Seizures & Safety- Anaesthesia Challenges in Electroconvulsive Therapy (ECT) |Dr. Aashishkumar Patni

#ECTAnaesthesia #ElectroconvulsiveTherapy #PsychiatricAnaesthesia #DrAashishkumarPatni Electroconvulsive Therapy (ECT) is a safe, effective, and evidence-based treatment for severe psychiatric conditions including treatment-resistant depression, refractory schizophrenia, acute mania, and life-threatening catatonia — yet it remains one of the most misunderstood and stigmatised medical procedures, placing the anaesthesiologist at the unique intersection of psychiatry, pharmacology, and patient advocacy. The anaesthetic management of ECT is deceptively complex: every hypnotic agent used for induction carries inherent anticonvulsant properties that can suppress the very therapeutic seizure the procedure aims to generate — demanding a precise and clinician-specific balancing act between ensuring unconsciousness, achieving adequate seizure quality (targeting at minimum 15–25 seconds of motor seizure activity), and managing the dramatic autonomic storm of initial parasympathetic bradycardia followed by intense sympathetic surges in heart rate and blood pressure that accompany every ECT stimulus. Drug selection is at the heart of every ECT anaesthetic — propofol shortens seizure duration and is the most common choice, while etomidate and the ketamine-propofol combination prolong and enhance seizure quality; succinylcholine remains the muscle relaxant of choice for its rapid onset and ultra-short duration; and adjuncts such as glycopyrrolate, esmolol, and atropine must all be immediately available to manage the predictable autonomic perturbations. In this clinically fascinating and practically essential session, Dr. Aashishkumar Patni — Medical Officer Anaesthesiologist at Regional Mental Hospital, Yerwada, Pune — draws from the sharp end of psychiatric anaesthesia practice to comprehensively guide every anaesthesiologist through the unique challenges, pharmacological nuances, and patient safety strategies of ECT anaesthesia. This session is essential for anaesthesiologists working in psychiatric hospitals, general hospital psychiatry units, NORA settings, and all clinicians who may be called upon to provide anaesthesia for ECT — a growing and clinically rewarding subspecialty of out-of-OR anaesthesia practice. About Ozone Learning Academy: Ozone Learning Academy is the academic initiative of the Ozone Anaesthesia Group, offering weekly Thursday evening sessions on clinically relevant anaesthesia and perioperative topics by expert faculty, for continuous professional development. 📌 Don't forget to: 👍 Like this video if it opened a new dimension of anaesthesia practice for you 🔄 Share it with your anaesthesia colleagues, psychiatric hospital teams, and residents 🔔 Subscribe to Ozone Learning Academy and hit the bell icon for every Thursday academic session 📺 Subscribe now: \[    / @ozoneanaesthesiagroup  ] 💬 Comment below — Have you administered anaesthesia for ECT? What is your preferred induction agent? Share your experience! 🌐 Ozone Learning Academy - Where Expertise Meets Excellence ##in Anesthesiology. #ECTanaesthesia #Electroconvulsivetherapyanaesthesia #AnaesthesiaforECTchallenges #ECTseizurequality #PropofolECTinduction #KetamineECTantidepressant #SuccinylcholineECT #DrAashishkumarPatni #OzoneLearningAcademy #OzoneAnaesthesiaGroup #ModifiedECTtechnique #Psychiatricanaesthesia #NonoperatingroomanaesthesiaECT #ECTcardiovascularcomplications #ECTdruginteractions Credits Video Editing- Vipul Tribhuwan/Dr. Sujitkumar Khade Concept & Thumbnail - Dr. Sujitkumar Khade Production- Ozone Anaesthesia Group