Pediatric Electroconvulsive Therapy: An Anesthesiologist's Perspective.
Electroconvulsive therapy
Intravenous anesthesia
Methohexital
Pediatric psychiatry
Pediatrics
Status epilepticus
Journal
Child and adolescent psychiatric clinics of North America
ISSN: 1558-0490
Titre abrégé: Child Adolesc Psychiatr Clin N Am
Pays: United States
ID NLM: 9313451
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
entrez:
4
11
2018
pubmed:
6
11
2018
medline:
31
8
2019
Statut:
ppublish
Résumé
Proper planning and communication between psychiatry and anesthesiology teams is vital to conferring the greatest therapeutic benefit to children presenting for electroconvulsive therapy while minimizing risk. Anesthesia for the child undergoing electroconvulsive therapy should ideally provide deep hypnosis, ensure muscle relaxation to reduce injury, have minimal effect on seizure dynamics, and allow for rapid recovery to baseline neurologic and cardiopulmonary status. Unique factors for pediatric electroconvulsive therapy include the potential need for preoperative anxiolytic and inhalational induction of anesthesia, which must be weighed against the detrimental effects of anesthetic agents on the evoked seizure quality required for a successful treatment.
Identifiants
pubmed: 30389073
pii: S1056-4993(18)30654-0
doi: 10.1016/j.chc.2018.07.002
pii:
doi:
Substances chimiques
Anesthetics, Intravenous
0
Methohexital
E5B8ND5IPE
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
21-32Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.