The procedure itself is very short, but intensely stimulating. Perfect for short acting drugs. Awareness and recall are common, reflecting deep sedation more than true general anaesthesia. Pre-op Usually a day case Check they have been correctly anticoagulated- minimum of preceding 3 weeks May have significant cardiovascular, respiratory disease. Also obesity, diabetes, OSA Check pre-opContinue reading “Cardioversion (DCCV)”
Category Archives: Non-theatre
ECT
The procedure itself is very short, so it can be a busy list. Don’t let this compromise your assessment of some fairly complex patients. Pre-op Look at previous ECTs and note the previous doses as a guide Paracetamol Intra-op Small cannula 20/22G Pre-oxygenate Alfentanil – 250-500 mcg (attenuates sympathetic response) Propofol – 0.75-2.5 mg/kg SuxamethoniumContinue reading “ECT”
