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Anesthesia Management for Electroconvulsive Therapy pp 125–154Cite as

Complication of Electroconvulsive Therapy

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Abstract

Electroconvulsive therapy (ECT) procedures have risks, and these risks are associated with general anesthesia, tonic-clonic seizure and convulsion, the interaction between concomitant medications and ECT, and other procedural aspects of ECT. Based on the findings of a recent paper, ECT may be safer than is widely reported. The reported adverse events were mostly rare and generally minor in severity. According to the American Psychiatric Association, ECT has no absolute contraindications; however, some conditions pose a relatively high risk, and there are many other kinds of complications associated with ECT, with the cause of death during ECT essentially being from cardiovascular disorder. Understanding such complications and their management strategies avoids unnecessary discontinuation of treatment due to manageable ECT complications, and furthermore, ECT clinicians must also consider the risk-benefit ratio when treating high-risk and medically complicated patients. Moreover, anesthesiologists must evaluate risk factors carefully prior to ECT and pay attention to modifications in patient management or ECT technique that may diminish the level of risk. To avoid complications, it is very important that the anesthesiologist perform a pre-ECT evaluation. Proper anesthetic care also allows safe administration of ECT in patients with multiple coexisting medical conditions and even in very elderly patients.

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  1. Department of Anesthesiology, International University of Health and Welfare Shioya Hospital, 77 Tomita, Yaita, Tochigi, 329-2145, Japan

    Zen’ichiro Wajima

  2. Department of Anesthesiology, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasu-Shiobara, Tochigi, 329-2763, Japan

    Zen’ichiro Wajima

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  1. Gunma University Graduate School of Med., Department of Anesthesiology, Maebashi, Gunma, Japan

    Shigeru Saito

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Wajima, Z. (2016). Complication of Electroconvulsive Therapy. In: Saito, S. (eds) Anesthesia Management for Electroconvulsive Therapy. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55717-3_7

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