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首页> 外文期刊>Best practice & research:Clinical anaesthesiology >Challenges and pitfalls in anesthesia for electroconvulsive therapy
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Challenges and pitfalls in anesthesia for electroconvulsive therapy

机译：用于电耦合治疗的麻醉中的挑战和缺陷

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摘要

Electroconvulsive therapy (ECT) refers to the application of electricity to the patients' scalp to treat psychiatric disorders, most notably, treatment-resistant depression. It is a safe, effective, and evidence-based therapy that is performed with general anesthesia. Muscle relaxation is used to prevent injuries related to the tonic-clonic seizure caused by ECT. Hypnotics are administered to induce amnesia and unconsciousness, so that, patients do not experience the period of muscle relaxation, while the generalized seizure is left unnoticed. For the anesthesiologist, ECT is associated with the challenges and pitfalls that are related to informed consent, social acceptance of ECT, airway management (especially in COVID-19 patients), and the interaction between ventilation and anesthetics from one viewpoint, and seizure induction and maintenance from another. The exact mode of action of the therapy is as unknown as the optimal choice or combination of anesthetics used.
机译：电休克疗法（Electroconvulsive therapy，ECT）是指对患者头皮进行电刺激，以治疗精神疾病，尤其是难治性抑郁症。这是一种安全、有效、循证治疗，在全身麻醉下进行。肌肉放松用于预防ECT引起的强直阵挛性发作相关的损伤。使用催眠药可诱发健忘症和无意识，这样患者就不会经历肌肉放松期，而全身性癫痫发作则不会被注意到。对于麻醉师2019冠状病毒疾病，ECT与ECT的知情同意、社会接受、气道管理（尤其是COVID-19患者）、通气和麻醉剂之间的相互作用、癫痫发作的诱导和维持等相关。该疗法的确切作用方式与所用麻醉剂的最佳选择或组合一样未知。

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