Literature Review on the Main Anesthetics Used in Electroconvulsive Therapy

Authors

  • Livia Seif Eddine Centro Universitário Multivix Vitória https://orcid.org/0009-0001-9557-1919
  • Luisa Brandão Carneiro Centro Universitário Multivix Vitória
  • Nayad Rodrigues Lorencini Centro Universitário Multivix Vitória
  • Luisa da Motta Sarlo Antonio Centro Universitário Multivix Vitória https://orcid.org/0009-0004-8635-165X
  • Lina Passini Secchin Centro Universitário Multivix Vitória
  • Maria Antônia Bumachar Centro Universitário Multivix Vitória
  • Isadora Oliveira Sampaio Neves Centro Universitário Multivix Vitória
  • João Vitor Ferreira Rodrigues Centro Universitário Multivix Vitória
  • Leandro de Castro Japiassú Hospital Universitário Cassiano Antonio Moraes

DOI:

https://doi.org/10.36557/2674-8169.2024v6n8p3252-3270

Keywords:

Anesthetics, Eletroconvulsive therapy, Ketamine, Remifentanil

Abstract

This article reviews the literature on the use of anesthetics in electroconvulsive therapy (ECT), comparing ketamine, propofol, etomidate, remifentanil, methohexital, and thiopental. Its aim is to evaluate how different anesthetics impact the efficacy and safety of ECT. The review encompasses studies published between 2014 and 2024, sourced from PubMed and the Journal of the Portuguese Society of Anesthesiology. It focuses on meta-analyses, systematic reviews, and randomized controlled trials. The findings suggest that the choice of anesthetic should be personalized, taking into account potential side effects and the expertise of the medical team. Despite advances in anesthesia, there is no definitive evidence favoring one anesthetic over another, and the literature shows that the duration of convulsive seizures is not directly associated with improved clinical outcomes.

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Author Biographies

Livia Seif Eddine, Centro Universitário Multivix Vitória

Graduando em Medicina pelo Centro Universitário Multivix Vitória.

Nayad Rodrigues Lorencini, Centro Universitário Multivix Vitória

Graduando em Medicina pelo Centro Universitário Multivix Vitória.

Luisa da Motta Sarlo Antonio, Centro Universitário Multivix Vitória

Graduando em Medicina pelo Centro Acadêmico Multivix Vitória.

Lina Passini Secchin, Centro Universitário Multivix Vitória

Graduando em Medicina pelo Centro Universitário Multivix Vitória.

Maria Antônia Bumachar, Centro Universitário Multivix Vitória

Graduando em Medicina pelo Centro Universitário Multivix Vitória.

Isadora Oliveira Sampaio Neves, Centro Universitário Multivix Vitória

Graduando em Medicina pelo Centro Universitário Multivix Vitória.

João Vitor Ferreira Rodrigues, Centro Universitário Multivix Vitória

Graduando em Medicina pelo Centro Universitário Multivix Vitória.

Leandro de Castro Japiassú, Hospital Universitário Cassiano Antonio Moraes

Graduado em Medicina pela Universidade Federal do Rio de Janeiro; Anestesista no Hospital Universitário Cassiano Antonio Moraes.

References

BRYSON, E. O. et al. Dosing and effectiveness of ketamine anesthesia for electroconvulsive therapy (ECT): a case series. Australasian Psychiatry, v. 22, n. 5, p. 467–469, 17 ago. 2014.

CHAWLA, N. Anesthesia for Electroconvulsive Therapy. Anesthesiology Clinics, v. 38, n. 1, p. 183–195, mar. 2019.

FERNÁNDEZ-CANDIL, J. et al. Anaesthesia in electroconvulsive therapy. Special conditions. Revista de Psiquiatría y Salud Mental, v. 13, n. 1, p. 36–46, 1 jan. 2020.

GAMBLE, J. J. et al. Ketamine-based anesthesia improves electroconvulsive therapy outcomes: a randomized-controlled study. Canadian Journal of Anesthesia/Journal canadien d’anesthésie, v. 65, n. 6, p. 636–646, 21 fev. 2017.

LAVA-PARMELE, S.; LAVA, C.; PARMELE, J. B. The Historical Struggles of Modified Electroconvulsive Therapy: How Anesthesia Came to the Rescue. Journal of Anesthesia History, v. 7, n. 2, p. 17–25, jun. 2021.

LEOTE, J. et al. Considerações de anestesiologia na eletroconvulsoterapia.: Anestesiologia na ECT. Revista da Sociedade Portuguesa de Anestesiologia, v. 31, n. 4, 2022.

STRIPP, T. K.; JORGENSEN, M. B.; OLSEN, N. V. Anaesthesia for electroconvulsive therapy – new tricks for old drugs: a systematic review. Acta Neuropsychiatrica, v. 30, n. 2, p. 61–69, 2 maio 2017.

TAKEKITA, Y. et al. Remifentanil in electroconvulsive therapy: a systematic review and meta-analysis of randomized controlled trials. European Archives of Psychiatry and Clinical Neuroscience, v. 266, n. 8, p. 703–717, 28 jan. 2016.

Published

2024-08-20

How to Cite

Seif Eddine, L., Brandão Carneiro, L., Rodrigues Lorencini, N., da Motta Sarlo Antonio, L., Passini Secchin, L., Bumachar, M. A., Oliveira Sampaio Neves, I., Ferreira Rodrigues, J. V., & de Castro Japiassú, L. (2024). Literature Review on the Main Anesthetics Used in Electroconvulsive Therapy. Brazilian Journal of Implantology and Health Sciences, 6(8), 3252–3270. https://doi.org/10.36557/2674-8169.2024v6n8p3252-3270