Anesthesia Management for Electroconvulsive Therapy: by Shigeru Saito

By Shigeru Saito

During this publication, famous anesthesiology specialists current the most recent findings on anesthesia for electro-convulsive remedy (ECT). With the improvement of changed electroconvulsive remedy (m-ECT) and units to supply brief-pulse stimulation, ECT is at the moment being re-evaluated as a tremendous method in psychiatric illness remedy and is more and more getting used around the world to regard a number of psychiatric stipulations. This pattern is because of the social phenomenon of the growing to be variety of sufferers for whom ECT is appropriate. because the new technique is extra secure and powerful than the unique strategy with no anesthesia, m-ECT is presently utilized below common anesthesia in such a lot complex countries.  This booklet offers an summary and perform of overall anesthesia administration within the perioperative interval of ECT. It offers an necessary resource not just for specialist anesthesiologists yet also healthcare professionals who use this remedy.

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Extra info for Anesthesia Management for Electroconvulsive Therapy: Practical Techniques and Physiological Background

Sample text

Lemmens et al. [62] reported that when different types of anesthetics are used, comparison across anesthetics cannot be obtained by this system.

However, when ES is performed under the anesthetic setting of group F, we must provide a full account of prospective benefits and particular kind of possible risks arising from the specific procedure of anesthesia during ECT and obtain informed consent from all patients or their relatives in advance since particular kind of sedation, respiratory, and circulatory management is indispensable. And yet, it has nothing to do with our recommendation what ES should be performed under the anesthetic setting of group F, because particular kind of risk management for anesthesia is always essential, and extensive training and experience are required.

J Anesth. 2011;25(4):595–8. 21. Takano H, Motohashi N, Uema T, Ogawa K, Ohnishi T, Nishikawa M, et al. Changes in regional cerebral blood flow during acute electroconvulsive therapy in patients with depression Positron emission tomographic study. Br J Psychiatry. 2007;190(1):63–8. 22. Sackeim HA. The anticonvulsant hypothesis of the mechanisms of action of ECT: current status. J ECT. 1999;15(1):5–26. 23. Sakurai K, Takeda Y, Tanaka N, Kurita T, Shiraishi H, Takeuchi F, et al. Generalized spikewave discharges involve a default mode network in patients with juvenile absence epilepsy: a MEG study.

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