The Drug-Induced Respiratory Disease Website

Electroconvulsive therapy

Neurogenic pulmonary edema

Fryml L, Fox J, Manett AJ, Sahlem G, Short EB

Neurogenic Pulmonary Edema Complicating ECT.

The journal of ECT 2018 06;34;78 — 2018 06 — 78

Takahashi T, Kinoshita K, Fuke T, Urushihata K, Kawamata T, Yanagisawa S, Kaneko T, Washizuka S, Hanihara T, Amano N

Acute neurogenic pulmonary edema following electroconvulsive therapy: a case report.

General hospital psychiatry 2012 Nov-Dec;34;703.e9-703.e11 — 2012 Nov-Dec — 703.e9-703.e11

Myers CL, Gopalka A, Glick D, Goldman MB, Dinwiddie SH

A case of negative-pressure pulmonary edema after electroconvulsive therapy.

The journal of ECT 2007 Dec;23;281-3 — 2007 Dec — 281-3

Diagnosing DIRD

Drug and radiation history

Drug singularity - Correct identification of the drug

Consistent timing of exposure v. onset of symptoms

Clinical, imaging, BAL, pathological pattern consistent with the specific drug

Careful exlusion of another cause

Remission of symptoms with removal of drug

Recurrence with rechallenge (rarely advisable)

Causality assessment

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