Monitoring During Electroconvulsive Therapy
Electroconvulsive therapy (ECT) is a short procedure, accompanied by what is probably the briefest common general anaesthetic. It is not entirely without risk and the necessity to modify the seizure requires the administration of a shortacting muscle relaxant in a dose sufficient to paralyse respiration, albeit briefly. Occasionally an ECT patient introduced to suxamethonium for the first time reveals a homozygous psuedocholinesterase deficiency. Prolonged ventilation is then necessary, though this presents no difficulty to the experienced anaesthetist. Rarely, a true anaphylactic response to the induction agent or to suxamethonium occurs and a major resuscitative problem then exists.
KeywordsPulse Oximetry Electroconvulsive Therapy Prolonged Ventilation Endogenous Depression Experienced Anaesthetist
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