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电休克治疗期间全身麻醉下意外知晓的麻醉及精神科影响

Anesthetic and psychiatric implications of accidental awareness under general anesthesia during electroconvulsive therapy.

作者信息

Acharya Hetal, Gaur Atul, Kunigiri Girish

机构信息

Specialist Trainee Psychiatry, Health Education East Midlands Deanery, Bradgate Mental Health Unit, Leicester, LE3 9QP, UK.

Consultant Anaesthetist, University Hospitals of Leicester NHS Trust, Leicester, LE3 9QP, UK.

出版信息

Saudi J Anaesth. 2018 Apr-Jun;12(2):335-338. doi: 10.4103/sja.SJA_675_17.

Abstract

Accidental awareness under general anesthesia (AAGA) is a well-known phenomenon. However, little literature exists in its relation to the psychiatric field, particularly within the electroconvulsive therapy (ECT) setting. This report explores the case of a 52-year-old woman that describes her own experience of AAGA during ECT. Relevant anesthetic details are also provided along with its possible implications in AAGA. The aim of this case report is to increase awareness among clinicians in regard to AAGA and its occurrence during ECT.

摘要

全身麻醉下的意外知晓(AAGA)是一种广为人知的现象。然而,关于其与精神科领域的关系,尤其是在电休克治疗(ECT)环境中的相关文献却很少。本报告探讨了一名52岁女性的案例,该案例描述了她在ECT期间经历AAGA的自身感受。同时还提供了相关的麻醉细节及其在AAGA中可能产生的影响。本病例报告的目的是提高临床医生对AAGA及其在ECT期间发生情况的认识。

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本文引用的文献

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Determinants of seizure threshold in ECT: benzodiazepine use, anesthetic dosage, and other factors.
J ECT. 2000 Mar;16(1):3-18. doi: 10.1097/00124509-200003000-00002.

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