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Updated: Aug 23, 2025

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
Published on: April 11, 2019
Contemporary Anesthetic Evaluation and Management for Electroconvulsive Therapy.
1Swedish Medical Center, Seattle and Issaquah, Washington, USA; Medical Director of Anesthesia Services and Interventional Platform-Swedish Issaquah Hospital, Issaquah, Washington, USA.
Electroconvulsive therapy (ECT) provides a vital treatment for severe depression and other psychiatric conditions. This review offers practical guidance on anesthetic care for patients undergoing modified ECT procedures.
Area of Science:
- Psychiatry and Anesthesiology
Background:
- Electroconvulsive therapy (ECT) is a primary treatment for severe major depression unresponsive to other therapies.
- ECT is also indicated for bipolar disorder, schizophrenia, catatonia, and neuroleptic malignant syndrome.
Purpose of the Study:
- To provide an evidence-based update on anesthetic care for ECT.
- To offer practical guidance integrating institutional experience for modified ECT.
Main Methods:
- Review of current evidence on anesthetic management for ECT.
- Incorporation of clinical experience from the author's institution.
Main Results:
- Modified ECT involves general anesthesia and neuromuscular blockade prior to induced seizures.
- The review focuses on practical anesthetic considerations for safe and effective ECT.
Conclusions:
- Anesthetic care is crucial for patients undergoing ECT.
- This review aims to guide clinicians in managing patients receiving modified ECT.
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