What the electroconvulsive therapy practitioner needs to know about obstructive sleep apnea

W. Vaughn McCall, Lorraine Arias, Rasheed Onafuye, Peter B. Rosenquist

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Obstructive sleep apnea (OSA) is common and increasingly so in countries experiencing an epidemic of obesity. The rate of OSA is likely as high or higher in psychiatric patients and patients receiving electroconvulsive therapy (ECT) as compared with the general population. Obstructive sleep apnea can be detected by maintaining a high degree of suspicion in patients with risk factors, symptoms, and typical physical findings. Failure to detect OSA can lead to serious long-term problems with cardiovascular health, excessive sleepiness, and increased risk of motor vehicle accidents. It is unknown whether failure to treat OSA could promote failure to respond to ECT or greater cognitive problems with ECT, but failure to recognize and manage the risk for OSA in patients receiving ECT might expose them to anesthetic difficulties. Ideally, patients with suspected OSA should have a sleep laboratory evaluation and a definitive treatment plan in place before ECT, but, sometimes, psychiatric urgency and lack of access to resources in developing countries would make this unworkable. At a minimum, steps can be taken during the ECT procedure to manage airway obstruction in suspected or known patients with OSA.

Original languageEnglish (US)
Pages (from-to)50-53
Number of pages4
JournalJournal of ECT
Volume25
Issue number1
DOIs
StatePublished - Mar 1 2009

Fingerprint

Electroconvulsive Therapy
Obstructive Sleep Apnea
Psychiatry
Motor Vehicles
Airway Obstruction
Developing Countries
Accidents
Anesthetics
Sleep
Obesity
Health

Keywords

  • Electroconvulsive therapy
  • Obstructive sleep apnea
  • Sleep

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Psychiatry and Mental health

Cite this

What the electroconvulsive therapy practitioner needs to know about obstructive sleep apnea. / McCall, W. Vaughn; Arias, Lorraine; Onafuye, Rasheed; Rosenquist, Peter B.

In: Journal of ECT, Vol. 25, No. 1, 01.03.2009, p. 50-53.

Research output: Contribution to journalReview article

@article{856f566a30db4e739a04b382d1d665c6,
title = "What the electroconvulsive therapy practitioner needs to know about obstructive sleep apnea",
abstract = "Obstructive sleep apnea (OSA) is common and increasingly so in countries experiencing an epidemic of obesity. The rate of OSA is likely as high or higher in psychiatric patients and patients receiving electroconvulsive therapy (ECT) as compared with the general population. Obstructive sleep apnea can be detected by maintaining a high degree of suspicion in patients with risk factors, symptoms, and typical physical findings. Failure to detect OSA can lead to serious long-term problems with cardiovascular health, excessive sleepiness, and increased risk of motor vehicle accidents. It is unknown whether failure to treat OSA could promote failure to respond to ECT or greater cognitive problems with ECT, but failure to recognize and manage the risk for OSA in patients receiving ECT might expose them to anesthetic difficulties. Ideally, patients with suspected OSA should have a sleep laboratory evaluation and a definitive treatment plan in place before ECT, but, sometimes, psychiatric urgency and lack of access to resources in developing countries would make this unworkable. At a minimum, steps can be taken during the ECT procedure to manage airway obstruction in suspected or known patients with OSA.",
keywords = "Electroconvulsive therapy, Obstructive sleep apnea, Sleep",
author = "McCall, {W. Vaughn} and Lorraine Arias and Rasheed Onafuye and Rosenquist, {Peter B.}",
year = "2009",
month = "3",
day = "1",
doi = "10.1097/YCT.0b013e31817144a6",
language = "English (US)",
volume = "25",
pages = "50--53",
journal = "Journal of ECT",
issn = "1095-0680",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - What the electroconvulsive therapy practitioner needs to know about obstructive sleep apnea

AU - McCall, W. Vaughn

AU - Arias, Lorraine

AU - Onafuye, Rasheed

AU - Rosenquist, Peter B.

PY - 2009/3/1

Y1 - 2009/3/1

N2 - Obstructive sleep apnea (OSA) is common and increasingly so in countries experiencing an epidemic of obesity. The rate of OSA is likely as high or higher in psychiatric patients and patients receiving electroconvulsive therapy (ECT) as compared with the general population. Obstructive sleep apnea can be detected by maintaining a high degree of suspicion in patients with risk factors, symptoms, and typical physical findings. Failure to detect OSA can lead to serious long-term problems with cardiovascular health, excessive sleepiness, and increased risk of motor vehicle accidents. It is unknown whether failure to treat OSA could promote failure to respond to ECT or greater cognitive problems with ECT, but failure to recognize and manage the risk for OSA in patients receiving ECT might expose them to anesthetic difficulties. Ideally, patients with suspected OSA should have a sleep laboratory evaluation and a definitive treatment plan in place before ECT, but, sometimes, psychiatric urgency and lack of access to resources in developing countries would make this unworkable. At a minimum, steps can be taken during the ECT procedure to manage airway obstruction in suspected or known patients with OSA.

AB - Obstructive sleep apnea (OSA) is common and increasingly so in countries experiencing an epidemic of obesity. The rate of OSA is likely as high or higher in psychiatric patients and patients receiving electroconvulsive therapy (ECT) as compared with the general population. Obstructive sleep apnea can be detected by maintaining a high degree of suspicion in patients with risk factors, symptoms, and typical physical findings. Failure to detect OSA can lead to serious long-term problems with cardiovascular health, excessive sleepiness, and increased risk of motor vehicle accidents. It is unknown whether failure to treat OSA could promote failure to respond to ECT or greater cognitive problems with ECT, but failure to recognize and manage the risk for OSA in patients receiving ECT might expose them to anesthetic difficulties. Ideally, patients with suspected OSA should have a sleep laboratory evaluation and a definitive treatment plan in place before ECT, but, sometimes, psychiatric urgency and lack of access to resources in developing countries would make this unworkable. At a minimum, steps can be taken during the ECT procedure to manage airway obstruction in suspected or known patients with OSA.

KW - Electroconvulsive therapy

KW - Obstructive sleep apnea

KW - Sleep

UR - http://www.scopus.com/inward/record.url?scp=67649233241&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67649233241&partnerID=8YFLogxK

U2 - 10.1097/YCT.0b013e31817144a6

DO - 10.1097/YCT.0b013e31817144a6

M3 - Review article

C2 - 18580817

AN - SCOPUS:67649233241

VL - 25

SP - 50

EP - 53

JO - Journal of ECT

JF - Journal of ECT

SN - 1095-0680

IS - 1

ER -