- Dedication
- Foreword to the First Edition
- Foreword to the Second Edition
- Contributors
- 1 Challenges of Anesthesia Outside of the Operating Room
- 2 Preoperative Patient Evaluation for Anesthesia Care Outside of the Operating Room
- 3 Patient Monitoring
- 4 Anesthetic Techniques
- 5 Recovery and Discharge for Procedures Conducted Outside of the Operating Room
- 6 Management of Staffing and Case Scheduling for Anesthesia Outside of the Operating Room
- 7 Financial Analysis and Competitive Strategies for NORA
- 8 Anesthesia Information Management Systems (AIMS) for the OOOR Setting
- 9 Procedural Sedation by Nonanesthesia Providers
- 10 Outcomes, Regulation, and Quality Improvement
- 11 CT- and PET/CT-Guided Interventional Radiology Procedures
- 12 Magnetic Resonance Imaging and Ultrasound-Guided Percutaneous Interventional Radiology Procedures
- 13 Interventional Neuroradiology
- 14 Interventional Radiology Procedures
- 15 Anesthesia for Diagnostic and Therapeutic Radiologic Procedures
- 16 Anesthesia in the Radiation Oncology Suite
- 17 Radiation Safety
- 18 Gastrointestinal Endoscopy Procedures
- 19 Anesthesia for Gastrointestinal Endoscopic Procedures
- 20 Anesthesia for Interventional Pulmonology
- 21 Anesthetic Implications of Natural Orifice Translumenal Endoscopic Surgery (NOTES) and Single-Incision Laparoscopic Surgery (SILS)
- 22 New Challenges for Anesthesiologists Outside of the Operating Room: The Cardiac Catheterization and Electrophysiology Laboratories
- 23 Anesthesia for Assisted Reproductive Technologies
- 24 Anesthesia for Urologic Procedures
- 25 Anesthesia for Procedures in the Emergency Department
- 26 Office-Based Anesthesia
- 27 Pediatric Anesthesia Outside of the Operating Room
- 28 Procedures in the Adult and Neonatal Intensive Care Units
- 29 Electroconvulsive Therapy
- 30 Pain Management Procedures
- 31 Anesthesia in the Military Setting
- 32 Anesthetic Considerations in Homeland Disasters
- 33 Telemedicine, Teleanesthesia, and Telesurgery
- 34 Anesthesia Considerations in Dental Practice
- 35 Ultrarapid Opiate Detoxification
- 36 Nonelective Care On Board an Aircraft
- 37 The Future of NORA
- Appendix 1 Preuse Checking of Anesthesia Equipment
- Appendix 2 Malignant Hyperthermia
- Appendix 3 Selected American Society of Anesthesiologists Guidelines
- Appendix 4 Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS)
- Appendix 5 Pediatric Emergency Planning and Resuscitation
- Index
(p. 288) Electroconvulsive Therapy
- Chapter:
- (p. 288) Electroconvulsive Therapy
- Author(s):
Lisa Ross
- DOI:
- 10.1093/med/9780190495756.003.0029
The anesthetic management of patients who receive electroconvulsive therapy (ECT) for various psychiatric conditions in both the inpatient and the outpatient settings must take into account a number factors, such as its associated physiologic responses, existing comorbidities, medication management, monitoring, complications, and contraindications in order for it to remain a safe procedure. This chapter reviews the indications for ECT, the preprocedure anesthetic evaluation; theories regarding the therapeutic mechanism of action leading to the efficacy of ECT; cerebrovascular, cardiovascular, and neuroendocrine responses and monitoring standards. Furthermore, it discusses the selection of medications for induction, inhalational agents, and muscle relaxants as well as common drug interactions and premedication practices. The chapter culminates with an assessment of the morbidity and mortality associated with ECT both anesthetic and nonanesthetic related.
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- Dedication
- Foreword to the First Edition
- Foreword to the Second Edition
- Contributors
- 1 Challenges of Anesthesia Outside of the Operating Room
- 2 Preoperative Patient Evaluation for Anesthesia Care Outside of the Operating Room
- 3 Patient Monitoring
- 4 Anesthetic Techniques
- 5 Recovery and Discharge for Procedures Conducted Outside of the Operating Room
- 6 Management of Staffing and Case Scheduling for Anesthesia Outside of the Operating Room
- 7 Financial Analysis and Competitive Strategies for NORA
- 8 Anesthesia Information Management Systems (AIMS) for the OOOR Setting
- 9 Procedural Sedation by Nonanesthesia Providers
- 10 Outcomes, Regulation, and Quality Improvement
- 11 CT- and PET/CT-Guided Interventional Radiology Procedures
- 12 Magnetic Resonance Imaging and Ultrasound-Guided Percutaneous Interventional Radiology Procedures
- 13 Interventional Neuroradiology
- 14 Interventional Radiology Procedures
- 15 Anesthesia for Diagnostic and Therapeutic Radiologic Procedures
- 16 Anesthesia in the Radiation Oncology Suite
- 17 Radiation Safety
- 18 Gastrointestinal Endoscopy Procedures
- 19 Anesthesia for Gastrointestinal Endoscopic Procedures
- 20 Anesthesia for Interventional Pulmonology
- 21 Anesthetic Implications of Natural Orifice Translumenal Endoscopic Surgery (NOTES) and Single-Incision Laparoscopic Surgery (SILS)
- 22 New Challenges for Anesthesiologists Outside of the Operating Room: The Cardiac Catheterization and Electrophysiology Laboratories
- 23 Anesthesia for Assisted Reproductive Technologies
- 24 Anesthesia for Urologic Procedures
- 25 Anesthesia for Procedures in the Emergency Department
- 26 Office-Based Anesthesia
- 27 Pediatric Anesthesia Outside of the Operating Room
- 28 Procedures in the Adult and Neonatal Intensive Care Units
- 29 Electroconvulsive Therapy
- 30 Pain Management Procedures
- 31 Anesthesia in the Military Setting
- 32 Anesthetic Considerations in Homeland Disasters
- 33 Telemedicine, Teleanesthesia, and Telesurgery
- 34 Anesthesia Considerations in Dental Practice
- 35 Ultrarapid Opiate Detoxification
- 36 Nonelective Care On Board an Aircraft
- 37 The Future of NORA
- Appendix 1 Preuse Checking of Anesthesia Equipment
- Appendix 2 Malignant Hyperthermia
- Appendix 3 Selected American Society of Anesthesiologists Guidelines
- Appendix 4 Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS)
- Appendix 5 Pediatric Emergency Planning and Resuscitation
- Index
