当代电抽搐治疗的麻醉评估与管理。

Contemporary Anesthetic Evaluation and Management for Electroconvulsive Therapy.

机构信息

Swedish Medical Center, Seattle and Issaquah, Washington, USA; Medical Director of Anesthesia Services and Interventional Platform-Swedish Issaquah Hospital, Issaquah, Washington, USA.

出版信息

Adv Anesth. 2022 Dec;40(1):201-221. doi: 10.1016/j.aan.2022.07.005.

DOI:10.1016/j.aan.2022.07.005

PMID:36333048

Abstract

Electroconvulsive therapy (ECT) is a medical treatment most often used in patients with severe major depression that has not responded to other treatments. ECT is also indicated for patients with other severe psychiatric conditions, including bipolar disorder, schizophrenia, schizoaffective disorders, catatonia, and neuroleptic malignant syndrome. Contemporary "modified ECT" involves inducing general anesthesia with neuromuscular blockade before inducing the therapeutic seizure. The goal of this review is to combine an evidence-based update with the experience of the author's institution to provide a practical approach to anesthetic care for the patient undergoing ECT.

摘要

电抽搐治疗（ECT）是一种医疗手段，主要用于治疗其他治疗方法无效的重度抑郁症患者。ECT 也适用于其他严重精神疾病患者，包括双相情感障碍、精神分裂症、分裂情感障碍、紧张症和神经阻滞剂恶性综合征。现代的“改良 ECT”包括在诱导治疗性癫痫发作之前使用神经肌肉阻滞剂诱导全身麻醉。本次综述的目的是结合作者所在机构的经验，提供一种基于证据的更新方法，以提供接受 ECT 的患者的麻醉护理实用方法。