A Narrative Overview of Current Anesthetic Drugs in Electroconvulsive Therapy
Electroconvulsive therapy (ECT) is a definitive treatment for patients with psychiatric disorders that are severe, acute, or refractory to pharmacologic therapy. Providing anesthesia for ECT is challenging, as the effect of drugs on hemodynamics, seizure duration, comfort, and recovery must be consi...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-09-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/11/9/981 |
| _version_ | 1829092029181722624 |
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| author | Kevin Lee Kimberly D. Jenkins Tanaya Sparkle |
| author_facet | Kevin Lee Kimberly D. Jenkins Tanaya Sparkle |
| author_sort | Kevin Lee |
| collection | DOAJ |
| description | Electroconvulsive therapy (ECT) is a definitive treatment for patients with psychiatric disorders that are severe, acute, or refractory to pharmacologic therapy. Providing anesthesia for ECT is challenging, as the effect of drugs on hemodynamics, seizure duration, comfort, and recovery must be considered. We highlight and aim to review the common anesthetics used in ECT and related evidence. While drugs such as methohexital, succinylcholine, and etomidate have been used in the past, other drugs such as dexmedetomidine, ketamine, and remifentanil may provide a more balanced anesthetic with a greater safety profile in select populations. Overall, it is essential to consider the patient’s co-morbidities and associated risks when deciding on an anesthetic drug. |
| first_indexed | 2024-03-10T07:29:36Z |
| format | Article |
| id | doaj.art-0b8c2fa829574fcba9d199928055d89d |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-10T07:29:36Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-0b8c2fa829574fcba9d199928055d89d2023-11-22T13:56:49ZengMDPI AGLife2075-17292021-09-0111998110.3390/life11090981A Narrative Overview of Current Anesthetic Drugs in Electroconvulsive TherapyKevin Lee0Kimberly D. Jenkins1Tanaya Sparkle2Department of Anesthesiology, University of Toledo Medical Center, Toledo, OH 43614, USADepartment of Anesthesiology, University of Toledo Medical Center, Toledo, OH 43614, USADepartment of Anesthesiology, University of Toledo Medical Center, Toledo, OH 43614, USAElectroconvulsive therapy (ECT) is a definitive treatment for patients with psychiatric disorders that are severe, acute, or refractory to pharmacologic therapy. Providing anesthesia for ECT is challenging, as the effect of drugs on hemodynamics, seizure duration, comfort, and recovery must be considered. We highlight and aim to review the common anesthetics used in ECT and related evidence. While drugs such as methohexital, succinylcholine, and etomidate have been used in the past, other drugs such as dexmedetomidine, ketamine, and remifentanil may provide a more balanced anesthetic with a greater safety profile in select populations. Overall, it is essential to consider the patient’s co-morbidities and associated risks when deciding on an anesthetic drug.https://www.mdpi.com/2075-1729/11/9/981anesthesiaECTketaminedepressionelectroconvulsive therapy |
| spellingShingle | Kevin Lee Kimberly D. Jenkins Tanaya Sparkle A Narrative Overview of Current Anesthetic Drugs in Electroconvulsive Therapy Life anesthesia ECT ketamine depression electroconvulsive therapy |
| title | A Narrative Overview of Current Anesthetic Drugs in Electroconvulsive Therapy |
| title_full | A Narrative Overview of Current Anesthetic Drugs in Electroconvulsive Therapy |
| title_fullStr | A Narrative Overview of Current Anesthetic Drugs in Electroconvulsive Therapy |
| title_full_unstemmed | A Narrative Overview of Current Anesthetic Drugs in Electroconvulsive Therapy |
| title_short | A Narrative Overview of Current Anesthetic Drugs in Electroconvulsive Therapy |
| title_sort | narrative overview of current anesthetic drugs in electroconvulsive therapy |
| topic | anesthesia ECT ketamine depression electroconvulsive therapy |
| url | https://www.mdpi.com/2075-1729/11/9/981 |
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