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Neuromonitoring-guided anesthesia depth versus four-minute anesthesia-to-stimulation time interval in electroconvulsive therapy for depressive disorders - A single-blinded, prospective, randomized and controlled study.
J Affect Disord
January 2025
Department of Anesthesiology and Intensive Care Medicine, Medical University of Innsbruck, Austria. Electronic address:
Background: Anesthesia depth influences seizure quality in patients undergoing electroconvulsive therapy (ECT). EEG-based neuromonitoring has been shown to detect adequate anesthesia depth for ECT. Anesthesia depth-guided ECT management may therefore be a reliable alternative to the predetermined anesthesia-to-stimulation time interval.
View Article and Find Full Text PDFThe Recognition and Management of Adverse Effects in Electroconvulsive Therapy: Findings From a Finnish Survey Study.
Brain Behav
January 2025
Turku University, Feculty of Medicine and Turku University Central Hospital, Division of Operative Services, Intensive Care and Acute Pain Management, Turku, Finland.
Aim: The aim of the study was to survey the observed incidence of adverse effects (AEs) related to electroconvulsive therapy (ECT) in Finnish neuromodulation units, as well as to explore what medical interventions are used to prevent and treat them in those units.
Methods: An electronic survey was conducted among Finnish neuromodulation units at the end of 2022. The survey included 35 questions related to AEs and their prevention and/or treatment in the responding units' ECT patient populations.
How does the measurement of anesthetic depth using the patient state index influence the course of electroconvulsive therapy in patients with major depressive disorder?
J Psychiatr Res
January 2025
Department of Medicine, Universitat Internacional de Catalunya, Barcelona. c/ Dr. Josep Trueta s/n, Sant Cugat del Vallès, 08195, Barcelona, Spain. Electronic address:
Background: Determining anesthetic depth has been used to assess the optimal timing of electrical stimulus application in electroconvulsive therapy (ECT). This has improved the quality and effectiveness of seizures, as some anesthetics used can decrease efficacy. This study evaluated the influence of the Patient State Index (PSi) on the course of ECT in patients with major depressive disorder (MDD).
View Article and Find Full Text PDFInvestigating Anxiety's Impact on Seizure Quality in Electroconvulsive Therapy: A Prospective Observational Study.
J ECT
December 2024
From the Département d'Anesthésie et Réanimation.
Background: Electroconvulsive therapy (ECT) is a medical procedure for treating severe depression and other mental health disorders, with anesthesia management being crucial for patient safety. Despite extensive research on factors influencing seizure quality during ECT, the impact of pre-ECT anxiety remains insufficiently explored.
Methods: This prospective observational study aimed to investigate the influence of pre-ECT anxiety, as measured by the Amsterdam Preoperative Anxiety and Information Scale, on electroencephalogram ictal characteristics during ECT and to explore anesthesia-related factors that may enhance seizure quality.
Optimizing anesthesia depth to enhance seizure quality during electroconvulsive therapy in major depressive disorder.
World J Psychiatry
December 2024
Department of Digital Anti-aging Healthcare (BK21), Inje University, Gimhae 50834, South Korea.
This editorial evaluated the findings of a comprehensive study focused on the effects of anesthesia depth on seizure parameters during electroconvulsive therapy (ECT) in patients with major depressive disorder. The study utilized quantitative consciousness and quantitative nociceptive indices for monitoring sedation, hypnosis, and nociceptive responses. The analysis included 193 ECT sessions across 24 patients, revealing significant impacts of anesthesia depth on electroencephalography (EEG) seizure parameters.
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