JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE)

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Advances in anesthesia research of modified electroconvulsive therapy

JIA Yu-ping, JIANG Jiang-ling, XIAO Wen-bin, LI Chun-bo   

  1. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
  • Online:2020-05-27 Published:2020-05-27
  • Contact: LI Chun-bo, E-mail: chunbo_li@163.com.
  • Supported by:
    Scientific Research Project of Shanghai Municipal Health and Family Planning Commission (201740042).

Abstract: Modified electroconvulsive therapy (MECT) is a fast and effective physical therapy method currently widely used in psychiatry. The anesthesia target of this treatment is to calm the patients, relax the muscles and maintain stability in histodynamics during treatment, meanwhile avoiding affecting efficacy, because too deep anesthesia can inhibit discharge of the cerebral cortex. However, current anesthetic drugs in MECT, including muscle relaxants, intravenous anaesthetics, inhalation anaesthetics, analgesics, etc., lack the best compatibility of anesthesia induction. This review discusses the application and compatibility of these drugs in MECT in recent years, in order to provide reference for the best anesthesia induction protocol for MECT.

Key words: modified electroconvulsive therapy (MECT), anesthesia induction, compatibility