Anesthetic agents in electroconvulsive therapy

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  • 電気けいれん療法における麻酔手法 〜麻酔薬が発作に与える影響を中心に〜
  • デンキ ケイレン リョウホウ ニ オケル マスイ シュホウ : マスイヤク ガ ホッサ ニ アタエル エイキョウ オ チュウシン ニ

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Non‐convulsive procedure is a mainstay of current electroconvulsive therapy (ECT) , and anesthesia is required for the procedure. It is generally accepted that anesthetics not only alleviate the fears of patients but also affect the efficacy and tolerability of ECT, or convulsive seizures to a certain extent. In Japan, propofol and thiopental are widely used in ECT, and ultra‐short‐acting analgesic remifentanil concomitant with intravenous anesthetics, and intravenous anesthetic such as ketamine have been used frequently in recent years. This article reviews the effects of these anesthetics on the efficacy of ECT and convulsive seizures.

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