Pearlman T, Loper M, Tillery L
Department of Psychiatry, Memorial Southwest Hospital, Houston, TX.
Am J Psychiatry. 1990 Nov;147(11):1553-6. doi: 10.1176/ajp.147.11.1553.
Whether psychiatrists are qualified to give anesthesia for ECT is controversial. At the authors' hospital, over a 9-year period ECT resulted in no mortality and minimal morbidity; in 98.8% of the treatments, anesthesia was given by psychiatrists. The average nursing time required for cases in which anesthesiologists administered anesthetic was longer than that for psychiatrists' cases. This difference may be related to succinylcholine dose and efficacy of ECT. The authors' surveys indicated that psychiatrists and anesthesiologists have differing opinions on whether psychiatrists should administer anesthesia for ECT and that few psychiatry residency programs which teach ECT provide training in anesthesia.
精神科医生是否有资格为电休克治疗（ECT）实施麻醉存在争议。在作者所在的医院，9年期间ECT治疗无死亡病例，发病率极低；在98.8%的治疗中，麻醉由精神科医生实施。麻醉科医生实施麻醉的病例所需平均护理时间比精神科医生实施麻醉的病例长。这种差异可能与琥珀酰胆碱剂量和ECT疗效有关。作者的调查表明，精神科医生和麻醉科医生对于精神科医生是否应为ECT实施麻醉存在不同意见，而且很少有教授ECT的精神科住院医师培训项目提供麻醉方面的培训。
