• Der Anaesthesist · Apr 2021

    Review

    [Anesthesia for electroconvulsive therapy].

    • T Ninke, S Bayerl, and P Groene.
    • Klinik für Anaesthesiologie, Klinikum der Universität München, LMU München, München, Deutschland. tobias.ninke@med.uni-muenchen.de.
    • Anaesthesist. 2021 Apr 1; 70 (4): 271-279.

    AbstractElectroconvulsive therapy (ECT) is an important component in the treatment of depression and schizophrenia in Germany. For this intervention patients undergo short-term general anesthesia and muscle relaxation. Before anesthesia can be carried out patients are subject to a comprehensive examination. For general anesthesia all established hypnotics can be used, but differences with respect to the success of the ECT have been described. Short-acting or reversible relaxants should be preferentially used. The risks of general anesthesia during ECT are estimated to be low but a transient hemodynamic instability of patients can occur. Treatment can be performed as an inpatient but also as an outpatient procedure.

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