Anesthesia Management for Electroconvulsive Therapy: by Shigeru Saito

By Shigeru Saito

In this ebook, well-known anesthesiology specialists current the most recent findings on anesthesia for electro-convulsive treatment (ECT). With the advance of transformed electroconvulsive treatment (m-ECT) and units to supply brief-pulse stimulation, ECT is at the moment being re-evaluated as a major approach in psychiatric illness remedy and is more and more getting used world wide to regard numerous psychiatric stipulations. This development is because of the social phenomenon of the turning out to be variety of sufferers for whom ECT is acceptable. because the new method is extra secure and potent than the unique strategy with out anesthesia, m-ECT is at present utilized lower than basic anesthesia in so much complicated nations. This ebook offers an summary and perform of overall anesthesia administration within the perioperative interval of ECT. It deals an quintessential source not just for pro anesthesiologists but additionally healthcare pros who use this therapy.

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However, when ES is performed under the anesthetic setting of group F, we must provide a full account of prospective benefits and particular kind of possible risks arising from the specific procedure of anesthesia during ECT and obtain informed consent from all patients or their relatives in advance since particular kind of sedation, respiratory, and circulatory management is indispensable. And yet, it has nothing to do with our recommendation what ES should be performed under the anesthetic setting of group F, because particular kind of risk management for anesthesia is always essential, and extensive training and experience are required.

2 Qualitative Evaluation of Postictal Suppression The criteria for qualitative evaluation of postictal suppression, focused on the appearance pattern of it, have been commonly known among psychiatrists, and a methodology for providing numerical scores of postictal suppression (highest score: 3) has been also reported [26, 29]. It would appear that scores 3 and 2 are regarded as effective rating (Fig. 20). In our experience, sufficient postictal suppression (score 3 or 2) is observed in almost all cases when seizure EEG is qualitatively evaluated at score 6 or 5, and is more plainly reflected in BIS-EEG features as flat brain waves.

8. Fr€olich M, Dennis D, Shuster J, Melker R. Precision and bias of target controlled propofol infusion for sedation. Br J Anaesth. 2005;94(4):434–7. 9. Nishihara F, Ohkawa M, Hiraoka H, Yuki N, Saito S. Benefits of the laryngeal mask for airway management during electroconvulsive therapy. J ECT. 2003;19(4):211–6. 10. Saito S, Kadoi Y, Nihishara F, Aso C, Goto F. End-tidal carbon dioxide monitoring stabilized hemodynamic changes during ECT. J ECT. 2003;19(1):26–30. 11. Gajwani P, Muzina D, Gao K, Calabrese JR.

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