What are the key considerations for achieving the right balance between anesthesia depth and seizure duration during ECT?

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Bhogaraju Anand

Hi,

Here are a few references:

Gasteiger L, Heil M, Hörner E, Andexer J, Kemmler G, Hausmann A, Lederer W. Relationship Between Anesthesia Depth and Quality of Seizures in Patients Undergoing Electroconvulsive Therapy: A Prospective Observational Study. J ECT. 2022 Mar 1;38(1):62-67. doi: 10.1097/YCT.0000000000000792. PMID: 34519686.

Huang HH, Wu CY, Lin FS, Wang YP, Sun WZ, Lin CP, Fan SZ. The Alaris auditory evoked potential monitor as an indicator of seizure inducibility and duration during electroconvulsive therapy: an observational study. BMC Anesthesiol. 2014 May 13;14:34. doi: 10.1186/1471-2253-14-34. PMID: 24914401; PMCID: PMC4049489.

Amirfarzan H, Cassidy KJ, Moaddab M, Demin M, Schumann R, Lewis B. Assessment of seizure duration and utility of using SedLine® EEG tracing in veterans undergoing electroconvulsive therapy: a retrospective analysis. J Anesth Analg Crit Care. 2024 Feb 6;4(1):8. doi: 10.1186/s44158-024-00143-9. PMID: 38321515; PMCID: PMC10845389.

Nishihara F, Saito S. Adjustment of anaesthesia depth using bispectral index prolongs seizure duration in electroconvulsive therapy. Anaesth Intensive Care. 2004 Oct;32(5):661-5. doi: 10.1177/0310057X0403200509. PMID: 15535490.

Kranaster L, Hoyer C, Janke C, Sartorius A. Bispectral index monitoring and seizure quality optimization in electroconvulsive therapy. Pharmacopsychiatry. 2013 Jun;46(4):147-50. doi: 10.1055/s-0032-1331748. Epub 2013 Jan 28. PMID: 23359338.

Indunil Karunarathna

Thank you Bhogaraju Anand