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04:51
Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
Published on: April 11, 2019
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Anaesthesia in electroconvulsive therapy. Special conditions
Juan Fernández-Candil1, Laura Castelltort Mascó1, Neus Fàbregas Julià2
1Department of Anesthesiology, Parc de Salut Mar, Barcelona, Spain.
Revista De Psiquiatria Y Salud Mental
|August 7, 2018
Summary
This review provides guidelines for safer and more effective electroconvulsive therapy (ECT) anesthesia. It focuses on pre-anesthetic assessment for patients with mental disorders undergoing ECT.
Area of Science:
- Anesthesiology
- Psychiatry
- Neurology
Background:
- Electroconvulsive therapy (ECT) is a vital treatment for severe mental illnesses like schizophrenia and drug-resistant depression.
- Pre-anesthetic assessment for ECT is similar to standard surgical anesthesia protocols.
- Optimizing anesthesia is crucial for patient safety and treatment efficacy in ECT.
Purpose of the Study:
- To propose evidence-based guidelines for enhancing safety and effectiveness in electroconvulsive therapy (ECT).
- To provide recommendations for pre-anesthetic assessment in patients undergoing ECT.
- To outline key considerations for anesthesiologists managing ECT procedures.
Main Methods:
- Comprehensive literature search of Ovid MEDLINE, PubMed, and SciELO databases.
- Focus on studies related to anesthesia in ECT, particularly in diverse patient populations.
- Review conducted for articles published between 1978 and December 2016.
Main Results:
- Inclusion of 96 articles providing critical recommendations for the developed guidelines.
- Identification of key factors influencing anesthetic management during ECT.
- Synthesis of current literature to inform best practices.
Conclusions:
- Proposed guidelines aim to improve safety and effectiveness of ECT under anesthesia.
- Highlights essential considerations for anesthesiologists in special ECT cases.
- Emphasizes the importance of tailored anesthetic approaches for optimal ECT outcomes.
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