Key result
Electroconvulsive therapy can be safely administered to high-risk and medically complicated patients when appropriate pre-ECT evaluation and tailored anesthesia management strategies are employed.
Why the study?
Existing textbook and guideline descriptions of anesthesia management for special patient populations undergoing ECT may be antiquated.
Population
Special patient populations requiring ECT, such as those with neurologic or cardiovascular disorders, pregnancy, or concurrent medical illness
Design
Review
Authors
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May support ECT consideration in severe CV disease with expert oversight; leaves open prospective safety trials.
This review highlights that with tailored anesthesia management, electroconvulsive therapy can be safely performed even in patients with significant cardiovascular and neurologic comorbidities.
Zen’ichiro Wajima (2019) conducted a review in Special patient populations requiring electroconvulsive therapy (ECT). Electroconvulsive therapy (ECT) and anesthesia management was evaluated. Electroconvulsive therapy can be safely administered to high-risk and medically complicated patients when appropriate pre-ECT evaluation and tailored anesthesia management strategies are employed.
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