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Chapter 101 - Electroconvulsive Therapy

from Section 14 - Other Situations

Published online by Cambridge University Press:  03 August 2023

Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 57-year-old male with known hypertension and major depressive disorder refractory to medical management presents on the day of his electroconvulsive therapy (ECT) with an elevated blood pressure of 180/95 mm Hg. All other vitals are within normal limits. This is not his first treatment. Would you go ahead with the procedure?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
, pp. 427 - 430
Publisher: Cambridge University Press
Print publication year: 2023

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References

Abrams, R. The mortality rate with ECT. Convuls Ther 1997;13(3):125–7.Google ScholarPubMed
Abrams, R. Electroconvulsive Therapy, 2nd ed. New York: Oxford University Press, 1992.Google ScholarPubMed
American Psychiatric Association. Indications for electroconvulsive therapy. Am J Psychiatry 2000;157:1.Google Scholar
American Psychiatric Association. The Practice of Electroconvulsive Therapy: Recommendations for Treatment, Training, and Privileging, 2nd ed. Washington, DC: American Psychiatric Association, 2001.Google Scholar
Daniel, WF, Crovitz, HF. Autobiographical amnesia with ECT: an analysis of the roles of stimulus wave form, electrode placement, stimulus energy, and seizure length. Biol Psychiatry 1983;18:121.Google ScholarPubMed
Decina, P, Malitz, S, Sackeim, HA, et al. Cardiac arrest during ECT modified beta-adrenergic blockade. Am J Psychiatry 1984;141:298.Google ScholarPubMed
Fleisher, LA, Fleischmann, KE, Auerbach, AA, et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 2014;130:278333.Google Scholar
Hines, R, Jones, S, Stoelting’s Anesthesia and Co-existing Disease, 8th ed. Philadelphia: Elsevier, 2022, pp. 619–44.Google Scholar
Gelb, AW, Maties, O. Anesthesia for electroconvulsive therapy. In: Joshi GP, Jones S, eds., UpToDate. www.uptodate.com/contents/anesthesia-for-electroconvulsive-therapy (accessed October 20, 2021).Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 832–64.Google Scholar
Knaudt, PR, Conner, KM, Weisler, RH, Churchill, LE, Davidson, JR. Alternative therapy use by psychiatric outpatients. J Nerv Ment Dis 1999;187(11):692–5.Google Scholar
Larson, G, Swartz, C, Abrams, R. Duration of ECT-induced tachycardia as a measure of seizure length. Am J Psychiatry 1984;14:1269.Google Scholar
Lihua, P, Su, M, Ke, W, Ziemann-Gimmel, P. Different regimens of intravenous sedatives or hypnotics for electroconvulsive therapy (ECT) in adult patients with depression. Cochrane Database Syst Rev 2014;4:CD009763.Google Scholar
Martin, M, Figiel, G, Mattingly, G, et al. ECT-induced interictal delirium in patients with a history of CVA. J Geriatr Pyschiatry Neurol 1992;5:149.CrossRefGoogle ScholarPubMed
Prabhakar, H. Essentials of Neuroanesthesia. Philadelphia: Elsevier, 2017, pp. 805–11.CrossRefGoogle Scholar

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