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Updated: Mar 9, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
Published on: April 11, 2019
Clinical Applicability of Monitoring the Time Interval Between Anesthesia and Electroconvulsive Therapy
Verònica Gálvez1, Colleen K Loo
1From the *School of Psychiatry, University of New South Wales, †Black Dog Institute, ‡St. George Hospital, and §Wesley Hospital, Sydney, New South Wales, Australia.
Abstract:
The anesthetic-electroconvulsive therapy (ECT) time interval (time interval elapsed from the beginning of anesthesia injection to the beginning of ECT stimulus) has been reported to have an important impact on seizure quality outcomes, because it is an indirect measure of the anesthetic plasma concentration when the ECT electrical stimulus is administered. We report the importance of the routine monitoring of this time interval in clinical settings, as an additional measure to interpret seizure quality outcomes at each ECT session, to further assist on ECT dosing decisions during the treatment course.
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