Abstract
Novel approaches to anesthesia in electroconvulsive therapy
Highlights
Electroconvulsive therapy (ECT), known as electroshock therapy is one of the methods of treatment in specific psychiatric diseases where minute electrical impulses are applied to the brain to treat many psychiatric disorders [1]
It is used in various kinds of psychiatric disorders, such as; depression, catatonia and manic disorders
It is important to study the various aspects of this mode of treatment especially anesthetic considerations for such a treatment
Summary
Electroconvulsive therapy (ECT), known as electroshock therapy is one of the methods of treatment in specific psychiatric diseases where minute electrical impulses are applied to the brain to treat many psychiatric disorders [1]. There may be some cognitive side effects which may be of concern in ECT Such cognitive side effects include disorders like, stereotypical and transient postictal disorientation which can be mild or severe in rare cases. Another type of cognitive disorders may be anterograde amnesia which is the inability to learn new information during and within a short time period after ECT treatment, which may have various degrees of severity. There may be few adverse physical conditions after ECG which includes; headache, nausea, muscle pain, resulting from or subsequent to seizure or anesthesia or the combination of the two, but not clinically serious Another side effect which may be observed in rare cases is known as “anaesthesia awareness”. Patients who are on constant treatment with benzodiazepines or lithium are recommended to discontinue these medications prior to ECT since, benzodiazepines may abolish or decrease seizure formation and lithium may cause post ECT delirium and confusion [4]
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