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The effects of anesthetic change on electrographic seizure duration during electroconvulsive therapy

James Luccarelli, Thomas H. McCoy, Jr., Ryan J. Horvath and 2 more

Brain Stimulation · 2021

doi:10.1016/j.brs.2021.07.007 (opens in a new tab)

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Abstract

The routine use of muscle relaxants in electroconvulsive therapy (ECT) starting in the 1950s has transformed the procedure from one with great morbidity (up to 35% vertebral fracture rate) [1] to one with few serious physical side effects [2]. ECT anesthesia involves short-acting general anesthetics to produce unconsciousness during the period of muscle relaxation [3], and optimal anesthetic selection is an area of active research. Beyond initial anesthetic choice, at times during the ECT course anesthesia may also be changed, in particular with the intention of modifying seizure duration in the case of excessively short or long seizures.

Abstract licence: CC BY-NC

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