Anesthetic Management of Patients Undergoing Electroconvulsive Therapy.

Q3 Medicine
AANA journal Pub Date : 2023-12-01
Sydna Sebastian
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引用次数: 0

Abstract

Electroconvulsive Therapy (ECT) is an effective treatment for mood disorders, particularly treatment-resistant depression, and several psychiatric illnesses. Anesthetic management of patients undergoing ECT requires an understanding of ECT, the physiologic changes induced by electrical stimulus, the anesthetic agents used, and the potential complications associated with the procedure. Numerous medical and surgical conditions can impact procedural approach and anesthetic management. ECT is challenging due to its typically off-site location, fast-paced general anesthesia with bag-mask ventilation, selection of anesthetic agents that minimally affect the seizure, patient's comorbidities, and unique physiologic responses. This comprehensive review aims to update anesthetists on the periprocedural management of patients undergoing ECT.

电休克治疗患者的麻醉管理。
电痉挛疗法(ECT)是一种有效的治疗情绪障碍,特别是治疗难治性抑郁症和一些精神疾病。施行ECT的病人的麻醉管理需要了解ECT、电刺激引起的生理变化、使用的麻醉剂以及与手术相关的潜在并发症。许多内科和外科条件会影响手术入路和麻醉管理。电痉挛疗法具有挑战性,因为它通常是在非现场进行的,采用袋罩通气的快节奏全身麻醉,选择对癫痫发作影响最小的麻醉剂,患者的合共病,以及独特的生理反应。这篇全面的综述旨在更新麻醉医师对ECT患者的围手术期管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
AANA journal
AANA journal Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
60
期刊介绍: Founded in 1931 and located in Park Ridge, Ill., the AANA is the professional organization for more than 90 percent of the nation’s nurse anesthetists. As advanced practice nurses, CRNAs administer approximately 32 million anesthetics in the United States each year. CRNAs practice in every setting where anesthesia is available and are the sole anesthesia providers in more than two-thirds of all rural hospitals. They administer every type of anesthetic, and provide care for every type of surgery or procedure, from open heart to cataract to pain management.
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