Anesthesia for Electroconvulsive Therapy
نویسندگان
چکیده
Anesthesia for electroconvulsive therapy (ECT) usually involves the intravenous (IV) administration of drugs such as methohexital, thiopental, propofol, etomidate, or ketamine. Sevoflurane is an inhalational anesthetic agent that has been available past 3 decades. Although many studies have examined sevoflurane in context ECT, treatment guidelines make either no mention only passing its potential use ECT procedure. A recent systematic review and meta-analysis identified 12 randomized clinical trials (pooled N = 377) vs IV anesthetics patients receiving ECT. The found was associated with shorter EEG seizure duration than barbiturate, ketamine, propofol anesthesia; postictal suppression index did not differ significantly between propofol; increased heart rate more anesthetics; mean arterial pressure barbiturates but less ketamine; that, overall, adverse events anesthetics. Other known disadvantages include need additional anesthesia instrumentation, potentiation action nondepolarizing muscle relaxants, complexity These findings considerations do encourage anesthesia. However, there may be a niche role who are afraid needlesticks too agitated line to set up while they conscious characteristically experience prolonged seizures. could also useful final trimester pregnancy because it inhibit ECT-induced uterine contractions. Importantly, undesired effects on hemodynamic response can attenuated by discontinuing after induction.
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ژورنال
عنوان ژورنال: The Journal of Clinical Psychiatry
سال: 2021
ISSN: ['1534-8628', '1555-2101', '0160-6689']
DOI: https://doi.org/10.4088/jcp.21f14173