Successful Recovery of a Catatonic Patient with Severe Pneumonia and Respiratory Failure: Modified Electroconvulsive Therapy Following Tracheotomy

Authors

  • Yuejing Wu Intensive Care Unit, Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, 310058 Hangzhou, Zhejiang, China
  • Qian He Intensive Care Unit, Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, 310058 Hangzhou, Zhejiang, China
  • Li Zhang Intensive Care Unit, Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, 310058 Hangzhou, Zhejiang, China
  • Tao Li Intensive Care Unit, Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, 310058 Hangzhou, Zhejiang, China
  • Fugang Luo Intensive Care Unit, Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, 310058 Hangzhou, Zhejiang, China

DOI:

https://doi.org/10.62641/aep.v52i2.1528

Keywords:

catatonia, sever pneumonia, tracheotomy, modified electroconvulsive therapy

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.

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Published

2024-04-05

How to Cite

Wu, Yuejing, et al. “Successful Recovery of a Catatonic Patient With Severe Pneumonia and Respiratory Failure: Modified Electroconvulsive Therapy Following Tracheotomy”. Actas Españolas De Psiquiatría, vol. 52, no. 2, Apr. 2024, pp. 183-8, doi:10.62641/aep.v52i2.1528.

Issue

Section

Case Report