Why the study?
Diagnosing catatonia in the ICU is challenging due to symptom overlap with delirium, and the use of ECT in ICU settings is rare due to stability and procedural risk concerns.
Population
A 43-year-old male admitted for a manic episode transferred to the ICU after cardiorespiratory arrest
Comparison
Electroconvulsive therapy for malignant catatonia
Design
Case report
Authors
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May support ECT in refractory ICU catatonia; hypothesis-generating case report requiring prospective trials before wider consideration.
Electroconvulsive therapy may be considered for malignant catatonia in the ICU setting when standard treatments fail, despite procedural risks.
Pinto et al. (2025) studied this question.
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