Anestesia para eletroconvulsoterapia [email protected] ...
Transcript of Anestesia para eletroconvulsoterapia [email protected] ...
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Anestesia para eletroconvulsoterapia
Gabriel Magalhães N. Guimarães, TSA-SBA, MSc
[email protected]/gabrielmng
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Conflitos de interesse● Sócio cotista de clínica de ECT.
http://gabriel.med.br/
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http://dgp.cnpq.br/dgp/espelhogrupo/4297092389120709
GRIFE: Modelagem de sistemas complexos
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ECT é sempre eletiva?
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ECT vs eletrochoque?
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CargaCorrentePulso
Tipo de onda
Posicionamento eletrodos
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Eficácia ECT vs antidepressivos
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Depressão: remissão
Citalopram (30%), bupropiona (23%), sertralina (21%), venlafaxina (25%).
ECT 55% - 86%
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Por que ECT é mais eficaz em casosrefratários?
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Por que ECT é mais eficaz em casosrefratários?
● hipermetabolismo;● disabsorção;
● uso inadequado medicamentos;
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ECT causa dano cerebral?
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ECT e suicídio
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ECT e suicídio
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ECT sem anestesia? Em gestantes?
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Indicações de ECT?
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Indicações de ECT?
● Depressão;● Catatonia;● Psicose;
● Epilepsia;● Risco de suicídio;
● Intolerância/cácia aos medicamentos;
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Quero que induza cometomidato
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Melhora relação médicos-família;
Disclosure;
Benefícios psicológicos;
Menos processos, segurança igual.
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Titulação contínua;
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Cetamina na ECT?
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Succinilcolina na ECT?
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Via aérea na ECT
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Brincos, piercings, colares na ECT?
Segurar a mão durante estímulo?
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Quanto custa ECT?
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VPA direcionada?
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E muito mais..
Alfa-2 agonistas, opioides, cafeina
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