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Anaesthesia
A 25-year-old male presents for ECT (electroconvulsive shock therapy) at a free-standing facility. He has a life- threatening depressive illness that has not responded adequately to medication, however he is still taking tranylcypramine (Parnate). You should
cancel the procedure, cease the tranylcypramine and perform the ECT in 2 weeks
proceed with the ECT, but induce with midazolam and remifentanil
proceed with the ECT, but pre-treat with esmolol
roceed with the ECT with caution, but with your usual drugs
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