Contemporary Anesthetic Evaluation and Management for Electroconvulsive Therapy.
Publication Title
Adv Anesth
Document Type
Article
Publication Date
12-1-2022
Keywords
washington; swedish
Abstract
Electroconvulsive therapy (ECT) is a medical treatment most often used in patients with severe major depression that has not responded to other treatments. ECT is also indicated for patients with other severe psychiatric conditions, including bipolar disorder, schizophrenia, schizoaffective disorders, catatonia, and neuroleptic malignant syndrome. Contemporary "modified ECT" involves inducing general anesthesia with neuromuscular blockade before inducing the therapeutic seizure. The goal of this review is to combine an evidence-based update with the experience of the author's institution to provide a practical approach to anesthetic care for the patient undergoing ECT.
Clinical Institute
Mental Health
Specialty/Research Institute
Behavioral Health
Specialty/Research Institute
Anesthesiology
