电抽搐治疗的麻醉

1、Anesthesia for Electroconvulsive therapy电抽搐(chuch)疗法的麻醉共十六页Depression 抑郁症治疗师 药物(yow)共十六页自杀(zsh)倾向电抽搐(chuch)疗法共十六页电抽搐疗法是治疗(zhlio)严重抑郁症的金标准，安全性越来越高，风险和并发症越来越少。与过去和科幻不同(b tn)，电抽搐疗法并不残忍，也不会以消除记忆为代价。共十六页IndicationsDelusions or other psychotic symptoms with depression (伴随妄想症或其它精神症状(zhngzhung)的抑郁症)Pregnant

2、 and severely depressed (怀孕和严重抑郁症)Suicidal (自杀倾向的)Cannot take antidepressant drugs or Have not responce to antidepressant drugs (无法口服抗抑郁药物或药物无效)Mania, catatonia, and psychosis that do not improve enough with other treatments. (其它疗法无效的躁狂、紧张症)共十六页First, the patient has a mental and physical exam. Next

3、, she has electrodes attached to her temples(颞部). Procedures共十六页 Then, the patient gets an IV sedation that will put her to sleep and relax her muscles.Procedures共十六页Procedures小剂量电流造成脑部的癫痫(dinxin)波，持续40s。肌松药可预防全身抽搐。When all is ready, a small electrical currentpainlessly runs through her brain and re

4、sets broken circuits.共十六页After the ProcedureAfter a successful course of ECT, the patient will receive medications or less frequent ECT to reduce the risk of another depression episode.ECT is usually given once every 2- 5 days for a total of 6 - 12 sessions, but sometimes more sessions are needed. (

5、电抽搐治疗后有必要继续药物和数次电抽搐疗法。治疗间隔不宜短于48小时(xiosh)。因为ECT后抽搐发作对脑功能的影响一般要4872小时(xiosh)才能恢复。)共十六页ComplicationsConfusion 意识混乱Headache 头痛Hypotension or hypertensionMemory lossMuscle soreness 肌肉酸痛(suntng)Nausea 恶心Rapid heartbeat (tachycardia) or other heart problems 心律失常共十六页ContraindicationsIntracranial hypertensi

6、on (颅内压增高(znggo) (发作过程中，脑血流量增加约100%，脑脊液压力增高55cmH2O）Myocardial infarction (新近发作的心肌梗塞)Congestive heart-failure, Conduction abnormalities, coronary heart disease, pulmonary dysfunction (充血性心力衰竭、传导异常、冠心病和肺功能障碍)共十六页ECT without anesthesia共十六页AnesthesiaMask oxygen inhalation (面罩吸氧) Propofol 1-1.5mg/kg 镇静 F

7、entanyl or remifentanyl 增加舒适性 Scoline 1-1.5mg/kg 松弛肌肉(jru) Atropine 0.25-0.5mg/kg 缓解窦缓，减少分泌物Put teeth pad， Lift the chin ，Focus on ECG monitoring (置入牙垫，托好下颌，维持通气，关注心电状态)麻醉(mzu)用药共十六页Conclusion 由于麻醉医生的存在和麻醉药物的发展，电抽搐疗法对于(duy)抑郁症或其它精神疾病来讲，是安全有效的。共十六页Thank You共十六页内容摘要Anesthesia for Electroconvulsive therapy。电抽搐疗法是治疗(zhlio)严重抑郁症的金标准，安全性越来越高，风险和并发症越来越少。与过去和科幻不同，电抽搐疗法并不残忍，也不会以消除记忆为代价。(电抽搐治疗(zhlio)后有必要继续药物和数次电抽搐疗法。(发作过程中，脑血流量增加约100%，脑脊液压力增高55cmH2O）