Depression and Electroconvulsive Therapy: Review of Current Anesthesia Considerations

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Depression and Electroconvulsive Therapy: Review of Current Anesthesia Considerations

Electroconvulsive therapy (ECT) is becoming increasingly popular in the treatment of medication-resistant depression. Understanding the concepts behind the physiological changes brought upon by the stimulus as well as the rationale behind the various pharmacologic agents used during the procedure is crucial in providing safe and effective ECT. This review will discuss the general principles of ...

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Update on anesthesia considerations for electroconvulsive therapy.

Depression is diagnosed in 14 million Americans every year, and pharmacotherapy is the standard treatment. However, in approximately 50% of patients, pharmacology intervention does not resolve depression. Electroconvulsive therapy (ECT) has been a mainstay as a treatment option for treatment-resistant major depression since its inception in the 1930s. It has also been shown to be effective in t...

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Antidepressant and Neurocognitive Effects of Isoflurane Anesthesia versus Electroconvulsive Therapy in Refractory Depression

BACKGROUND Many patients have serious depression that is nonresponsive to medications, but refuse electroconvulsive therapy (ECT). Early research suggested that isoflurane anesthesia may be an effective alternative to ECT. Subsequent studies altered drug, dose or number of treatments, and failed to replicate this success, halting research on isoflurane's antidepressant effects for a decade. Our...

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ژورنال

عنوان ژورنال: Open Journal of Depression

سال: 2013

ISSN: 2169-9658,2169-9674

DOI: 10.4236/ojd.2013.23007