Download Anesthesia Management for Electroconvulsive Therapy: by Shigeru Saito PDF

By Shigeru Saito

In this publication, famous anesthesiology specialists current the newest findings on anesthesia for electro-convulsive remedy (ECT). With the improvement of changed electroconvulsive remedy (m-ECT) and units to supply brief-pulse stimulation, ECT is presently being re-evaluated as an enormous method in psychiatric ailment remedy and is more and more getting used world wide to regard a number of psychiatric stipulations. This pattern is because of the social phenomenon of the becoming variety of sufferers for whom ECT is appropriate. because the new process is extra secure and potent than the unique strategy with no anesthesia, m-ECT is at the moment utilized less than normal anesthesia in such a lot complicated nations. This booklet presents an outline and perform of overall anesthesia administration within the perioperative interval of ECT. It bargains an necessary source not just for pro anesthesiologists but in addition healthcare execs who use this therapy.

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Additional resources for Anesthesia Management for Electroconvulsive Therapy: Practical Techniques and Physiological Background

Example text

On the other hand, when we apply our anesthetic settings of groups E or F to elderly subjects, bursts of δ-waves are observed in all cases as shown in Fig. 16c. 2 Comprehensive Monitoring During Procedures Under Reasonable Anesthetic Control 37 Fig. 16 BIS-EEG features after anesthesia induction. (a) EEG trace, mainly composed of spindle waves, is shown in the upper side of this photogram. (b) Both extremely low amplitude of basic EEG activity and partially clustered slow waves are shown in the middle side of this photogram.

Atropine decreased the frequency of bradycardia (9 % vs. 24 %) and premature atrial contractions (47 % vs. 61 %) and increased the frequency of sinus tachycardia (88 % vs. 75 %). In our previous study series [1], we confirmed greater hemodynamic stability with 52 Y. Kadoi Blood pressure Heart rate heart rate / min 130 mean blood pressure mmHg 150 110 * † 120 * † * † * † * † * † * † † * † 90 * † # 90 70 thiopental 60 propofol thiopental 50 propofol 30 30 ia a e- pr es th s ne 5 0. a er in in ia es th s ne m 1 in m 2 in m 3 in m 5 in m 10 pr after electrical shock in ia es sth ne a e- t af ia es m sth ne ra te af 5 0.

2 Barbiturates Barbiturates (thiopental and thiamylal) are alternatives to methohexital for anesthesia during ECT, although these drugs are associated with relatively short duration ECT seizures [10, 11]. In addition, more frequent arrhythmia was observed when using thiopental and thiamylal as compared to methohexital [9]. Mokriski et al. [9] showed that seizure duration was significantly prolonged by a mean of 5 s during methohexital anesthesia compared with thiopental sodium and thiamylal. The frequency of sinus bradycardia was lower with methohexital (8 %) compared with thiopental sodium (20 %) and thiamylal (20 %).

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