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[电休克治疗的麻醉]

[Anesthesia for electroconvulsive therapy].

作者信息

Grundmann U, Schneider S O

机构信息

Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, Gebäude 57, 66421, Homburg/Saar, Deutschland.

出版信息

Anaesthesist. 2013 Apr;62(4):311-22. doi: 10.1007/s00101-013-2152-3.

DOI:10.1007/s00101-013-2152-3
PMID:23558716
Abstract

Electroconvulsive therapy is a well-established form of treatment for a broad spectrum of severe psychiatric disorders. The treatment, in which a generalized epileptic seizure is provoked by electrical stimulation of the brain, is performed with the patient under anesthesia and muscle relaxation. Therefore, sufficient knowledge of the physiological and pharmacological characteristics is an essential requirement for safe anesthesia. The following review is intended to provide some new aspects of the procedure and management of anesthesia.

摘要

电休克疗法是一种针对广泛严重精神疾病的成熟治疗方法。该治疗通过对大脑进行电刺激引发全身性癫痫发作,在患者处于麻醉和肌肉松弛状态下进行。因此,充分了解生理和药理学特征是安全麻醉的基本要求。以下综述旨在提供该治疗过程及麻醉管理的一些新观点。

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[Treatment against the patient's will exemplified by electroconvulsive therapy : Clinical, legal and ethical aspects].以电休克治疗为例的违背患者意愿的治疗:临床、法律和伦理方面
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An overview on clinical aspects in magnetic seizure therapy.磁休克治疗的临床方面概述。
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[Transcranial alternating current stimulation. Entrainment and function control of neuronal networks].

本文引用的文献

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Neuropsychological and mood effects of ketamine in electroconvulsive therapy: a randomised controlled trial.电抽搐治疗中氯胺酮的神经心理学和情绪影响:一项随机对照试验。
J Affect Disord. 2012 Dec 15;142(1-3):233-40. doi: 10.1016/j.jad.2012.04.032. Epub 2012 Aug 2.
2
Contemporary use and practice of electroconvulsive therapy worldwide.当代全球范围内电抽搐疗法的使用和实践。
Brain Behav. 2012 May;2(3):283-344. doi: 10.1002/brb3.37.
3
Ketamine for depression: where do we go from here?氯胺酮治疗抑郁症:我们的路在何方?
[经颅交流电刺激。神经网络的同步化与功能控制]
Nervenarzt. 2015 Dec;86(12):1516-22. doi: 10.1007/s00115-015-4317-6.
4
Influence of valproate on the required dose of propofol for anesthesia during electroconvulsive therapy of bipolar affective disorder patients.丙戊酸对双相情感障碍患者电抽搐治疗中丙泊酚麻醉所需剂量的影响。
Neuropsychiatr Dis Treat. 2014 Mar 4;10:433-8. doi: 10.2147/NDT.S59375. eCollection 2014.
Biol Psychiatry. 2012 Oct 1;72(7):537-47. doi: 10.1016/j.biopsych.2012.05.003. Epub 2012 Jun 16.
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Effects of propofol and ketamine as combined anesthesia for electroconvulsive therapy in patients with depressive disorder.丙泊酚和氯胺酮联合麻醉用于电抽搐治疗抑郁症患者的效果。
J ECT. 2012 Jun;28(2):128-32. doi: 10.1097/YCT.0b013e31824d1d02.
5
Electroconvulsive therapy reduces frontal cortical connectivity in severe depressive disorder.电抽搐疗法可降低重度抑郁障碍患者的额皮质连接。
Proc Natl Acad Sci U S A. 2012 Apr 3;109(14):5464-8. doi: 10.1073/pnas.1117206109. Epub 2012 Mar 19.
6
Rocuronium as muscle relaxant for electroconvulsive therapy in a patient with adult-onset muscular dystrophy.罗库溴铵作为成人家族性肌营养不良患者电抽搐治疗的肌肉松弛剂。
J ECT. 2011 Dec;27(4):e63-4. doi: 10.1097/YCT.0b013e31821d3541.
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Neuromuscular blocking agents for electroconvulsive therapy: a systematic review.神经肌肉阻滞剂在电抽搐治疗中的应用:系统评价。
Acta Anaesthesiol Scand. 2012 Jan;56(1):3-16. doi: 10.1111/j.1399-6576.2011.02520.x. Epub 2011 Sep 26.
8
Effect of etomidate versus thiopental on major depressive disorder in electroconvulsive therapy, a randomized double-blind controlled clinical trial.依托咪酯与硫喷妥钠对电抽搐治疗中重度抑郁症的影响:一项随机双盲对照临床试验。
J ECT. 2012 Mar;28(1):10-3. doi: 10.1097/YCT.0b013e31822a6b8e.
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The effect of propofol-remifentanil anesthesia on selected seizure quality indices in electroconvulsive therapy.丙泊酚-瑞芬太尼麻醉对电抽搐治疗中选定癫痫发作质量指数的影响。
Brain Stimul. 2012 Jul;5(3):402-407. doi: 10.1016/j.brs.2011.06.008. Epub 2011 Jul 26.
10
Remifentanil: a review of its use in electroconvulsive therapy.瑞芬太尼:在电抽搐治疗中的应用综述。
J ECT. 2011 Dec;27(4):323-7. doi: 10.1097/YCT.0b013e31821072d2.