ECT Anesthesia: New Review in Advances in Anesthesia

Out on PubMed, from an anesthesiologist in Seattle, is this review:

Contemporary Anesthetic Evaluation and Management for Electroconvulsive Therapy.

Salinas FV.Adv Anesth. 2022 Dec;40(1):201-221. doi: 10.1016/j.aan.2022.07.005.PMID: 36333048 Review.
The abstract is copied below:

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.

Keywords: Electroconvulsive therapy; Intravenous anesthesia; Neuromuscular blockade.

The article is here.

And from the text:



This is a very well presented and well written review of ECT anesthesia. The author is a very experienced ECT anesthesiologist. The audience is fellow anesthesiologists, and this review should do a lot of good. It strikes a very collaborative tone, has a practical, step-by-step description of ECT procedure, and has only a few very minor idiosyncratic or slightly inaccurate details.
Overall, this is a fine addition to the ECT anesthesia literature and should be read by all ECT healthcare personnel. Kudos to Dr. Salinas!

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