònica Gálvez ,
Aida de Arriba Arnau ,
Erika Martínez-Amorós ,
Carmina Ribes ,
Mikel Urretavizcaya  and
Narcís Cardoner
Verònica Gálvez*
Affiliation:
School of Psychiatry, University of New South Wales (UNSW), Sydney, Australia; Therapeutic Neurostimulation Group, Black Dog Institute, Sydney, Australia
Aida de Arriba Arnau
Affiliation:
Psychiatry Department, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain; Mood Disorders Clinical and Research Unit, Psychiatry Department, Bellvitge University Hospital, Barcelona, Spain
Erika Martínez-Amorós
Affiliation:
Psychiatry Department, Salut Mental Parc Taulí. Corporació Sanitària Universitària Parc Taulí, Sabadell, Spain; Institut Universitari Parc Taulí - UAB (IUFPT-UAB), Sabadell, Spain
Carmina Ribes
Affiliation:
Department of Anesthesiology. Bellvitge University Hospital, L´Hospitalet de Llobregat, Barcelona, Spain
Mikel Urretavizcaya
Affiliation:
ECT Unit, Psychiatry Department, Bellvitge Hospital-ICS, University of Barcelona, Bellvitge Biomedical Research Institute (IDIBELL), CIBERSAM, L’Hospitalet de Llobregat, Barcelona, Spain
Narcís Cardoner
Affiliation:
Psychiatry Department, Bellvitge Hospital-ICS, University of Barcelona, Bellvitge Biomedical Research Institute(IDIBELL), CIBERSAM, L’Hospitalet de Llobregat, Barcelona, Spain
*
Correspondence should be addressed to: Verònica Gálvez, School of Psychiatry, UNSW, Black Dog Institute, Hospital Road Randwick, Sydney, Australia2031. Phone: +61(2) 93823720; Fax: +61(2) 9382 8208. Email: v.galvezortiz@unsw.edu.au//vgalvezortiz@gmail.com.
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Abstract

Electroconvulsive Therapy (ECT) has been demonstrated to be a safe and effective treatment for geriatric depression, although its application might be challenging when medical comorbidities exist. The present case reports a 78-year-old man diagnosed with recurrent unipolar major depressive disorder (MDD), who presented with a severe depressive episode with psychotic features (DSM IV). He successfully received a course of bitemporal (BT) ECT with a hip-aztreonam-spacer due to a hip fracture that occurred during hospitalization. This was followed by maintenance ECT (M-ECT) with a recent prosthesis collocation. This particular case illustrates the importance of a multidisciplinary approach in geriatric patients with somatic complications receiving ECT.

Keywords

electroconvulsive therapydepressionaged carephysical illnessfalls
Type
Case Report
Information
International Psychogeriatrics , Volume 27 , Issue 2 , February 2015 , pp. 343 - 346
Copyright
Copyright © International Psychogeriatric Association 2014 

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