Individualized Anesthetic Management for Patients Undergoing Electroconvulsive Therapy: A Review of Current Practice

被引：31

作者：

Bryson, Ethan O. ^{[1
,2
]}

Aloysi, Amy S. ^{[2
]}

Farber, Kate G. ^{[2
]}

Kellner, Charles H. ^{[2
]}

机构：

[1] Icahn Sch Med Mt Sinai, Dept Anesthesiol, New York, NY 10029 USA

[2] Icahn Sch Med Mt Sinai, Dept Psychiat, New York, NY 10029 USA

来源：

ANESTHESIA AND ANALGESIA | 2017年 / 124卷 / 06期

关键词：

DEEP BRAIN-STIMULATION; OF-ANESTHESIOLOGISTS ASA; METHOHEXITAL ANESTHESIA; SEIZURE DURATION; PHARMACOKINETIC PROPERTIES; PERIOPERATIVE MANAGEMENT; TAKOTSUBO CARDIOMYOPATHY; KETAMINE ANESTHESIA; POSTICTAL AGITATION; ELECTRODE PLACEMENT;

D O I：

10.1213/ANE.0000000000001873

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Electroconvulsive therapy (ECT) remains an indispensable treatment for severe psychiatric illness. It is practiced extensively in the United States and around the world, yet there is little guidance for anesthesiologists involved with this common practice. Communication between the anesthesiologist and the proceduralist is particularly important for ECT, because the choice of anesthetic and management of physiologic sequelae of the therapeutic seizure can directly impact both the efficacy and safety of the treatment. In this review, we examine the literature on anesthetic management for ECT. A casual or "one-size-fits-all" approach may lead to less-than-optimal outcomes; customizing the anesthetic management for each patient is essential and can significantly increase treatment success rate and patient satisfaction.

引用

页码：1943 / 1956

页数：14

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