Indian Journal of Anaesthesia

REVIEW ARTICLE
Year
: 2017  |  Volume : 61  |  Issue : 5  |  Page : 373--380

Anaesthesia for electroconvulsive therapy: An overview with an update on its role in potentiating electroconvulsive therapy


Pavan Kumar Kadiyala1, Lakshmi Deepthi Kadiyala2 
1 Department of Psychiatry, Siddhartha Medical College, Vijayawada, Andhra Pradesh, India
2 Department of Anaesthesia, JJM Medical College, Davanagere, Karnataka, India

Correspondence Address:
Pavan Kumar Kadiyala
Siddhartha Medical College, Vijayawada - 522 008, Andhra Pradesh
India

Despite advances in pharmacotherapy, electroconvulsive therapy (ECT) remains a mainstay treatment option in psychiatry since its introduction in 1930s. It can be used primarily in severe illnesses when there is an urgent need for treatment or secondarily after failure or intolerance to pharmacotherapy. The 'unmodified' technique of ECT was practised initially, with a high incidence of musculoskeletal complications. Several modifications including general anaesthesia and muscle relaxation are used to increase the safety and patient acceptability of ECT. Various anaesthetic techniques including medications are considered to provide adequate therapeutic seizure, simultaneously controlling seizure-induced haemodynamic changes and side effects. A brief review of literature on choice of these anaesthetic techniques is discussed. This article is intended to reinforce the knowledge of clinicians, who may have limited exposure to ECT procedure. Importance is given to the recent updates on the role of induction agents in potentiating therapeutic response to ECT in psychiatric disorders.


How to cite this article:
Kadiyala PK, Kadiyala LD. Anaesthesia for electroconvulsive therapy: An overview with an update on its role in potentiating electroconvulsive therapy.Indian J Anaesth 2017;61:373-380


How to cite this URL:
Kadiyala PK, Kadiyala LD. Anaesthesia for electroconvulsive therapy: An overview with an update on its role in potentiating electroconvulsive therapy. Indian J Anaesth [serial online] 2017 [cited 2021 Feb 26 ];61:373-380
Available from: https://www.ijaweb.org/article.asp?issn=0019-5049;year=2017;volume=61;issue=5;spage=373;epage=380;aulast=Kadiyala;type=0