Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast Episode 288: Keywords Part 28: ECT and Transfusion Reactions with Tym Kajstura
Aug 12, 2024
In this engaging conversation, Dr. Tym Kajstura, a cardiac anesthesiology fellow and former chief resident, shares his expertise in electroconvulsive therapy (ECT) and transfusion reactions. He explores the complex anesthetic implications of ECT, including hemodynamic responses and medication considerations. The discussion also covers vital transfusion reactions like hemolytic and allergic responses, emphasizing the importance of blood typing and cross-matching for patient safety. With practical insights, Kajstura navigates the intricacies of patient management in these critical scenarios.
AI Snips
Chapters
Books
Transcript
Episode notes
ECT Cardiovascular Response
- ECT induces a generalized motor seizure with an acute cardiovascular response.
- This response starts with parasympathetic discharge, followed by a longer sympathetic discharge.
Treating Post-ECT Hypertension
- For exaggerated hypertension and tachycardia post-ECT seizure, treat with labetalol.
- Avoid atropine and phenylephrine as they worsen tachycardia and hypertension respectively.
Use Flumazenil Before ECT
- Administer flumazenil before ECT if patient took benzodiazepines.
- Flumazenil reverses benzos which are anticonvulsant and can reduce ECT efficacy.
