Practical Considerations in Anesthesia for Electroconvulsive Therapy.
- Author:
Tak YOUN
1
;
Yong Sik KIM
;
Nam Young LEE
;
Se Hyun KIM
;
Jun Gwon CHOI
;
Jeoung Hyuk LEE
;
In Won CHUNG
Author Information
1. Department of Psychiatry, Dongguk University International Hospital, Goyang, Korea. ciw@dumc.or.kr
- Publication Type:Review
- Keywords:
Electroconvulsive therapy;
Anesthesia;
Optimization;
Major psychiatric disorders
- MeSH:
Anesthesia*;
Anesthetics;
Catatonia;
Depression;
Electroconvulsive Therapy*;
Emergencies;
Hemodynamics;
Humans;
Schizophrenia;
Seizures;
Suicide
- From:Journal of the Korean Society of Biological Psychiatry
2017;24(3):110-128
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Electroconvulsive therapy (ECT) has been recognized effective as primary or secondary treatments for major psychiatric disorders including depression and schizophrenia, as well as psychiatric emergency such as suicide, food refusal and catatonia, and so on. Medicines used in anesthetic induction for ECT, cause various reactions in autonomous, hemodynamic, and neuromuscular systems. The anesthetics also affect the duration, threshold, and intensity of seizures evoked with electric stimuli, and thus modify the seizure quality in ECT. Individual characteristics of age, sex, weight, comorbid physical disorders, and medications should also be considered for optimal clinical response after ECT. When preparing for anesthesia, adequate anesthetic agents and muscle relaxants, and rapid recovery should be carefully considered. We conducted a case-series study to address practical issues that are frequently encountered during ECT anesthesia with reviews of updated journals in order to provide practical helps to clinicians who are preparing ECT for their patients.
