ECT Anesthesia: New Review From China

Out on PubMed, from authors in China, is this review:

Anesthetic Influence on Electroconvulsive Therapy: A Comprehensive Review.
Dai X, Zhang R, Deng N, Tang L, Zhao B.Neuropsychiatr Dis Treat. 2024 Jul 31;20:1491-1502. doi: 10.2147/NDT.S467695. eCollection 2024.

PMID: 39100572  


The abstract is copied below:


The prevalence of severe mental disorders has been rising annually. Electroconvulsive therapy (ECT) is considered a valuable treatment option in psychiatry for conditions such as schizophrenia and medication-resistant depression, especially when other treatments have proven insufficient. ECT rapidly improves patients' mood, alleviates symptoms, and demonstrates significant therapeutic effects. Currently, the form of ECT used in clinical practice is modified electroconvulsive therapy (mECT), which is administered under general anesthesia. Accumulative evidence has confirmed that different anesthetic drugs, anesthetic-ECT time interval, anesthetic depth, and airway management can impact the outcomes of ECT. Therefore, this review aims to summarize the current impact of anesthesia factors on ECT, providing reference for clinical anesthesia during ECT procedures.


Keywords: ECT; anesthesia factors; mental disorders.

The review is here.

And from the text:




Well, the figures certainly are nice.
Other than that, this review is a seemingly random collection of reflections on ECT anesthesia. They lost me at sevoflorane is "widely used" in ECT.
As a supporter of the ECT anesthesia literature, I am very disappointed in this missed opportunity.


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