Expert Opinion on Guidelines

Narrative Review and Consensus Recommendations for the Use of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange in Modified Electroconvulsive Therapy


Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China


Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, China


Department of Psychiatry, The Third People's Hospital of Foshan, Foshan, Guangdong, China


Department of Psychiatry, Affiliated Mental Health Center, Zhejiang University School of Medicine, Hangzhou, China


Department of Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei , China


Department of Psychiatry, Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, Hubei, China


Shenzhen Kangning Hospital and Shenzhen Mental Health Center, Shenzhen, China


Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China


Department of Public Health and Medicinal Administration, Unit of Psychiatry, Institute of Translational Medicine, University of Macau, Macao SAR, China


Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China

Alpha Psychiatry 2024; 25: 282-289
DOI: 10.5152/alphapsychiatry.2024.231463
Read: 126 Downloads: 77 Published: 25 April 2024

Abstract: Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) is a safe, effective, and novel technique that is currently being used in electroconvulsive therapy (ECT). This study aimed to summarize the clinical practices of THRIVE use in ECT to aid physicians and institutions in implementing the best practice guidelines for ECT. Thus, we reviewed the current literature and presented our consensus on the application of THRIVE in ECT in daily clinical practice. This consensus provides information regarding THRIVE use in ECT, including its safety, effectiveness, procedures, precautions, special case management, and application in special populations. Moreover, it guides the standardized use of THRIVE in ECT.

Cite this article as: Deng C, Nie S, Mai J, et al. Narrative review and consensus recommendations for the use of transnasal humidified rapid-insufflation ventilatory exchange in modified electroconvulsive therapy. Alpha Psychiatry. 2024;25(2):282- 289.

EISSN 2757-8038