title: [Survey on anaesthetic practices for electroconvulsivotherapy in French university hospitals].
abstract: OBJECTIVE
  To evaluate the anaesthetic management of electroconvulsive therapy (ECT) in French university hospitals.
  
  
  METHODS
  National survey in university hospitals by mail.
  
  
  METHODS
  An email was sent to heads of department of anaesthesiology in French university hospitals to identify a referent practitioner, which we then sent a computerized quiz. The questions were about the volume and organization of the activity, pre-, per- and post-anaesthetic management of patients undergoing ECT.
  
  
  RESULTS
  Of the 33 sites performing ECT, 28 (85%) responded. The anaesthesia consultation was systematic at least 48 hours before the start of treatment but the preanaesthetic visit was performed in 32% of the centers. A routine electrocardiogram was performed in 89% of patients. In four centers (25%), neuromuscular blockade was not systematic. Propofol was the agent most widely used (82%) and etomidate and thiopental in 11% and 7% respectively. In two centers, practitioners did not report using oral protection. The psychiatrist was present in 71% of cases. The electroencephalogram was continuously recorded in 45% of the centers.
  
  
  CONCLUSIONS
  The recommendations remain valid while old and may be updated. They are not always followed by the teams. Continuing medical education should be promoted to a better understanding of the factors interfering between anesthesia and ECT.
authors: Smur-Samu 63, CHU de Clermont-Ferrrand, BP 69, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 01, France.
authors: A-S
authors: AS
authors: Bellocq
authors: S
authors: S
authors: Perbet
authors: S
authors: S
authors: Colomb
authors: D
authors: D
authors: Gonzalez
authors: F
authors: F
authors: Dissait
mesh_terms: D000328:Adult; D000368:Aged; D000758:Anesthesia; D018686:Anesthetics, Intravenous; D004363:Drug Utilization; D004562:Electrocardiography; D004565:Electroconvulsive Therapy; D004569:Electroencephalography; D005045:Etomidate; D005260:Female; D005602:France; D019983:Guideline Adherence; D017408:Guidelines as Topic; D019538:Health Care Surveys; D006785:Hospitals, University; D006801:Humans; D006993:Hypnotics and Sedatives; D020407:Internet; D008297:Male; D008875:Middle Aged; D019148:Neuromuscular Blockade; D015742:Propofol; D012017:Referral and Consultation; D013874:Thiopental
chemical_list: D018686:Anesthetics, Intravenous; D006993:Hypnotics and Sedatives; D013874:Thiopental; D015742:Propofol; D005045:Etomidate