Challenges during Electroconvulsive Therapy—A Review

Electroconvulsive therapy (ECT) is one of the most successful treatment techniques employed in psychiatric practice. ECT is usually administered as a last resort to a patient who fails to respond to medical management or on an urgent basis as a life-saving procedure when immediate response is desire...

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Autores principales:	Sonia Bansal, Rohini M. Surve, Rajeev Dayananda
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	anesthesia electroconvulsive therapy challenges concurrent diseases proconvulsant systemic diseases Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/0df602c6daa54e8c9a465eeefde43cbf
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spelling	oai:doaj.org-article:0df602c6daa54e8c9a465eeefde43cbf2021-12-02T23:53:13ZChallenges during Electroconvulsive Therapy—A Review2348-05482348-926X10.1055/s-0041-1731627https://doaj.org/article/0df602c6daa54e8c9a465eeefde43cbf2021-08-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731627https://doaj.org/toc/2348-0548https://doaj.org/toc/2348-926XElectroconvulsive therapy (ECT) is one of the most successful treatment techniques employed in psychiatric practice. ECT is usually administered as a last resort to a patient who fails to respond to medical management or on an urgent basis as a life-saving procedure when immediate response is desired. It is performed under general anesthesia and is often associated with autonomic changes. All attempts should be made to minimize the resulting hemodynamic disturbances in all the patients using various pharmacological methods. Anesthesiologists providing anesthesia for ECT frequently encounter patients with diverse risk factors. Concurrent cardiovascular, neurological, respiratory, and endocrine disorders may require modification of anesthetic technique. It is ideal to optimize patients before ECT. In this review, the authors discuss the optimization, management, and modification of anesthesia care for patients with various cardiac, neurological, respiratory, and endocrine disorders presenting for ECT to improve the safety of the procedure. It is not infrequent that an anesthesiologist also plays an important role in inducing a seizure. Proconvulsants such as caffeine, adjuvants like opioids, hyperventilation, and appropriate choice of anesthetic agent for induction such as etomidate or ketamine can help. The use of BIS monitoring to guide the timing of electric stimulation is also elaborated in this review.Sonia BansalRohini M. SurveRajeev DayanandaThieme Medical and Scientific Publishers Pvt. Ltd.articleanesthesiaelectroconvulsive therapychallengesconcurrent diseasesproconvulsantsystemic diseasesAnesthesiologyRD78.3-87.3ENJournal of Neuroanaesthesiology and Critical Care, Vol 08, Iss 03, Pp 173-179 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anesthesia electroconvulsive therapy challenges concurrent diseases proconvulsant systemic diseases Anesthesiology RD78.3-87.3
spellingShingle	anesthesia electroconvulsive therapy challenges concurrent diseases proconvulsant systemic diseases Anesthesiology RD78.3-87.3 Sonia Bansal Rohini M. Surve Rajeev Dayananda Challenges during Electroconvulsive Therapy—A Review
description	Electroconvulsive therapy (ECT) is one of the most successful treatment techniques employed in psychiatric practice. ECT is usually administered as a last resort to a patient who fails to respond to medical management or on an urgent basis as a life-saving procedure when immediate response is desired. It is performed under general anesthesia and is often associated with autonomic changes. All attempts should be made to minimize the resulting hemodynamic disturbances in all the patients using various pharmacological methods. Anesthesiologists providing anesthesia for ECT frequently encounter patients with diverse risk factors. Concurrent cardiovascular, neurological, respiratory, and endocrine disorders may require modification of anesthetic technique. It is ideal to optimize patients before ECT. In this review, the authors discuss the optimization, management, and modification of anesthesia care for patients with various cardiac, neurological, respiratory, and endocrine disorders presenting for ECT to improve the safety of the procedure. It is not infrequent that an anesthesiologist also plays an important role in inducing a seizure. Proconvulsants such as caffeine, adjuvants like opioids, hyperventilation, and appropriate choice of anesthetic agent for induction such as etomidate or ketamine can help. The use of BIS monitoring to guide the timing of electric stimulation is also elaborated in this review.
format	article
author	Sonia Bansal Rohini M. Surve Rajeev Dayananda
author_facet	Sonia Bansal Rohini M. Surve Rajeev Dayananda
author_sort	Sonia Bansal
title	Challenges during Electroconvulsive Therapy—A Review
title_short	Challenges during Electroconvulsive Therapy—A Review
title_full	Challenges during Electroconvulsive Therapy—A Review
title_fullStr	Challenges during Electroconvulsive Therapy—A Review
title_full_unstemmed	Challenges during Electroconvulsive Therapy—A Review
title_sort	challenges during electroconvulsive therapy—a review
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/0df602c6daa54e8c9a465eeefde43cbf
work_keys_str_mv	AT soniabansal challengesduringelectroconvulsivetherapyareview AT rohinimsurve challengesduringelectroconvulsivetherapyareview AT rajeevdayananda challengesduringelectroconvulsivetherapyareview
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Challenges during Electroconvulsive Therapy—A Review

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