电休克治疗(ECT)服务多国样本的策略:新冠肺炎大流行期间电休克治疗的麻醉管理

IF 1.2 Q4 PSYCHIATRY
S. Sarma, G. Branjerdporn, L. Mccosker, Sean Kenworthy, Leanne Ryan, V. Dong, D. Martin, Halia O’Shea, C. Loo
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引用次数: 2

摘要

电休克治疗(ECT)在治疗严重的、难治性的、危及生命的精神疾病中是很重要的。麻醉支持电痉挛疗法的临床疗效和耐受性。COVID-19大流行严重扰乱了包括麻醉在内的ECT服务。本研究记录了大流行期间管理ECT麻醉的策略。数据收集于2021年3月至11月,采用混合方法,横断面电子调查。ECT服务的临床主任、他们的代表和世界各地的麻醉师参加了会议。112名参与者对调查进行了定量回答。其中23.4%为麻醉师,其余为ECT临床主任。大多数参与者来自澳大利亚、新西兰、北美和欧洲。大多数病例位于大都市地区的公立医院和COVID-19“中/高风险”热点地区。一半的参与者报告说,他们的服务在大流行期间改变了电痉挛麻醉技术。服务介绍了与麻醉诱导、通气、喉罩气道的使用、人员配备、药物、将工作人员与患者分开的塑料屏障以及拔管和恢复的位置相关的策略。这是首个在COVID-19大流行期间调查ECT麻醉实践的多国混合方法研究。研究结果对于下一波COVID-19感染期间的实践至关重要,可以确保患者继续接受电痉挛治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Strategies from A Multi-National Sample of Electroconvulsive Therapy (ECT) Services: Managing Anesthesia for ECT during the COVID-19 Pandemic
Electroconvulsive therapy (ECT) is important in the management of severe, treatment-resistant, and life-threatening psychiatric illness. Anesthesia supports the clinical efficacy and tolerability of ECT. The COVID-19 pandemic has significantly disrupted ECT services, including anesthesia. This study documents strategies for managing ECT anesthesia during the pandemic. Data were collected between March and November 2021, using a mixed-methods, cross-sectional, electronic survey. Clinical directors in ECT services, their delegates, and anesthetists worldwide participated. One hundred and twelve participants provided quantitative responses to the survey. Of these, 23.4% were anesthetists, and the remainder were ECT clinical directors. Most participants were from Australia, New Zealand, North America, and Europe. Most were located in a public hospital, in a metropolitan region, and in a ‘medium/high-risk’ COVID-19 hotspot. Half of the participants reported their services made changes to ECT anesthetic technique during the pandemic. Services introduced strategies associated with anesthetic induction, ventilation, use of laryngeal mask airways, staffing, medications, plastic barriers to separate staff from patients, and the location of extubation and recovery. This is the first multi-national, mixed-methods study to investigate ECT anesthesia practices during the COVID-19 pandemic. The results are vital to inform practice during the next waves of COVID-19 infection, ensuring patients continue to receive ECT.
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CiteScore
1.90
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