2014 113:43–51.Ĭristancho MA, Alici Y, Augoustides JG, O'Reardon JP. Beta-blocking agents during electroconvulsive therapy: a review. 2477–9.īoere E, Birkenhager TK, Groenland TH, van den Broek WW. Philadelphia: Churchill Livingstone Elsevier 2010. Safety and efficacy of electroconvulsive therapy in patients over age 85. Washington, DC: American Psychiatric Association 2001. The practice of electroconvulsive therapy: recommendations for treatment, training, and priveleging, A task force report of the American Psychiatric Association. Morbidity and mortality in the use of electroconvulsive therapy. Nuttall GA, Bowersox MR, Douglass SB, McDonald J, Rasmussen LJ, Decker PA, Oliver Jr WC, Rasmussen KG. An analysis of reported deaths following electroconvulsive therapy in Texas, 1993–1998. An examination of mortality and other adverse events related to electroconvulsive therapy using a national adverse event report system. Electroconvulsive therapy in children and adolescents. ![]() Arlington: American Psychiatric Publishing, Inc. Clinical manual of electroconvulsive therapy. In: Mankad MV, Beyer JL, Weiner RD, Krystal AD, editors. Proper anesthetic care also allows safe administration of ECT in patients with multiple coexisting medical conditions and even in very elderly patients. ![]() To avoid complications, it is very important that the anesthesiologist perform a pre-ECT evaluation. Moreover, anesthesiologists must evaluate risk factors carefully prior to ECT and pay attention to modifications in patient management or ECT technique that may diminish the level of risk. Understanding such complications and their management strategies avoids unnecessary discontinuation of treatment due to manageable ECT complications, and furthermore, ECT clinicians must also consider the risk-benefit ratio when treating high-risk and medically complicated patients. According to the American Psychiatric Association, ECT has no absolute contraindications however, some conditions pose a relatively high risk, and there are many other kinds of complications associated with ECT, with the cause of death during ECT essentially being from cardiovascular disorder. The reported adverse events were mostly rare and generally minor in severity. Based on the findings of a recent paper, ECT may be safer than is widely reported. ![]() Electroconvulsive therapy (ECT) procedures have risks, and these risks are associated with general anesthesia, tonic-clonic seizure and convulsion, the interaction between concomitant medications and ECT, and other procedural aspects of ECT.
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