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Clinical Applicability of Monitoring the Time Interval Between Anesthesia and Electroconvulsive Therapy

Gálvez, Verònica MBBS, MD; Loo, Colleen K. MBBS, MD, FRANZCP

doi: 10.1097/YCT.0000000000000384
Commentary

The anesthetic–electroconvulsive therapy (ECT) time interval (time interval elapsed from the beginning of anesthesia injection to the beginning of ECT stimulus) has been reported to have an important impact on seizure quality outcomes, because it is an indirect measure of the anesthetic plasma concentration when the ECT electrical stimulus is administered. We report the importance of the routine monitoring of this time interval in clinical settings, as an additional measure to interpret seizure quality outcomes at each ECT session, to further assist on ECT dosing decisions during the treatment course.

From the *School of Psychiatry, University of New South Wales, †Black Dog Institute, ‡St. George Hospital, and §Wesley Hospital, Sydney, New South Wales, Australia.

Received for publication November 5, 2016; accepted November 18, 2016.

Reprints: Colleen K. Loo, MBBS, MD, FRANZCP, School of Psychiatry, University of New South Wales; Black Dog Institute, Hospital Rd, Randwick NSW 2031, Sydney, NSW, Australia (e-mail: colleen.loo@unsw.edu.au).

The authors have no conflicts of interest or financial disclosures to report.

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