This review highlights the anesthetic management of hemodynamic fluctuations and cardiac variability during electroconvulsive therapy.
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May guide anesthetic management of ECT-related hemodynamic changes; leaves open optimal protocols pending prospective trials.
The scope of this review will cover the latest developments in electroconvulsive therapy (ECT) and the consequent implications for the anesthesiologist, being timely in view of the resurgence of interest in this form of therapy. New indications for ECT include a role in the treatment of some neurological diseases such as Parkinson's disease. We discuss the mechanisms involved in the significant cardiac variability experienced with the administration of ECT, together with various therapeutic interventions that are presently being used by anesthesiologists to dampen these hemodynamic fluctuations.
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OʼFlaherty et al. (1991) studied this question.
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