Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early years,...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation (NIPPV)
Hyperpnea and Hyperventilation01:25

Hyperpnea and Hyperventilation

Hyperventilation refers to a higher-than-normal rate and depth of breathing, often associated with anxiety attacks. This excessive breathing surpasses the body's need to expel CO2, leading to a condition known as hypocapnia - an unusually low level of carbon dioxide in the blood. Hypocapnia can constrict cerebral blood vessels, reducing blood flow to the brain, which may result in dizziness or fainting. Early signs include tingling and muscle spasms in the hands and face, caused by falling...
Skeletal Muscle Relaxants: Therapeutic Uses01:31

Skeletal Muscle Relaxants: Therapeutic Uses

Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx as...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Ictal electroencephalography and heart rate as treatment criteria in electroconvulsive therapy: a systematic review of the literature.

European archives of psychiatry and clinical neuroscience·2026
Same author

[Current perspectives in electroconvulsive therapy].

Der Nervenarzt·2026
Same author

Cardiac effects of electroconvulsive therapy - a systematic review.

The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry·2025
Same author

Electroconvulsive Therapy in a Patient With Cerebral Aneurysm, Normal Pressure Hydrocephalus With Ventriculoperitoneal Shunt, and Severe Acquired Pyloric Stenosis.

The journal of ECT·2024
Same author

Baseline levels of miR-223-3p correlate with the effectiveness of electroconvulsive therapy in patients with major depression.

Translational psychiatry·2023
Same author

Effects of electroconvulsive therapy on cerebral A<sub>1</sub> adenosine receptor availability: a PET study in patients suffering from treatment-resistant major depressive disorder.

Frontiers in psychiatry·2023

Related Experiment Video

Updated: May 29, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
05:39

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Electroconvulsive therapy can benefit from controlled hyperventilation using a laryngeal mask.

Martina Haeck1, Benjamin Gillmann, Hildegard Janouschek

  • 1Department of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany. mhaeck@ukaachen.de

European Archives of Psychiatry and Clinical Neuroscience
|September 9, 2011
PubMed
Summary

Controlled hyperventilation (CHV) using laryngeal masks in electroconvulsive therapy (ECT) enhances seizure activity and reduces the need for higher electrical charges. CHV offers clinical benefits but requires careful monitoring for prolonged seizures.

More Related Videos

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Related Experiment Videos

Last Updated: May 29, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
05:39

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Area of Science:

  • Neurology
  • Anesthesiology
  • Psychiatry

Background:

  • Hyperventilation is used in electroconvulsive therapy (ECT) to enhance seizure activity.
  • Historically, hyperventilation in ECT has been uncontrolled.
  • Laryngeal masks offer better CO2 monitoring for controlled hyperventilation (CHV).

Purpose of the Study:

  • To evaluate the impact of controlled hyperventilation (CHV) on electroconvulsive therapy (ECT).
  • To compare CHV with uncontrolled hyperventilation (UHV) in ECT patients.

Main Methods:

  • Retrospective study of 114 patients undergoing ECT.
  • 65 patients received ECT with CHV (aiming for CO2 ≤ 30 mmHg).
  • 49 patients received ECT with UHV.

Main Results:

  • CHV enhanced seizure activity compared to UHV.
  • CHV group required less electric charge, re-stimulations, and bilateral stimulations.
  • CHV was associated with fewer delirious symptoms and attenuated heart rate.
  • Prolonged seizures were more frequent in the CHV group.

Conclusions:

  • Controlled hyperventilation (CHV) is a technical improvement in ECT, potentially lowering electric charge without compromising clinical outcomes.
  • CHV may reduce post-treatment delirium and heart rate effects.
  • Careful use of CHV is advised due to the increased risk of prolonged seizures.