Case Report
The Role of Acetylcholinesterase Inhibitors in the Treatment of Prolonged Postelectroconvulsive Therapy Delirium
Table 1
Summary of ECT treatments and response.
| ECT treatment # | Anesthetic | Laterality | Stimulus intensity | Charge | Tonic-clonic seizure duration | EEG seizure duration | Acute confusion state (yes/no) |
| 1 | Methohexital/succinylcholine | Right unilateral | Low 0.5 | 20% | 22 sec | 49 sec | No | 2 | Methohexital/succinylcholine | Right unilateral | Low 0.5 | 20% | 11 sec | 38 sec | Yes: transient treatment emergent confusion, quickly resolved | 3 | Methohexital/succinylcholine | Right unilateral | Low 0.5 | 20% | 19 sec | 42 sec | No | 4 | Methohexital/succinylcholine | Right unilateral | Low 0.5 | 20% | 14 sec | 46 sec | Yes: disorientation emerging from anesthesia | 5 | Methohexital/succinylcholine | Right unilateral | Low 0.5 | 20% | 15 sec | 40 sec | Yes: increased disorientation emerging from anesthesia | 6 | Methohexital/succinylcholine | Right unilateral | Low 0.5 | 20% | 14 sec | 43 sec | Yes: prolonged disorientation began |
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