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Anesthesia for Electroconvulsive Therapy: A Review

Folk, Jeffrey W. M.D; Kellner, Charles H. M.D*; Beale, Mark D. M.D*; Conroy, Joanne M. M.D; Duc, Thomas A. M.D

Original Articles

Anesthetic techniques have evolved to improve the comfort and safety of modern electroconvulsive therapy (ECT). The authors review the literature and discuss the selection, preparation, and management from an anesthetic perspective. Specifically, the management of medications preprocedure and coexisting diseases is discussed. A review of induction agents, muscle relaxants, and other medications utilized in ECT is included.

Departments of Anesthesia and Perioperative Medicine, and *Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, U.S.A.

Received January 19, 1999; accepted May 18, 1999.

Address correspondence and reprint requests to Dr. J. W. Folk, Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, 171 Ashley Ave., Charleston, SC 29425, U.S.A.

© 2000 Lippincott Williams & Wilkins, Inc.