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Comprehensive Monitoring During Procedures Under Reasonable Anesthetic Control

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Abstract

It is quite important to induce qualitatively effective seizure electroencephalogram (EEG) under proper sedation, respiratory management, and cardiovascular stability for safe and therapeutically effective electroconvulsive therapy (ECT).

However, avoidable circulatory and respiratory complications during ECT still occur. Besides, failure to induce qualitatively effective seizures is still relatively common.

Therefore, it is necessary to develop methodologically rational anesthesia management based on proper and comprehensive judgment of multifarious information from various monitors and computer simulation software, such as transitional changes in plasma and effect-site concentrations of intravenous anesthetics, to increase the safety and efficacy of ECT.

In this chapter, we will introduce our practical anesthesia procedures for ECT and compare them to those traditionally used. Moreover, we will expound the significance to the optimal use of various monitors, devices, and computer simulation software, which are already brought into clinical application, while explaining their special characteristics and important points to notice.

Furthermore, we will summarize current methods for qualitative evaluation of seizure EEG.

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Acknowledgment

We would like to thank every psychiatrist, internist, pharmacist, nurse, and all of the staff daily engaged in clinical support of ECT in Kouseikai Kusatsu Hospital.

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Authors and Affiliations

  1. Department of Anesthesia, Hiroshima Haruka Clinic, 2-12-8-404, Shinonome, 734-0022, Minami-ku, Hiroshima, Japan

    Yoshihiko Demoto

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  1. Yoshihiko Demoto
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Correspondence to Yoshihiko Demoto .

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Editors and Affiliations

  1. Gunma University Graduate School of Med., Department of Anesthesiology, Maebashi, Gunma, Japan

    Shigeru Saito

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Demoto, Y. (2016). Comprehensive Monitoring During Procedures Under Reasonable Anesthetic Control. In: Saito, S. (eds) Anesthesia Management for Electroconvulsive Therapy. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55717-3_2

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  • DOI: https://doi.org/10.1007/978-4-431-55717-3_2

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-55716-6

  • Online ISBN: 978-4-431-55717-3

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