Individualized Anesthetic Management for Patients Undergoing Electroconvulsive Therapy
Autor: | Kate G. Farber, Amy S. Aloysi, Charles H. Kellner, Ethan O. Bryson |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Health Status medicine.medical_treatment Clinical Decision-Making MEDLINE Anesthetic management Comorbidity Risk Assessment 03 medical and health sciences Patient safety 0302 clinical medicine Electroconvulsive therapy Patient satisfaction Risk Factors Humans Medicine Anesthesia Electroconvulsive Therapy Intensive care medicine Patient Care Team business.industry Patient Selection medicine.disease Respiration Artificial 030227 psychiatry Treatment Outcome Anesthesiology and Pain Medicine Practice Guidelines as Topic Anesthetic Patient Safety Neuromuscular Blocking Agents business Risk assessment 030217 neurology & neurosurgery Central Nervous System Agents medicine.drug |
Zdroj: | Anesthesia & Analgesia. 124:1943-1956 |
ISSN: | 0003-2999 |
DOI: | 10.1213/ane.0000000000001873 |
Popis: | Electroconvulsive therapy (ECT) remains an indispensable treatment for severe psychiatric illness. It is practiced extensively in the United States and around the world, yet there is little guidance for anesthesiologists involved with this common practice. Communication between the anesthesiologist and the proceduralist is particularly important for ECT, because the choice of anesthetic and management of physiologic sequelae of the therapeutic seizure can directly impact both the efficacy and safety of the treatment. In this review, we examine the literature on anesthetic management for ECT. A casual or "one-size-fits-all" approach may lead to less-than-optimal outcomes; customizing the anesthetic management for each patient is essential and can significantly increase treatment success rate and patient satisfaction. |
Databáze: | OpenAIRE |
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