Contemporary Anesthetic Evaluation and Management for Electroconvulsive Therapy.

Document Type

Article

Publication Date

12-1-2022

Publication Title

Adv Anesth

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

Department

Behavioral Health

Department

Anesthesiology

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