Postgraduate Institute of Medical Education and Research (PGIMER), Department of Anaesthesia and Intensive Care, Chandigarh, India.
Postgraduate Institute of Medical Education and Research (PGIMER), Department of Anaesthesia and Intensive Care, Chandigarh, India.
Braz J Anesthesiol. 2021 May-Jun;71(3):292-294. doi: 10.1016/j.bjane.2021.02.031. Epub 2021 Mar 22.
Catatonic patients may develop deep vein thrombosis (DVT) and pulmonary embolism (PE) due to prolonged periods of immobility. These life-threatening conditions demand prompt recognition and management. We describe the case of a patient with catatonia who presented to anesthesia for electroconvulsive therapy (ECT) at the outset of the current coronavirus disease 2019 pandemic. She complained of breathing difficulty and was suspected to have COVID-19 infection. On further evaluation, she was found to have DVT and PE and required oxygen therapy and intensive care management. The diagnostic delay in our patient would have probably not occurred, had it not been for the existing pandemic situation.
紧张症患者可能因长时间不动而发生深静脉血栓形成(DVT)和肺栓塞(PE)。这些危及生命的情况需要及时识别和处理。我们描述了一例在当前 2019 冠状病毒病大流行期间因紧张症到麻醉科接受电休克治疗(ECT)的患者。她主诉呼吸困难,疑似感染 2019 冠状病毒病。进一步评估发现她患有 DVT 和 PE,需要氧疗和重症监护管理。如果不是因为目前的大流行情况,我们的患者的诊断延迟可能不会发生。