Anesthesia Management for Electroconvulsive Therapy Practical Techni
In this book, recognized anesthesiology experts present the latest findings on anesthesia for electro-convulsive therapy (ECT). With the development of modified electroconvulsive therapy (m-ECT) and devices to provide brief-pulse stimulation, ECT is curre
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Anesthesia Management for Electroconvulsive Therapy
Practical Techniques and Physiological Background
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Anesthesia Management for Electroconvulsive Therapy
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Shigeru Saito Editor
Anesthesia Management for Electroconvulsive Therapy Practical Techniques and Physiological Background
Editor Shigeru Saito Department of Anesthesiology Gunma University Graduate School of Medicine Maebashi Japan
ISBN 978-4-431-55716-6 ISBN 978-4-431-55717-3 DOI 10.1007/978-4-431-55717-3
(eBook)
Library of Congress Control Number: 2016934312 # Springer Japan 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer Japan KK
Preface
Electroconvulsive therapy (ECT) was introduced in clinical practice based on the finding that psychiatric symptoms are improved after a seizure in a patient suffering from both schizophrenia and epilepsy. In spite of the great effort expended, the underlying mechanism has not been fully elucidated. ECT therapy has undergone several decades of criticism, accusations of inappropriate use, legal restrictions, and public protest. However, recent controlled studies have demonstrated clinical benefits of this therapy and many efforts have been made to reduce the special risks in ECT. Specifically, the introduction of general anesthesia using intravenous anesthetics and a muscle relaxant greatly reduced physical risks relating the muscular convulsive movement during the therapy. Currently, ECT for drug therapyresistant depression and some other psychiatric disorders is widely accepted as a safe and effective therapy. Use of ECT for several psychiatric conditions is expanding, and the number of patients receiving ECT is increasing. Although the basic mechanism of the clinical effects of ECT has not been clarified, several authorized medical societies, including the Royal College of Psychiatrists in the United Kingdom and the Americ
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