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Perioperative Challenges During Electroconvulsive Therapy (ECT)

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Essentials of Neurosurgical Anesthesia & Critical Care

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Abstract

Since 1938, electroconvulsive therapy (ECT) has been used in the treatment of severe and refractory depression, catatonia, schizophrenia, and suicidal ideation. Although ECT was conducted without anesthesia for almost 30 years, the collaboration between anesthesia practitioners and our psychiatric colleagues has resulted in safer techniques, improved patient comfort, and more efficacious therapy. To be safe, the anesthesia practitioner must understand the physiologic response to the electrical stimulus and the effect of anesthetic drugs on the treatment to decrease the risks and increase the effectiveness of ECT.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Georgetown University School of Medicine, Washington, DC, USA

    Carrie C. Bowman MS, CRNA

  2. Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, OR, USA

    James G. Hilliard MS, CRNA

Authors
  1. Carrie C. Bowman MS, CRNA
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  2. James G. Hilliard MS, CRNA
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Corresponding author

Correspondence to James G. Hilliard MS, CRNA .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, and Perioperative Medicine, Professor, University School of Medicine, Portland, 97214, Oregon, USA

    Ansgar M. Brambrink

  2. Department of Anesthesiology, and Perioperative Medicine, Professor and Chair, University School of Medicine, Portland, 97214, Oregon, USA

    Jeffrey R. Kirsch

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© 2012 Springer Science+Business Media, LLC

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Bowman, C.C., Hilliard, J.G. (2012). Perioperative Challenges During Electroconvulsive Therapy (ECT). In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09562-2_34

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  • DOI: https://doi.org/10.1007/978-0-387-09562-2_34

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-09561-5

  • Online ISBN: 978-0-387-09562-2

  • eBook Packages: MedicineMedicine (R0)

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