Anaesthesia for electroconvulsive therapy: An overview with an update on its role in potentiating electroconvulsive therapy
Despite advances in pharmacotherapy, electroconvulsive therapy (ECT) remains a mainstay treatment option in psychiatry since its introduction in 1930s. It can be used primarily in severe illnesses when there is an urgent need for treatment or secondarily after failure or intolerance to pharmacothera...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2017;volume=61;issue=5;spage=373;epage=380;aulast=Kadiyala |
| _version_ | 1817968422936379392 |
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| author | Pavan Kumar Kadiyala Lakshmi Deepthi Kadiyala |
| author_facet | Pavan Kumar Kadiyala Lakshmi Deepthi Kadiyala |
| author_sort | Pavan Kumar Kadiyala |
| collection | DOAJ |
| description | Despite advances in pharmacotherapy, electroconvulsive therapy (ECT) remains a mainstay treatment option in psychiatry since its introduction in 1930s. It can be used primarily in severe illnesses when there is an urgent need for treatment or secondarily after failure or intolerance to pharmacotherapy. The 'unmodified' technique of ECT was practised initially, with a high incidence of musculoskeletal complications. Several modifications including general anaesthesia and muscle relaxation are used to increase the safety and patient acceptability of ECT. Various anaesthetic techniques including medications are considered to provide adequate therapeutic seizure, simultaneously controlling seizure-induced haemodynamic changes and side effects. A brief review of literature on choice of these anaesthetic techniques is discussed. This article is intended to reinforce the knowledge of clinicians, who may have limited exposure to ECT procedure. Importance is given to the recent updates on the role of induction agents in potentiating therapeutic response to ECT in psychiatric disorders. |
| first_indexed | 2024-04-13T20:08:42Z |
| format | Article |
| id | doaj.art-2ebd98a8f8214a8b9f1b5b6758bfe0e6 |
| institution | Directory Open Access Journal |
| issn | 0019-5049 0976-2817 |
| language | English |
| last_indexed | 2024-04-13T20:08:42Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-2ebd98a8f8214a8b9f1b5b6758bfe0e62022-12-22T02:31:55ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172017-01-0161537338010.4103/ija.IJA_132_17Anaesthesia for electroconvulsive therapy: An overview with an update on its role in potentiating electroconvulsive therapyPavan Kumar KadiyalaLakshmi Deepthi KadiyalaDespite advances in pharmacotherapy, electroconvulsive therapy (ECT) remains a mainstay treatment option in psychiatry since its introduction in 1930s. It can be used primarily in severe illnesses when there is an urgent need for treatment or secondarily after failure or intolerance to pharmacotherapy. The 'unmodified' technique of ECT was practised initially, with a high incidence of musculoskeletal complications. Several modifications including general anaesthesia and muscle relaxation are used to increase the safety and patient acceptability of ECT. Various anaesthetic techniques including medications are considered to provide adequate therapeutic seizure, simultaneously controlling seizure-induced haemodynamic changes and side effects. A brief review of literature on choice of these anaesthetic techniques is discussed. This article is intended to reinforce the knowledge of clinicians, who may have limited exposure to ECT procedure. Importance is given to the recent updates on the role of induction agents in potentiating therapeutic response to ECT in psychiatric disorders.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2017;volume=61;issue=5;spage=373;epage=380;aulast=KadiyalaAnaesthesiaelectroconvulsive therapysynergistic effect |
| spellingShingle | Pavan Kumar Kadiyala Lakshmi Deepthi Kadiyala Anaesthesia for electroconvulsive therapy: An overview with an update on its role in potentiating electroconvulsive therapy Indian Journal of Anaesthesia Anaesthesia electroconvulsive therapy synergistic effect |
| title | Anaesthesia for electroconvulsive therapy: An overview with an update on its role in potentiating electroconvulsive therapy |
| title_full | Anaesthesia for electroconvulsive therapy: An overview with an update on its role in potentiating electroconvulsive therapy |
| title_fullStr | Anaesthesia for electroconvulsive therapy: An overview with an update on its role in potentiating electroconvulsive therapy |
| title_full_unstemmed | Anaesthesia for electroconvulsive therapy: An overview with an update on its role in potentiating electroconvulsive therapy |
| title_short | Anaesthesia for electroconvulsive therapy: An overview with an update on its role in potentiating electroconvulsive therapy |
| title_sort | anaesthesia for electroconvulsive therapy an overview with an update on its role in potentiating electroconvulsive therapy |
| topic | Anaesthesia electroconvulsive therapy synergistic effect |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2017;volume=61;issue=5;spage=373;epage=380;aulast=Kadiyala |
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