The timing of electroconvulsive therapy and bispectral index after anesthesia induction using different drugs does not affect seizure duration

Lemmens, Harry J. M.; Levi, David C.; DeBattista, C.; Brock‐Utne, John G.

doi:10.1016/s0952-8180(02)00477-4

Cited by 16 publications

(11 citation statements)

References 8 publications

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“…There are limitations. Our study did not systematically investigate changes during the treatment period (like changes in seizure threshold) [3,14] nor the exact influence of concurrent medication [1,4,22]. It is still a matter of debate if RUL stimulation even at 6 times over the seizure threshold is a sufficient method for seizure induction [7].…”

Section: Discussionmentioning

confidence: 99%

ECT Anesthesia: The Lighter the Better?

Sartorius¹,

Muñoz-Canales²,

Krumm³

et al. 2006

Pharmacopsychiatry

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Section: Discussionmentioning

confidence: 99%

ECT Anesthesia: The Lighter the Better?

Sartorius¹,

Muñoz-Canales²,

Krumm³

et al. 2006

Pharmacopsychiatry

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“…However, this approach is only applicable provided propofol or methohexital is used consistently throughout ECT sessions. Lemmens et al [132] reported that when different types of anesthetics are used, comparison across anesthetics can not be obtained by this system.…”

Section: Anesthetic Agents For Ectmentioning

confidence: 99%

Anesthetic Considerations for Electroconvulsive Therapy-Especially Hemodynamic and Respiratory Management

Y¹

2009

CPSR

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Recent guidelines have stated that anesthesia for electroconvulsive therapy (ECT) should be administered by specially trained anesthesiologists. Physicians who perform ECT should have sufficient knowledge about hemodynamics as well as the physiological and pharmacologically unique effects of ECT. Electrical currents during ECT stimulate the autonomic nervous system and provoke unique hemodynamic changes in the systemic and cerebral circulation. Excessive alterations in heart rate, blood pressure, and cardiac functions should be prevented by medications with anticholinergic and antihypertensive effects. Ventilation should be adequately maintained to ensure efficacy of the therapy and to stabilize hemodynamics immediately after the electrical stimulation. Although reports of serious complications with this therapy are not frequent, patients with ischemic heart disease or cerebrovascular disease must be managed with special care to prevent myocardial infarction or neurological disorders. Appropriate physical management by physicians greatly contributes to the safe establishment of ECT under muscle relaxation. To maintain social confidence in this procedure and to further refine this therapy, physicians should play an essential role in both the clinical activities and laboratory research of ECT.

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“…However, this approach is applicable on a condition that propofol or methohexital is used consistently throughout ECT sessions. Lemmens et al [97] reported that when different types of anesthetics are used, comparison across anesthetics can not be attained by this system.…”

Section: Anestheticsmentioning

confidence: 99%

Anesthesia management for electroconvulsive therapy: hemodynamic and respiratory management

Saito

2005

J Anesth

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Recent guidelines have stated that anesthesia for electroconvulsive therapy (ECT) should be administered by a specially trained anesthesiologist, and that anesthesiologists have overall responsibility, not only for anesthesia itself, but also for cardiopulmonary management and emergency care. Accordingly, anesthesiologists who administer anesthesia for ECT should have sufficient knowledge regarding the physiologically and pharmacologically unique effects of ECT. Electrical current during ECT stimulates the autonomic nervous system and provokes unique hemodynamic changes in systemic and cerebral circulation. Excessive alterations in heart rate, blood pressure, and cardiac functions should be prevented by medications with anticholinergic and antihypertensive agents. Ventilation should be adequately maintained to ensure the efficacy of the therapy and to stabilize the hemodynamics immediately after the electrical stimulation. Reports of serious complications of this therapy are not frequent; however, patients with ischemic heart disease or cerebrovascular problems must be managed with special care to prevent myocardial infarction or neurological disorders. Safe physical management by anesthesiologists greatly contributes to the establishment of ECT under muscle relaxation. To maintain social confidence and to refine the therapy, anesthesiologists should play an essential role both in clinical activities and in laboratory research.

show abstract

The timing of electroconvulsive therapy and bispectral index after anesthesia induction using different drugs does not affect seizure duration

Cited by 16 publications

References 8 publications

ECT Anesthesia: The Lighter the Better?

ECT Anesthesia: The Lighter the Better?

Anesthetic Considerations for Electroconvulsive Therapy-Especially Hemodynamic and Respiratory Management

Anesthesia management for electroconvulsive therapy: hemodynamic and respiratory management

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