ISSN 1225-8709 (Print)
ISSN 2005-7571 (Online)
Volume 24, Number 3 (3/2017)
Review Article <page. 110-28 >

Practical Considerations in Anesthesia for Electroconvulsive Therapy

Tak Youn, MD1,2,3;Yong Sik Kim, MD1,2,3;Nam Young Lee, MD1,2,3;Se Hyun Kim, MD1,2,3;Jun Gwon Choi, MD2,4;Jeoung Hyuk Lee, MD4; and In Won Chung, MD1,2,3;

1;Department of Psychiatry, Dongguk University International Hospital, Goyang, 2;Electroconvulsive Therapy Center, Dongguk University International Hospital, Goyang, 3;Institute of Clinical Psychopharmacology, Dongguk University College of Medicine, Goyang, 4;Department of Anesthesiology and Pain Medicine, Dongguk University International Hospital, Goyang, Korea

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.

Key words : Electroconvulsive therapy;Anesthesia;Optimization;Major psychiatric disorders.


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